Silicone moulding for pressure sore debridement.

Détails

ID Serval
serval:BIB_0D4245E7D911
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Silicone moulding for pressure sore debridement.
Périodique
Journal of Plastic, Reconstructive and Aesthetic Surgery
Auteur(s)
Erba P., Wettstein R., Schumacher R., Schwenzer-Zimmerer K., Pierer G., Kalbermatten D.F.
ISSN
1878-0539[electronic]
Statut éditorial
Publié
Date de publication
2010
Volume
63
Numéro
3
Pages
550-553
Langue
anglais
Notes
Publication types: JOURNAL ARTICLE
Publication Status: ppublish
Résumé
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
Création de la notice
16/12/2009 17:27
Dernière modification de la notice
03/03/2018 13:39
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