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Year : 1976  |  Volume : 10  |  Issue : 1  |  Page : 7-12

Surgical Management Of Pressure Sores

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J. K Sinha

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Pressure sores may be defined as an area of ulceration and necrosis of the skin occurring in any part of the body but usually over an underlying bony prominence which is subjected to prolonged or often repeated pressure. Prolonged pressure causes anoxia of the soft tissues and thrombosis of the small blood vessels within them. Necrosis then becomes inevitable, and when the necrotic tissue sloughs or is debrided away, an ulcer is left. Secondary infection causes acceleration and progression of the process. Bailey (1965) described pressure sores as a complication of increased life span under adverse conditions. Several authors (Guttman 1955, Hynes 1956, Olivari et al. 1972) have pointed out other contributing factors which are friction, contusion, uncontrolled spasticity, malnutrition and contamination of affected areas by urine and faeces. Pressure sores range in severity from the incipient bed sore, in which there is simple erythema of the skin, through all stages of destruction of tissues including skin, fat, muscle and bone. Present study deals with 14 cases of pressure sores, due to various causes, who were referred to plastic surgery service of Sir Sunderlal Hospital, Banaras Hindu University, Varanasi from September 1973 to September 1975.

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