{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,2,4]],"date-time":"2023-02-04T05:33:54Z","timestamp":1675488834633},"reference-count":32,"publisher":"Mark Allen Group","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Wound Care"],"published-print":{"date-parts":[[2023,2,2]]},"abstract":"<jats:sec><jats:title>Objective:<\/jats:title><jats:p> Pressure ulcers (PUs) are highly prevalent and challenging wounds. In this study, patients with either tetraplegia or paraplegia, all of whom had multiple grade 4 PUs and who underwent single-session surgical treatment were included. In order to increase the mobility of the musculocutaneous flap, the gluteus maximus muscle, which cannot be used by immobile patients, was detached and inserted into the flap. <\/jats:p><\/jats:sec><jats:sec><jats:title>Method:<\/jats:title><jats:p> This was a retrospective case series and all PUs were reconstructed within the same surgical session. <\/jats:p><\/jats:sec><jats:sec><jats:title>Results:<\/jats:title><jats:p> A total of nine patients participated in the study, all of whom were male. Mean age was 33 years (range: 20\u201342 years). Mean follow-up period was 14.3 months (range: 9\u201324 months). All patients had a successful single-session repair of all PUs. Total or partial flap losses were not observed. Mean and total number of reconstructed PUs were 2.55 and 23, respectively. The mean area of reconstructed open wounds per patient was 174.6cm<jats:sup>2<\/jats:sup> and the mean operation duration was 253 minutes. The level of blood loss was acceptable as the decrease in haemoglobin levels was not more than 2g\/dl for each patient. <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion:<\/jats:title><jats:p> Multiple PUs can be repaired in one session using gluteus maximus musculocutaneous flaps in immobile patients. Based on the fact that the gluteus maximus is an essential muscle for ambulation, our approach can only be used in the treatment of patients with irreversible paraplegia or tetraplegia. When all prerequsities are met, the amount of blood loss and operation duration are acceptable, and returning the patient to a wound-free state can be achieved more quickly compared to multi-session repairs. Air-fluidised beds are vital tools for accomplishing single session repairs of multiple PUs. The data shows that the approach is safe and can be used in patients with multiple PUs. <\/jats:p><\/jats:sec>","DOI":"10.12968\/jowc.2023.32.2.109","type":"journal-article","created":{"date-parts":[[2023,2,3]],"date-time":"2023-02-03T17:29:21Z","timestamp":1675445361000},"page":"109-115","source":"Crossref","is-referenced-by-count":0,"title":["Single-session repair of multiple pressure ulcers in non-ambulatory patients"],"prefix":"10.12968","volume":"32","author":[{"given":"Bilge Kagan","family":"Aysal","sequence":"first","affiliation":[{"name":"Mugla Sitki Kocman University, Department of Plastic, Reconstructive and Aesthetic Surgery, Mugla, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mustafa","family":"Nisanci","sequence":"additional","affiliation":[{"name":"Mugla Sitki Kocman University, Department of Plastic, Reconstructive and Aesthetic Surgery, Mugla, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"5130","reference":[{"issue":"7","key":"B1","doi-asserted-by":"crossref","first-page":"770","DOI":"10.1177\/0269216319846023","volume":"33","author":"Ferris A","year":"2019","journal-title":"Palliat Med"},{"issue":"4","key":"B2","doi-asserted-by":"crossref","first-page":"230","DOI":"10.12968\/jowc.1993.2.4.230","volume":"2","author":"Bridel J.","year":"1993","journal-title":"J Wound Care"},{"issue":"18","key":"B3","doi-asserted-by":"crossref","first-page":"1084","DOI":"10.12968\/bjon.1998.7.18.5587","volume":"7","author":"Russell L.","year":"1998","journal-title":"Br J Nurs"},{"issue":"11","key":"B4","doi-asserted-by":"crossref","first-page":"1043","DOI":"10.1111\/j.1532-5415.1989.tb06918.x","volume":"37","author":"Berlowitz DR","year":"1989","journal-title":"J Am Geriatr Soc"},{"issue":"3","key":"B5","doi-asserted-by":"crossref","first-page":"287","DOI":"10.1901\/jaba.1989.22-287","volume":"22","author":"White GW","year":"1989","journal-title":"J Appl Behav Anal"},{"issue":"6958","key":"B6","doi-asserted-by":"crossref","first-page":"853","DOI":"10.1136\/bmj.309.6958.853","volume":"309","author":"Vohra RK","year":"1994","journal-title":"BMJ"},{"issue":"1","key":"B7","doi-asserted-by":"crossref","first-page":"76","DOI":"10.1016\/j.apmr.2014.08.013","volume":"96","author":"New PW","year":"2015","journal-title":"Arch Phys Med Rehabil"},{"issue":"6","key":"B8","doi-asserted-by":"crossref","first-page":"312","DOI":"10.12968\/jowc.2020.29.6.312","volume":"29","author":"Moore Z","year":"2020","journal-title":"J Wound Care"},{"issue":"12","key":"B9","doi-asserted-by":"crossref","first-page":"699","DOI":"10.12968\/jowc.2013.22.12.699","volume":"22","author":"Khurrum MF","year":"2013","journal-title":"J Wound Care"},{"issue":"5","key":"B10","doi-asserted-by":"crossref","first-page":"572","DOI":"10.1111\/iwj.12166","volume":"12","author":"Wettstein R","year":"2015","journal-title":"Int Wound J"},{"issue":"2","key":"B11","doi-asserted-by":"crossref","first-page":"322","DOI":"10.1111\/iwj.12603","volume":"14","author":"Guest JF","year":"2017","journal-title":"Int Wound J"},{"key":"B12","volume-title":"Skin breakdown: the silent epidemic","author":"Harding K.","year":"2007"},{"key":"B13","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1111\/iwj.12623","volume":"13","author":"Lindholm C","year":"2016","journal-title":"Int Wound J"},{"issue":"6","key":"B14","doi-asserted-by":"crossref","first-page":"1193","DOI":"10.1111\/iwj.12443","volume":"13","author":"Phillips CJ","year":"2016","journal-title":"Int Wound J"},{"issue":"6","key":"B15","doi-asserted-by":"crossref","first-page":"763","DOI":"10.1111\/j.1524-475X.2009.00543.x","volume":"17","author":"Sen CK","year":"2009","journal-title":"Wound Repair Regen"},{"issue":"2","key":"B17","doi-asserted-by":"crossref","first-page":"214","DOI":"10.1097\/SAP.0b013e3182920c7c","volume":"74","author":"Nisanci M","year":"2015","journal-title":"Ann Plast Surg"},{"issue":"3","key":"B18","first-page":"613","volume":"39","author":"Abdelmofeed AM","year":"2020","journal-title":"Egypt J Surg"},{"key":"B19","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1111\/iwj.12537","volume":"13","author":"Han HH","year":"2016","journal-title":"Int Wound J"},{"issue":"9","key":"B20","first-page":"583","volume":"37","author":"Sharbaugh RJ","year":"1971","journal-title":"Am Surg"},{"issue":"5","key":"B21","first-page":"253","volume":"39","author":"Sharbaugh RJ","year":"1973","journal-title":"Am Surg"},{"issue":"5","key":"B22","doi-asserted-by":"crossref","first-page":"641","DOI":"10.7326\/0003-4819-107-5-641","volume":"107","author":"Allman RM","year":"1987","journal-title":"Ann Intern Med"},{"issue":"4","key":"B23","doi-asserted-by":"crossref","first-page":"115","DOI":"10.1097\/00006527-198400440-00003","volume":"4","author":"Meyer JM.","year":"1984","journal-title":"Plas Surg Nurs"},{"issue":"3","key":"B24","doi-asserted-by":"crossref","first-page":"50","DOI":"10.1016\/S0001-2092(08)70643-4","volume":"10","author":"Hargest TS","year":"1969","journal-title":"AORN J"},{"issue":"2","key":"B25","first-page":"38","volume":"51","author":"Ochs RF","year":"2005","journal-title":"Ostomy Wound Manage"},{"issue":"5","key":"B26","doi-asserted-by":"crossref","first-page":"597e","DOI":"10.1097\/PRS.0000000000001700","volume":"136","author":"Winocour J","year":"2015","journal-title":"Plast Reconstr Surg"},{"key":"B27","first-page":"116","volume":"1","author":"Philipps RS.","year":"1963","journal-title":"Paraplegia"},{"issue":"5","key":"B28","doi-asserted-by":"crossref","first-page":"533","DOI":"10.1097\/00000637-199905000-00012","volume":"42","author":"Rubayi S","year":"1999","journal-title":"Ann Plast Surg"},{"issue":"7","key":"B29","doi-asserted-by":"crossref","first-page":"540","DOI":"10.1016\/0007-1226(92)90151-M","volume":"45","author":"Lari AR","year":"1992","journal-title":"Br J Plast Surg"},{"issue":"1","key":"B30","first-page":"83","volume":"22","author":"Tizian C","year":"1988","journal-title":"Scand J Plast Reconstr Surg Hand Surg"},{"key":"B31","unstructured":"Campbell A, Converse PE, Rodgers WL. The quality of American life. Russell Sage Foundation, 1976"},{"issue":"3","key":"B32","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1002\/(SICI)1520-7560(199905\/06)15:3<205::AID-DMRR29>3.0.CO;2-O","volume":"15","author":"Rubin RR","year":"1999","journal-title":"Diabetes Metab Res Rev"},{"issue":"2","key":"B33","doi-asserted-by":"crossref","first-page":"224","DOI":"10.1097\/00000637-200202000-00030","volume":"48","author":"Akbas H","year":"2002","journal-title":"Ann Plast Surg"}],"container-title":["Journal of Wound Care"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.magonlinelibrary.com\/doi\/pdf\/10.12968\/jowc.2023.32.2.109","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,2,3]],"date-time":"2023-02-03T17:31:57Z","timestamp":1675445517000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.magonlinelibrary.com\/doi\/10.12968\/jowc.2023.32.2.109"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,2,2]]},"references-count":32,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2023,2,2]]}},"alternative-id":["10.12968\/jowc.2023.32.2.109"],"URL":"https:\/\/doi.org\/10.12968\/jowc.2023.32.2.109","relation":{},"ISSN":["0969-0700","2052-2916"],"issn-type":[{"value":"0969-0700","type":"print"},{"value":"2052-2916","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,2,2]]}}}