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Selected Publication:
SHR Neuro Cancer Cardio Lipid Metab Microb
Erba, P; Wettstein, R; Schumacher, R; Schwenzer-Zimmerer, K; Pierer, G; Kalbermatten, DF.
Silicone moulding for pressure sore debridement.
J Plast Reconstr Aesthet Surg. 2010; 63(3): 550-553.
Doi: 10.1016/j.bjps.2008.11.087
Web of Science
PubMed
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- Co-authors Med Uni Graz
- Schwenzer-Zimmerer Katja Christine
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- Abstract:
- The radicality of wound debridement is an important feature of the surgical treatment of pressure sores. Several methods such as injection of methylene blue or hydrogen peroxide have been proposed to facilitate and optimise the surgical debridement technique, but none of them proved to be sufficient. We present an innovative modification of the pseudo-tumour technique consisting in the injection of fluid silicone. Vulcanization of the silicone leads to pressure-sore moulding, permitting a more radical and sterile excision. In a series of 10 paraplegic patients presenting with ischial pressure sores, silicone moulding was used to facilitate debridement. Radical en bloc debridement was achieved in all patients. After a minimal follow-up of 2 years, no complications and recurrences occurred. A three-dimensional (3D) analysis of the silicone prints objectified the pyramidal shape of ischial pressure sores. Our study showed that complete resection without capsular lesion can be easily achieved. Further, it allows the surgeon to analyse the shape and size of the resected defect, which might be helpful to select the appropriate defect coverage technique. (c) 2008 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.
- Find related publications in this database (using NLM MeSH Indexing)
- Adult -
- Biocompatible Materials -
- Buttocks -
- Debridement - methods
- Female -
- Humans -
- Imaging, Three-Dimensional -
- Injections -
- Male -
- Middle Aged -
- Paraplegia - complications
- Pressure Ulcer - etiology
- Pressure Ulcer - surgery
- Prospective Studies -
- Siloxanes - administration & dosage
- Find related publications in this database (Keywords)
- Paraplegics
- Debridement
- Laser scanner
- 3D analysis