Journal
ANNALS OF PLASTIC SURGERY
Volume 83, Issue -, Pages S45-S49Publisher
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/SAP.0000000000002100
Keywords
complex wounds; palliative management; pressure injury
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Funding
- Yale Department of Surgery Ohse Fund
- Plastic Surgery Foundation National Endowment for Plastic Surgery Grant
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Complex wounds are commonly thought to require aggressive surgical intervention to achieve healing. However, optimal healing results can often be achieved when greater emphasis is placed on optimizing patient factors prior to any surgical intervention. A retrospective review was performed of pressure ulcers and complex wound cases treated over 5 years at the Yale New Haven Wound Center. Optimal healing including clinical resolution of osteomyelitis and improved scarring was achieved when patient factors, such as glucose control and nutrition, were optimized. Surgical intervention can be more effective and even avoided entirely with the appropriate focus on optimizing patient factors.
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