Hybrid approach in sacral sore management with maggot debridement therapy and flap reconstruction
Sacral sore is a common problem in patients with spinal cord injury. It leads to prolonged hospitalization and recurrent infections which might require repeated surgery to treat. Flap reconstruction allows soft tissue coverage of sacral sore under the premise of infection-free wound base. Maggot deb...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2024-03-01
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| Series: | JPRAS Open |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352587823000979 |
| _version_ | 1797291788622364672 |
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| author | Marvin Man Ting Chung Samuel Yan Jin Fang Alex Pat Chung Yeung Wai Fung Kwong Yuk Fai Lui Wing Yuk Ip |
| author_facet | Marvin Man Ting Chung Samuel Yan Jin Fang Alex Pat Chung Yeung Wai Fung Kwong Yuk Fai Lui Wing Yuk Ip |
| author_sort | Marvin Man Ting Chung |
| collection | DOAJ |
| description | Sacral sore is a common problem in patients with spinal cord injury. It leads to prolonged hospitalization and recurrent infections which might require repeated surgery to treat. Flap reconstruction allows soft tissue coverage of sacral sore under the premise of infection-free wound base. Maggot debridement therapy (MDT) has been described as an alternative non-surgical management as opposed to the traditional surgical debridement in case of infected sore, reducing number of surgeries under anaesthesia. However, MDT and surgery are not mutually exclusive. In this article we describe a hybrid approach combining MDT and flap reconstruction with multi-disciplinary effort in management of sacral sore, which accelerates wound healing and prevents morbidities, while lowering the risks associated with repeated surgical debridement at the same time. |
| first_indexed | 2024-03-07T19:41:50Z |
| format | Article |
| id | doaj.art-b66cb71dd26c4510bb278141a9530c99 |
| institution | Directory Open Access Journal |
| issn | 2352-5878 |
| language | English |
| last_indexed | 2024-03-07T19:41:50Z |
| publishDate | 2024-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | JPRAS Open |
| spelling | doaj.art-b66cb71dd26c4510bb278141a9530c992024-02-29T05:19:34ZengElsevierJPRAS Open2352-58782024-03-013995100Hybrid approach in sacral sore management with maggot debridement therapy and flap reconstructionMarvin Man Ting Chung0Samuel Yan Jin Fang1Alex Pat Chung Yeung2Wai Fung Kwong3Yuk Fai Lui4Wing Yuk Ip5Department of Orthopaedics & Traumatology, University of Hong Kong, Hong Kong; Corresponding author at: Department of Orthopaedics & Traumatology, 5/F Professorial Block, Queen Mary Hospital, 102 Pokfulam Road, Hong Kong.Department of Orthopaedics & Traumatology, Queen Mary Hospital, Hong KongDepartment of Orthopaedics & Traumatology, Queen Mary Hospital, Hong KongDepartment of Orthopaedics & Traumatology, Queen Mary Hospital, Hong KongDepartment of Orthopaedics & Traumatology, University of Hong Kong, Hong KongDepartment of Orthopaedics & Traumatology, University of Hong Kong, Hong KongSacral sore is a common problem in patients with spinal cord injury. It leads to prolonged hospitalization and recurrent infections which might require repeated surgery to treat. Flap reconstruction allows soft tissue coverage of sacral sore under the premise of infection-free wound base. Maggot debridement therapy (MDT) has been described as an alternative non-surgical management as opposed to the traditional surgical debridement in case of infected sore, reducing number of surgeries under anaesthesia. However, MDT and surgery are not mutually exclusive. In this article we describe a hybrid approach combining MDT and flap reconstruction with multi-disciplinary effort in management of sacral sore, which accelerates wound healing and prevents morbidities, while lowering the risks associated with repeated surgical debridement at the same time.http://www.sciencedirect.com/science/article/pii/S2352587823000979Sacral soreDecubitus ulcerPressure soreMaggot debridementFlap reconstruction |
| spellingShingle | Marvin Man Ting Chung Samuel Yan Jin Fang Alex Pat Chung Yeung Wai Fung Kwong Yuk Fai Lui Wing Yuk Ip Hybrid approach in sacral sore management with maggot debridement therapy and flap reconstruction JPRAS Open Sacral sore Decubitus ulcer Pressure sore Maggot debridement Flap reconstruction |
| title | Hybrid approach in sacral sore management with maggot debridement therapy and flap reconstruction |
| title_full | Hybrid approach in sacral sore management with maggot debridement therapy and flap reconstruction |
| title_fullStr | Hybrid approach in sacral sore management with maggot debridement therapy and flap reconstruction |
| title_full_unstemmed | Hybrid approach in sacral sore management with maggot debridement therapy and flap reconstruction |
| title_short | Hybrid approach in sacral sore management with maggot debridement therapy and flap reconstruction |
| title_sort | hybrid approach in sacral sore management with maggot debridement therapy and flap reconstruction |
| topic | Sacral sore Decubitus ulcer Pressure sore Maggot debridement Flap reconstruction |
| url | http://www.sciencedirect.com/science/article/pii/S2352587823000979 |
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