What are the disadvantages of direct wound closure 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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Although direct closure is the simplest approach, pressure injuries considered for surgical treatment are usually too large to be amenable to direct primary closure. Because these wounds are tense as a result of large soft-tissue defects, direct closure can lead to wound defects, excessive wound tension, and a paucity of soft-tissue coverage. Tissue expanders have been used to provide more skin surface and to facilitate closure. [154]

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