Negative Pressure Wound Therapy (NPWT) after Hybrid Reconstruction of Occipital Pressure Sore Using Local Flap and Skin Graft

Abstract

Background and objectives: Pressure sores are a common medical burden among patients, particularly those who are bedridden or frail. Surgical management of occipital pressure sores poses unique challenges due to limited elasticity and the spherical shape of the scalp. This study aims to evaluate the efficacy and safety of a novel reconstruction method utilizing a local transpositional flap and split-thickness skin graft with negative pressure wound therapy (NPWT) for occipital pressure sore treatment. Material and methods: A retrospective analysis was performed on patients with occipital pressure sores who underwent hybrid reconstructions using a local flap and split-thickness skin graft in conjunction with NPWT. Surgical outcomes, including flap survival rate, graft take percentage, and complications, were assessed. A comparative analysis was performed between the NPWT group and the conventional dressing group. Results: The NPWT group (n = 24) demonstrated a significantly higher mean graft take percentage at postoperative day 14 compared with the conventional dressing group (n = 22) (98.2% vs. 81.2%, p < 0.05). No significant difference in flap survival rate was observed between the two groups. Conclusions: As the aging population continues to grow, occipital pressure sores have gained significant attention as a crucial medical condition. The innovative surgical method incorporating NPWT offers an efficient and safe treatment option for patients with occipital pressure sores, potentially establishing itself as the future gold standard for managing this condition.

Prevalence of surgical site wound infection after spine surgery in nasal colonization of methicillin‐resistant Staphylococcus aureus: A meta‐analysis

“…Following an assessment of 509 relevant papers, 14 studies that were released between 2014 and 2022 were included in the meta‐analysis since they matched the inclusion criteria. 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 Table 2 summarizes the findings of these investigations. A total of 18 410 people were tested for nasal colonization after SS.…”

“…Following an assessment of 509 relevant papers, 14 studies that were released between 2014 and 2022 were included in the meta‐analysis since they matched the inclusion criteria 8–21,34–49 . Table 2 summarizes the findings of these investigations.…”

“…The sample size was 247–356 people. 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 The examined data revealed that MRSA‐positive had a significantly higher SSI compared with MRSA‐negative in SS subjects.…”

“…For the current meta‐analysis, 14 exams from 2014 to 2022 were included; of these, 18 410 people were tested for nasal colonization after SS. The sample size was 247–356 people 8–21,34–49 . The examined data revealed that MRSA‐positive had a significantly higher SSI compared with MRSA‐negative in SS subjects.…”