What medical treatment must be completed prior to surgical reconstruction for 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, it cannot be emphasized too strongly that medical management must be optimized before reconstruction is attempted; otherwise, reconstruction is doomed to failure. That is, spasticity must be controlled, nutritional status must be optimized, and the wound must be clean and free of infection. If there is significant fecal soiling into the injury, diverting colostomy should be considered before reconstruction. If there is a urethral fistula, it should be diverted and healed before reconstruction.


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