Table of Contents
ISRN Plastic Surgery
Volume 2013 (2013), Article ID 756439, 5 pages
http://dx.doi.org/10.5402/2013/756439
Clinical Study

An Audit of Surgical Management of Pressure Sores in a Resource Constrained Hospital in Kenya

1Division of Plastic Surgery, Department of Surgery, University of Nairobi, P.O. Box 19676-00202, Nairobi, Kenya
2National Spinal Injury Hospital, P.O. Box 20906-00202, Nairobi, Kenya

Received 28 April 2013; Accepted 30 May 2013

Academic Editors: H. Mizuno, İ. Özyazgan, and E. Raposio

Copyright © 2013 W. F. Nangole et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Objective. To determine the surgical management of pressure sores at the National Spinal Injury Hospital and the outcome. Design. This was a four-year prospective study from June 2008 to June 2012. Setting. The study was carried out at the National Spinal Injury Hospital, Nairobi, Kenya. Subjects. Patients with pressure sores operated on during the defined period of study. Results. A total of 46 patients with 58 pressure sores were operated on during the defined period of study. The male : female ratio was 10.5 : 1. The mean age was 36.5 years. Trochanteric sores accounted for 60 percent of the pressure sores operated on with the V-Y tensor fascia lata, the commonest surgical procedure, accounting for 37 percent of the procedures performed. At one year of followup 90 percent of the surgeries done were successful with no ulcer recurrence noted. Conclusion. Surgical management of pressure sores even in resource constrained environment would result in faster rehabilitation and early patient discharge. The recurrence of the pressure sores could be greatly reduced by involving patients relatives in the rehabilitation and home-based care.