Bed sore over other places
Bedsore over places like heel, scalp, upper back and knee are the wounds being developed due to lying for an excessive amount of time in the same position on the bed.
Best Bed sore over unusual places (Heel, scalp, upper back, knee) Treatment in India
Bedsore over places like heel, scalp,upper back and kneeare the wounds being developed due to lying for an excessiveamount of time in the same position on the bed.This can develop on one side or both the sides of the body.
It is the position of the patient which decides the area of pressure sore, e.g.
- Bedsores over these places develop usually when the patient is very malnourished and debilitated.
- Usually, pressure sores over these places develop with coexistent bed sores over sacrum, ischium and trochanteric region.
- When the patient is nursed in straight supine position, then chances of developing bedsores over heel, upper back and scalp are high.
- When the patient is nursed in prone position, then chances of developing bedsores over forehead, knee and chest are high.
When do people get bedsore over these unusual locations like heel, back, scalp, knee?
- This happens when the body is quite sick and unable to movedue to paralysis, trauma, fractures, old age, etc.
- Patients admitted in the hospital for long time, especially in ICU or on ventilator
What are the different Categories of Bed Sore?
We often categorize the bed sores with respect to the amount of damage.
- In category I, there will be generalized redness over the pressure areas.
- In category II, there will be partial loss of skin, like we get injured while rubbing forcefully over any object.
- In category III and IV, there is full thickness loss of skin and muscle, bones are exposed, respectively.
Therefore, whatever the stage maybe, relatives or attendants should consult the plastic surgeon immediately and start the management to stop further progression of the bedsore.
How is bedsore sore over heel, back, scalp, knee treated at kayakriti?
A. For categories I and II bedsore
The patient might not need admission if other comorbidities and factors are under control.
- Attendants are advised all the management and may be sent home with oral antibiotics and regular specific dressings advised.
- Follow up is done every week initially and later once or twice in a month for three months after healing is complete.
B. For categories III and IV bedsore
The patient definitely needs admission in a hospital and all the investigations are done with respect to see his nutritional status and surgical fitness. After admission, Pre-Anaesthetic Checkup is done. Neurological, cardiac, physician clearances been done for surgical fitness. Once the patient is vitally stable and clear, surgical correction is planned.
- Usually, we can proceed with a single stage surgery for bedsores in such unusual locations in which we excise the bedsore in total, remove the infected portion of the underlying bone, after proper debridement and then the definite flap cover is done in the same sitting. Rarely two staged surgery is required.
- Closure of the wound is done in maximum cases by local flap, i.e. using the skin and soft tissue from the surrounding normal area, especially transposition flap, rotation flap, V to Y advancement flap, etc. Dr Amit Agarwal has whole lot of flaps in his kitty for the coverage of pressure sores at these unusual locations.
Suction drain is also placed under the flap, for drainage of any collection of fluid underneath and avoid the cavity between the wound and flap.
Recovery after surgery for bedsorein unusual locations
- The patient is nursed in prone position,
- Air mattress is used,
- Proper Hygiene has to be maintained,
- Foley's catheterisation is done and
- Flap is being monitored regularly for any color changes, or any infection.
- Patient is kept on soft diet for few days, to decrease the frequency of stools.
- Dressing is done every alternate day.
- Patient is kept in hospital for atleast one week.
- Suction is removed once the amount is less than 10-15 ml in 24 hours.
- Sutures are removed after 2 weeks.
- Once the flap is settled and patient is vitally stable, discharge is planned.
All the precautions to be taken at home are explained.
Instructions are given about air mattress, hygiene, regular side to side turning.
Follow up is done after one week and later once or twice in a month for next three months.
Shaping dreams through
Know your surgeon better
Best plastic surgeon, Dr. Amit Agarwal is an American Board Certified, extensively trained, and best Plastic & Aesthetic surgeon in Lucknow. He is the Chief Plastic Surgeon heading the Department of Plastic, Microvascular, and Craniofacial surgery at Vivekananda Polyclinic and Institute of Medical Sciences, Lucknow, U.P, India. He maintains a busy practice at Avadh and Nishat Hospital and his own center - Kayakriti Plastic Surgery & Dental Center. He was formerly a Consultant in the Department of Plastic Surgery and Burns at the prestigious SGPGI, Lucknow.
MS, DNB (General Surgery) MCh, DNB (Plastic Surgery),
MNAMS, FACS, FICS, FRCS (Edinburgh, UK)
His Credentials
Three pillars of kayakriti
Privacy
We believe your experience with us should be comfortable and hassle-free to make it one of your best lifetime experiences for yours. We, here at the clinic, take full precautions to maintain your privacy in any manner. We also provide a staff who will receive you from the gate and take you to the chamber directly if you demand.
Trust
Our Surgeon is highly qualified and internationally certified with a team of skilled staff to perform any surgical or non-surgical treatment on your body.
Safety
When you plan to undergo any surgery you should always keep in mind that it's your body and it's a surgery. We, here always keep your safety a priority and will never recommend you to undergo any such procedure which is not safe for you. We also provide you with a detailed description of the complications which may occur after the surgery during the consultation as it's a surgical procedure so there may be some complications depending on the way your body reacts.
Kayakriti in news
Frequently Asked Questions
If you have flat or small breast and you want to improve your breast and hip contour ratio then you are a good candidate for it. The answer will be best provided after the first consultation with Dr Amit Agarwal.
Acute pain will be there for almost a week which gradually reduces and there will be soreness and swelling which may take up to 3 weeks to subside.
You can join your work and daily routines after a week of the procedure and can start exercising after 3 weeks of it.
Yes, you have to wear it round the clock unless we suggest you to remove it.
This surgery does not affect the ducts or the areas of the breast involved in milk production. Thus, it does not affect the breast feeding.
This surgery does not affect the ducts or the areas of the breast involved in milk production. Thus, it does not affect the breast feeding.
Kayakriti Plastic Surgery & Dental Center
D-43, Near Punjab National Bank, Rajajipuram, Lucknow, Uttar Pradesh - 226017, India
Phone No. +919695940009, +919695940006
Map Location
Social Media Presence