Treatment of Bedsores
Best hospitals and doctors for bedsores treatment abroad
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University Hospital Erlangen
Department of Plastic, Aesthetic and Reconstructive Surgery, Adult and Pediatric Hand Surgery
University Hospital RWTH Aachen
Department of Plastic, Burn Surgery and Hand Surgery
University Hospital Jena
Department of Adult and Pediatric Oral, Maxillofacial, Plastic Surgery
University Hospital Rechts der Isar Munich
Department of Adult and Pediatric Plastic Surgery, Hand Surgery
University Hospital Bonn
Department of Plastic and Aesthetic Surgery
HELIOS University Hospital Wuppertal
Department of Plastic, Aesthetic and Reconstructive Surgery, Adult and Pediatric Hand Surgery, Reconstructive Burn Surgery
University Hospital Hamburg-Eppendorf
Department of Plastic, Reconstructive and Aesthetic Surgery
University Hospital Giessen UKGM
Department of Otolaryngology, Head and Neck Surgery, Plastic Surgery
Charite University Hospital Berlin
Department of Adult and Pediatric Plastic, Reconstructive Surgery
University Hospital Duesseldorf
Department of Adult and Pediatric Oral, Maxillofacial Surgery and Facial Plastic Surgery
Tel Aviv Sourasky Medical Center
Department of Plastic Surgery
Medicana International Ankara Hospital
Department of Plastic and Aesthetic Surgery
Medicana International Istanbul Hospital
Department of Plastic and Aesthetic Surgery
Hospital Bogenhausen Munich
Department of Adult and Pediatric Plastic, Reconstructive Surgery, Hand Surgery, Burn Surgery
HELIOS Clinic Krefeld
Department of Plastic, Aesthetic and Reconstructive Surgery
Bedsores is a condition, also known as a pressure ulcer. It is a skin lesion, which becomes inflamed because of a number of factors. The most common factor which contributes to the development of bedsores is friction caused by a long-term immobility of a person. Paralysis, injuries, which require constant bed rest and old age can contribute to the development of bedsores.The part of body which is affected by these conditions is always unpredictable, as bedsores can appear on the arms, legs, buttocks, or belly. Knees and elbows, nonetheless, are the most affected parts of the body. Although bedsores are treatable, they can cause serious complications if left unnoticed. In some cases they can be fatal. The biggest complication is the sustained blood circulation to the affected parts of the body, where bedsore appear. In case a part of the body does not receive necessary amount of a blood flow, it becomes in danger of necrosis, which is a death of a tissue. Another danger is an infection which a person can easily contract through the bed sore.
According to an American site Medical News Today, on average 5% develops bed sore during their stay in the hospital, if it lasts several weeks. The main danger of bedsores is that they rarely cause any pain to a patient, because they have reduced sensation. In such case, a nurse or a doctor needs to regularly examine patient's skin for the signs of possible bedsores.
- Sores on the skin, which do not heal
- Weight loss
- Incontinence
- Reduced sensation
During general examination, doctor will examine patient's skin. Sores are usually easy to identify and they have very pronounced appearance which rarely leaves any doubts in diagnosis.
Blood tests and urinalysis are in some cases ordered to rule out the possibility of an infection and to determine if bedsores caused development of any infectious process in the body.
Conservative treatment includes prescription of special oral antibiotics, which would prevent development of infection in the blood, dressing of the wound, constant repositioning of the patient and debridement of the tissue if it is dead and needs to be removed immediately. It usually takes some time to completely heal the bed sore and prevent appearance of new sores. Special mattress and bed may also be used to always keep a patient in the right position and to prevent infection.
Plastic skin repair is a surgery used to clean the wound, where the sore is, prevent infection and then use a flap reconstruction by covering the wound with a tissue taken from another part of the body. Such plastic repair is also used to improve the appearance of the sore.
Authors: Dr. Nadezhda Ivanisova, Dr. Sergey Pashchenko