How is medical status optimized prior to surgery for the treatment of pressure injuries (pressure ulcers)?

Updated: Mar 26, 2020
  • Author: Christian N Kirman, MD; Chief Editor: John Geibel, MD, MSc, DSc, AGAF  more...
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Answer

If surgical reconstruction of a pressure injury is indicated, medical status must be optimized before reconstruction is attempted. General measures for optimizing medical status include the following:

  • Control of spasticity
  • Nutritional support as appropriate
  • Cessation of smoking
  • Adequate pain control
  • Maintenance of adequate blood volume
  • Correction of anemia
  • Maintenance of the cleanliness of the wound and surrounding intact skin
  • Management of urinary or fecal incontinence as appropriate
  • Management of bacterial contamination or infection

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