Medical Practice and Reviews
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Article Number - 3BF1CA8544


Vol.4(4), pp. 23-26 , April 2013
DOI: 10.5897/MPR2013.0100
ISSN: 2141-2596



Full Length Research Paper

Experience with the use of sugar paste dressing followed by reconstruction of sacral pressure sore with V-Y flap: A reliable solution for a major problem



Mohammad Ruhullah
  • Mohammad Ruhullah
  • Department of Orthopaedic Surgery, National Medical College and Teaching Hospital, Birgunj, Nepal.
  • Google Scholar
Shah Sanjay
  • Shah Sanjay
  • Department of Orthopaedic Surgery, National Medical College and Teaching Hospital, Birgunj, Nepal.
  • Google Scholar
HR Singh
  • HR Singh
  • Department of Orthopaedic Surgery, National Medical College and Teaching Hospital, Birgunj, Nepal.
  • Google Scholar
KD Sinha
  • KD Sinha
  • Department of Orthopaedic Surgery, National Medical College and Teaching Hospital, Birgunj, Nepal.
  • Google Scholar
M. Irshad
  • M. Irshad
  • Department of Orthopaedic Surgery, National Medical College and Teaching Hospital, Birgunj, Nepal.
  • Google Scholar
B. Abhishek
  • B. Abhishek
  • Department of Orthopaedic Surgery, National Medical College and Teaching Hospital, Birgunj, Nepal.
  • Google Scholar
S. Kaushal
  • S. Kaushal
  • Department of Orthopaedic Surgery, National Medical College and Teaching Hospital, Birgunj, Nepal.
  • Google Scholar
S. K. Shambhu
  • S. K. Shambhu
  • Department of Orthopaedic Surgery, National Medical College and Teaching Hospital, Birgunj, Nepal.
  • Google Scholar







 Accepted: 07 February 2013  Published: 30 April 2013

Copyright © 2013 Author(s) retain the copyright of this article.
This article is published under the terms of the Creative Commons Attribution License 4.0


Pressure sore is a complication in paraplegic/quadriplegic patients. Despite advances in reconstruction techniques, sacral pressure sores are still a challenge to the orthopaedic surgeon, because of long hospital stay resulting into the situation where pressure sores are in evitable for ambulatory patients too. Development of pressure sores makes treatment/rehabilitation difficult and delays treatment options. Additionally, untreated sores cause complications, e.g. death and recurrence after surgery. Attention has been focused on aggressive dressing of the deep sores with use of sugar paste. Once granulation tissue had filled a sore cavity, a surgical closure using V-Y flaps were considered a method providing better treatment results. This study was conducted on 14 patients (10 males and 4 females) with sacral pressure sores in age group of 35 to 80 years. After initial debridement and removal of tissues of doubtful viability, culture and sensitivity were done in all cases. Wounds were packed with sugar paste for 5 to 14 days or till cavity is filled by granulation tissue. Bilateral V-Y myocutaneous flaps were used in 13 cases. Wound gaping occurred in 1 due to failure of a unilateral rotational flap and secondary bilateral V-Y myocutaneous flaps were needed. Suction drains retained for 7 to 10 days and pressure bearing on sores sites was avoided till complete healing. Superficial infection occurred in 3 cases which responded to suction and dressings. In our experience, the use of sugar paste dressing as a preprocedure to V-Y flap covering operation is a reliable options in management of infected deep sacral pressure sore.

 

Key words: Sugar paste, V-Y flaps, sacral sore.

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APA (2013). Experience with the use of sugar paste dressing followed by reconstruction of sacral pressure sore with V-Y flap: A reliable solution for a major problem. Medical Practice and Reviews, 4(4), 23-26.
Chicago Mohammad Ruhullah, Shah Sanjay, HR Singh, KD Sinha, M. Irshad, B. Abhishek, S. Kaushal and S. K. Shambhu. "Experience with the use of sugar paste dressing followed by reconstruction of sacral pressure sore with V-Y flap: A reliable solution for a major problem." Medical Practice and Reviews 4, no. 4 (2013): 23-26.
MLA Mohammad Ruhullah, et al. "Experience with the use of sugar paste dressing followed by reconstruction of sacral pressure sore with V-Y flap: A reliable solution for a major problem." Medical Practice and Reviews 4.4 (2013): 23-26.
   
DOI 10.5897/MPR2013.0100
URL http://academicjournals.org/journal/MPR/article-abstract/3BF1CA8544

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