Silicone moulding for pressure sore debridement.

Details

Serval ID
serval:BIB_0D4245E7D911
Type
Article: article from journal or magazin.
Collection
Publications
Title
Silicone moulding for pressure sore debridement.
Journal
Journal of Plastic, Reconstructive and Aesthetic Surgery
Author(s)
Erba P., Wettstein R., Schumacher R., Schwenzer-Zimmerer K., Pierer G., Kalbermatten D.F.
ISSN
1878-0539[electronic]
Publication state
Published
Issued date
2010
Volume
63
Number
3
Pages
550-553
Language
english
Notes
Publication types: JOURNAL ARTICLE
Publication Status: ppublish
Abstract
The radicality of wound debridement is an important feature of the surgical treatment of pressure sores. Several methods such as injection of methylene blue or hydrogen peroxide have been proposed to facilitate and optimise the surgical debridement technique, but none of them proved to be sufficient. We present an innovative modification of the pseudo-tumour technique consisting in the injection of fluid silicone. Vulcanisation of the silicone leads to pressure-sore moulding, permitting a more radical and sterile excision. In a series of 10 paraplegic patients presenting with ischial pressure sores, silicone moulding was used to facilitate debridement. Radical en bloc debridement was achieved in all patients. After a minimal follow-up of 2 years, no complications and recurrences occurred. A three-dimensional (3D) analysis of the silicone prints objectified the pyramidal shape of ischial pressure sores. Our study showed that complete resection without capsular lesion can be easily achieved. Further, it allows the surgeon to analyse the shape and size of the resected defect, which might be helpful to select the appropriate defect coverage technique.
Pubmed
Web of science
Create date
16/12/2009 17:27
Last modification date
03/03/2018 13:39
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