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Lebed A.A.

Amur Regional Clinical Hospital

Bregadze A.A.

Amur Regional Clinical Hospital;
Amur State Medical Academy

Zavaruev A.V.

Amur Regional Clinical Hospital;
Amur State Medical Academy

Klepikova T.N.

Amur Regional Clinical Hospital

Fomina O.V.

Amur Regional Clinical Hospital

Kositsyna O.N.

Amur Regional Clinical Hospital

Pomelova Yu.A.

Amur Regional Clinical Hospital

Staged treatment of complex pressure sores after spinal injuries

Authors:

Lebed A.A., Bregadze A.A., Zavaruev A.V., Klepikova T.N., Fomina O.V., Kositsyna O.N., Pomelova Yu.A.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2025;(9): 115‑122

DOI: 10.17116/hirurgia2025091115

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Table of contents

STAGED TREATMENT OF COMPLEX PRESSURE SORES AFTER SPINAL INJURIES
STAGED TREATMENT OF COMPLEX PRESSURE SORES AFTER SPINAL INJURIES

To cite this article:

Lebed AA, Bregadze AA, Zavaruev AV, Klepikova TN, Fomina OV, Kositsyna ON, Pomelova YuA. Staged treatment of complex pressure sores after spinal injuries. Pirogov Russian Journal of Surgery. 2025;(9):115‑122. (In Russ.)
https://doi.org/10.17116/hirurgia2025091115

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

The authors present treatment of patients with spinal injury complicated by extensive multiple pressure sores. A comprehensive preoperative management was followed by staged surgical treatment. Advisability of deep bedsore closure with full-layer flaps and staged interventions was justified.

Keywords:

bedsores
spinal injury
closure with full-layer skin flap
fluidizing bed

Authors:

Lebed A.A.

Amur Regional Clinical Hospital

Bregadze A.A.

Amur Regional Clinical Hospital;
Amur State Medical Academy

Zavaruev A.V.

Amur Regional Clinical Hospital;
Amur State Medical Academy

Klepikova T.N.

Amur Regional Clinical Hospital

Fomina O.V.

Amur Regional Clinical Hospital

Kositsyna O.N.

Amur Regional Clinical Hospital

Pomelova Yu.A.

Amur Regional Clinical Hospital

Received:

22.10.2024

Accepted:

27.11.2024

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References:

  1. Baskov AV. Hirurgija prolezhnej. M.: GJeOTAR-MED, 2001. (In Russ.).
  2. Porhanov VA., Bogdanov SB. Vakuumnaja terapija. 2023. (In Russ.).
  3. Klimiashvili AD. Prevention and treatment of bedsores. Meditsina neotlozhnykh sostoyaniy. 2007;5(12):99-103. (In Russ.).
  4. Shlyapnikov SA, Naser NR, Borodina MA et al. Modern approaches to the treatment of bedsores. Zhurnal MediAl’. 2019;1(23):40-41. (In Russ.).
  5. Hsu KF, Kao LT, Chu PY et al. Simple and Efficient Pressure Ulcer Reconstruction via Primary Closure Combined with Closed-Incision Negative Pressure Wound Therapy (CiNPWT) — Experience of a Single Surgeon. J Pers Med. 2022;12(2):182.  https://doi.org/10.3390/jpm12020182
  6. Brady RA., Leid JG, Calhoun JH et al. Osteomyelitis and the role of biofilms in chronic infection. FEMS Immunol Med Microbiol. 2008;52:13-22.  https://doi.org/10.1111/j.1574-695X.2007.00357.x
  7. Malmsjo M, Ingemansson R, Lindstedt S, Gustafson L. Comparison of bacteria and fungus-binding mesh, foam and gauze as fillers in negative pressure wound therapy — pressure transduction, wound edge contraction, microvascular blood flow and fluid retention. Int Wound J. 2013;10(5):597-605.  https://doi.org/10.1111/j.1742-481X.2012.01029.x
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