title: [Experience in the treatment of severe pressure sore].
abstract: OBJECTIVE
  To summarize the experience in the treatment of severe pressure sore.
  
  
  METHODS
  From Aug. 2007 to Jun. 2011, 21 cases of severe pressure sore with 43 III-IV degree lesions were treated with combination treatment, including vacuum sealing drainage technique, local fascia flaps, upper or lower gluteus maximus island myocutaneous flaps, lower gluteus maximus myocutaneous flap, neurocutaneous femoris posterior flaps, tensor fascia lata island myocutaneous flaps, free latissimus dorsi myocutaneous flaps, and skin graft, combined with stryker frame and nursing tracking guidance. 13 of 21 cases had multiple pressure sore. Among them, 5 III degree pressure sores were covered by skin grafting and 3 non-caudal III degree pressure sores (< 2 cm in width) were directly closed after debridement. 8 of 21 cases had single IV degree pressure sore.
  
  
  RESULTS
  All the 43 wounds healed completely. 5 wounds in 3 cases had effusion under flap which healed after re-drainage. The wounds were not healed in 3 cases with flap transposition which were also healed after re-debridement. All the flaps survived completely. 16 cases were followed up for 2-26 months. Recurrence happened in 4 cases after discharge because of not following the required nursing care.
  
  
  CONCLUSIONS
  Comprehensive application of vacuum sealing drainage technique, multiple myocutaneous flaps and skin grafting, combined with stryker frame and nursing tracking guidance after discharge can be used for the treatment of severe pressure sore with satisfactory results.
authors.affiliation: Department of Burn and Plastic Surgery, Chenzhou First People's Hospital, Chenzhou 423000, China.
authors.forename: Xi-Sheng
authors.initials: XS
authors.lastname: Xu
authors.forename: Zheng-Zheng
authors.initials: ZZ
authors.lastname: ma
authors.forename: Yong-Sheng
authors.initials: YS
authors.lastname: Zhou
authors.forename: Cai-Sheng
authors.initials: CS
authors.lastname: Ou
authors.forename: Yong
authors.initials: Y
authors.lastname: Cheng
authors.forename: Kai
authors.initials: K
authors.lastname: Chen
authors.forename: Bo-Tong
authors.initials: BT
authors.lastname: Li
authors.forename: Hai-Yang
authors.initials: HY
authors.lastname: Zhou
authors.forename: Yong-Cai
authors.initials: YC
authors.lastname: Hu
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D003131:Combined Modality Therapy; D003646:Debridement; D004322:Drainage; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D003668:Pressure Ulcer / Q000601:surgery / Q000628:therapy*; D016038:Skin Transplantation; D013524:Surgical Flaps; D016896:Treatment Outcome; D055815:Young Adult