
Reconstructive Surgery
Pressure
Sores
Pressure ulcers, commonly known as bedsores, are a significant concern for individuals who are bedridden for extended periods. These may also develop after major surgical procedures. These ulcers result from tissue necrosis, which can be superficial but often extends to deeper anatomical layers. Left untreated, pressure ulcers can become life-threatening, requiring timely and meticulous management.
Commonly affected areas include the coccyx, hips, ischial tuberosities and heels.
BRIEFLY

Procedure time
1-2 hours

Anesthesia
General

Hospital stay
1 night
The Procedure
The first step in treating a pressure ulcer surgically is thorough debridement, ideally performed by a plastic surgeon. Removing necrotic tissue is essential for proper wound healing. Following debridement, daily wound care is necessary using special dressings, creams and wound coverings in order to promote healing.
If the ulcer does not heal over time, surgical management may be required, provided that the patient’s general health condition is good.
Healing of
Pressure Sores
Healing Process & Recovery
The healing timeline of a pressure ulcer depends on multiple factors:
- Depth and size of the wound
- Presence of infection
- Patient’s general health and nutritional status
- Underlying medical conditions
Young and healthy individuals with temporary immobilization tend to recover faster. In contrast, healing in elderly or chronically ill patients may be more prolonged and complex.
How long does it take for a pressure ulcer to heal?
Healing time varies depending on factors such as wound depth, infection, patient health and treatment approach. Younger, healthier patients tend to recover more quickly, whereas healing in elderly individuals may take longer.



Treatment Planning
Early diagnosis and appropriate management significantly enhance patient quality of life and reduce complications. Treatment is tailored according to ulcer severity:
- Superficial ulcers: Managed conservatively with daily dressing changes and patient mobilization.
- Deep ulcers: Require surgical debridement. If healing is insufficient, skin flaps or other reconstructive techniques are used for wound closure. Postoperative care includes pressure relief in the affected area, use of special dressings, nutritional and hydration support for optimal recovery.
DO YOU HAVE QUESTIONS?
What You Need to Know
What are the early signs of a pressure ulcer?
Early signs include redness in specific areas of the body, such as the coccyx or heels. Caregivers should remain vigilant and seek medical evaluation promptly. Plastic surgeons specialize in the assessment and treatment of pressure ulcers.
Can a pressure ulcer recur after healing?
Yes, recurrence is common in chronically bedridden patients. Prevention strategies include special support surfaces, frequent repositioning, proper nutrition and meticulous skin care.