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2022, Number 3

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Dermatología Cosmética, Médica y Quirúrgica 2022; 20 (3)

Postoperative pressure ulcers in postoperative patients with lumbar spine arthrodesis

Fernández CR, Ramírez CI

Language: Spanish
References: 18
Page: 280-284
PDF size: 297.05 Kb.


ABSTRACT

Background: postoperative pressure ulcers (PPU) are an indicator of the quality of care during spinal surgery, so since the facial region is a site of greater susceptibility to edema due to its anatomical characteristics, measures should be taken to prevent PPU in this topography.
Objective: to describe a series of cases of facial pressure ulcers in postoperative patients with lumbar spine arthrodesis.
Material and method: descriptive, retrospective, cross-sectional study. A retrospective search was performed in the database of dermatology consultations in a tertiary hospital (Hospital Central Militar, Sedena) from January 2016 to June 2018 of patients diagnosed with facial pressure ulcers by decubitus prolonged prone.
Results: 11 postoperative patients with lumbar spine arthrodesis were obtained, with an average surgery time of six hours, with a predominance of males (54.5%), with a median age of 58 years, the stage of the PPU classification that most predominated it was II (72.8%).
Conclusions: the main factor that determines the appearance of postoperative pressure ulcers is the prolonged time of surgery that implies greater pressure on facial bone protrusions.


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