Treatment of ischial pressure sores by means of sclerotherapy using absolute ethanol.
The ischial region is a common site of pressure sore. The ischial pressure sore with a large subcutaneous bursa is resistant to conservative treatment and tends to require radical surgical treatment. In this article the authors describe their experience with a simple surgical treatment on 8 ischial pressure sores in 7 patients with subcutaneous bursa by means of sclerotherapy using absolute ethanol. This method involves causing the bursa to become scarred and closing it up by sterilizing, fixing, and denaturing by the pharmacologic effect of absolute ethanol instead of surgical excision of the bursa. This alternative method has a possibility of treating pressure sores as well as other fistulous diseases in various areas.
Hayashi
Toshihiko
T
Plastic Surgery Memorial Hospital, Sapporo, Japan. tosh116@nifty.com
Honda
Kouichi
K
Kimura
Chu
C
Yamamoto
Yuhei
Y
Oyama
Akihiko
A
Sugihara
Tsuneki
T
D000328:Adult; D000368:Aged; D000891:Anti-Infective Agents, Local / Q000008:administration & dosage*; D000431:Ethanol / Q000008:administration & dosage*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007512:Ischium / Q000473:pathology* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D003668:Pressure Ulcer / Q000601:surgery / Q000628:therapy*; D012189:Retrospective Studies; D012597:Sclerosing Solutions / Q000008:administration & dosage*; D015911:Sclerotherapy / Q000379:methods*; D013997:Time Factors; D016896:Treatment Outcome
D000891:Anti-Infective Agents, Local; D012597:Sclerosing Solutions; D000431:Ethanol