Müller Karin, Becker Frederic, Pfau Matthias, Werdin Frank
, Augsburger Str. 19, 50170, Kerpen-Sindorf, Deutschland.
Plastische Chirurgie und Handchirurgie, Diakonie Klinikum Stuttgart, Stuttgart, Deutschland.
Z Gerontol Geriatr. 2017 Jun;50(4):309-315. doi: 10.1007/s00391-016-1035-z. Epub 2016 Feb 26.
Pressure sores in geriatric patients represent a challenge for all disciplines involved in the treatment process; however, the prerequisite for successful treatment is the elaboration of an interdisciplinary treatment concept. The treatment goals should be adapted to the individual needs of the patients including the life situation, general condition and local findings. In addition to general basic operative techniques, such as wound cleansing and conditioning, plastic and reconstructive surgery provides a wide range of highly specialized operative techniques for the treatment of these patients by which a definitive defect coverage can be achieved. The aim of this article is to raise awareness for these complex and highly specialized procedures for all disciplines participating in the treatment in order to improve the interdisciplinary cooperation and ultimately the quality of treatment.
老年患者的压疮对治疗过程中涉及的所有学科来说都是一项挑战;然而,成功治疗的前提是制定跨学科治疗方案。治疗目标应根据患者的个体需求进行调整,包括生活状况、一般状况和局部检查结果。除了一般的基本手术技术,如伤口清洁和处理外,整形和重建手术还提供了一系列高度专业化的手术技术来治疗这些患者,通过这些技术可以实现最终的缺损覆盖。本文旨在提高所有参与治疗的学科对这些复杂且高度专业化手术的认识,以改善跨学科合作并最终提高治疗质量。