Madison and Milwaukee, Wis. From the Department of Plastic Surgery, University of Wisconsin Medical School; and Department of Plastic Surgery, The Medical College of Wisconsin.
Plast Reconstr Surg. 2014 Jan;133(1):39e-48e. doi: 10.1097/01.prs.0000435843.87927.90.
After reading this article, the participant should be able to: 1. Discuss the approach and rationale of pressure sore management, including specific techniques of bone biopsy and postoperative care resulting in a significant reduction in recurrence rates. 2. Develop a surgical plan for reconstructing defects of the perineum, taking into account the local tissue factors and the soft-tissue requirements for reconstruction.
As close as the buttocks and the perineum are anatomically, the clinical settings and the solutions to wound problems in these areas are quite different. The ubiquitous "pressure ulcer" presents more commonly as a clinical management problem than a reconstruction issue. On the other hand, the perineal defect is almost always a reconstruction challenge following tumor ablation. For these reasons, the authors have chosen to separate this Continuing Medical Education offering into two parts. The first part addresses the pressure ulcer, while the latter discusses the perineum.
阅读本文后，参与者应能够：1. 讨论压疮管理的方法和原理，包括骨活检的具体技术和术后护理，从而显著降低复发率。2. 制定会阴缺损的手术计划，考虑到局部组织因素和软组织重建的要求。
虽然臀部和会阴在解剖上非常接近，但这两个部位的临床情况和伤口问题的解决方案却大不相同。无处不在的“压疮”更像是一个临床管理问题，而不是重建问题。另一方面，会阴缺损几乎总是肿瘤消融后重建的挑战。基于这些原因，作者选择将本次继续教育课程分为两部分。第一部分讨论压疮，第二部分讨论会阴。
