Descriptive Analysis of Surgical Outcomes and Stoma Formation for Treating Sacral and Anal Pressure Injuries in Spinal Cord Injury: A Retrospective Study of Selected Cases.

Autor:	Heller R; Department of Traumatology and Orthopaedics Septic and Reconstructive Surgery, Bundeswehr Hospital Berlin, Berlin, Germany.; Institute for Experimental Endocrinology, Berlin Institute of Health, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, Berlin, Germany., Torri M; Department of Paraplegiology, BG Trauma Centre Ludwigshafen, Ludwigshafen am Rhein, Germany., Gaab J; Department of Traumatology and Orthopaedics Septic and Reconstructive Surgery, Bundeswehr Hospital Berlin, Berlin, Germany., Haubruck P; Raymond Purves Bone and Joint Research Laboratory, Kolling Institute, Institute of Bone and Joint Research, Faculty of Medicine and Health University of Sydney, Royal North Shore Hospital, St. Leonards, NSW, Australia., Moghaddam-Alvandi A; Orthopedic and Trauma Surgery, Aschaffenburg, Germany., Biglari B; Department of Paraplegiology, BG Trauma Centre Ludwigshafen, Ludwigshafen am Rhein, Germany.
Jazyk:	angličtina
Zdroj:	SAGE open nursing [SAGE Open Nurs] 2024 Feb 19; Vol. 10, pp. 23779608241229507. Date of Electronic Publication: 2024 Feb 19 (Print Publication: 2024).
DOI:	10.1177/23779608241229507
Abstrakt:	Introduction: Pressure injuries (PIs) arise from sustained pressure on tissue, leading to reduced blood flow to the affected area. In patients with spinal cord injuries (SCIs), these PIs can significantly diminish their independence and overall quality of life. This research sought to assess the frequency of surgical complications in treatment regimens for large sacral PIs involving the anus. Specifically, the study focused on the incorporation of stoma formation in patients with SCIs. Methods: A retrospective review identified 25 SCI patients who had extensive sacral PIs. These patients underwent intestinal stoma formation as a preparatory step before plastic reconstructive surgery to address the wounds between 2015 and 2020. Results: Successful wound closure was achieved in all instances. Notably, each patient had experienced a minimum of three unsuccessful reconstructive surgeries elsewhere before this intervention. The observed rate of surgical complications aligned with findings from previous analogous studies. Conclusion: While often viewed as a treatment of last resort, an intestinal stoma might serve as a valuable strategy, particularly for SCI patients with extensive PIs near the anal region, to promote the healing of such injuries. Tailored decision-making is essential to ensure the best possible patient outcomes. Competing Interests: The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. (© The Author(s) 2024.)
Databáze:	MEDLINE
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