Actual issues of surgical correction of pressure ulcers (review)

Introduction. Objective: analysis of the major problems of surgical correction of pressure ulcers.Material and methods. Searching of data was carried out by keywords in the database PubMed.gov, as well as in the Russian scientific system - on last 20 years. More than 50 publications have been studied. underlying disease.Conclusion. The problem of providing high-quality surgical care to patients with grade III-IV pressure ulcers is still far from being resolved. Plasty with displaced multilayer flaps is the method of choice that allows to adequately fill the tissue deficit, prevent the recurrence of extensive and deep decubital ulcers, and improve the quality of life of these patients. However, the final results are highly dependent on the quality of the pressure ulcer preparation, the choice of the optimal technique and postoperative care. A comprehensive assessment of chronic pressure ulcers and a personalized approach to treatment, based on an understanding of the deep pathophysiological mechanisms of the development of DU, their specificity, taking into account anatomical localization, length and depth of the lesion, will make it possible to optimize the results of corrective interventions in the future. Careful adherence to the aid technique and competent postoperative care are no less important. Nevertheless, this area of clinical practice remains the area of the highest risk of postoperative complications. This fact is the leading reason for the low surgical activity in DU.