Reconstructive Plastic Surgery of Pressure Ulcers

by Salah Rubayi

Overview

This abundantly illustrated guide, based on work at the renowned Rancho Los Amigos National Rehabilitation Center, describes and depicts operative techniques for the treatment of the devastating wounds caused by pressure ulcers. Comprehensive information is provided on the surgical anatomy and the variety of wounds that may be encountered. In addition, interventions in patients with complicated ulcers are discussed. Pressure ulcer is a topic of growing importance in the fields of plastic surgery, surgical education, and physical therapy – and also has important psychosocial, medicolegal, and cost management implications. Readers will find Reconstructive Plastic Surgery of Pressure Ulcer to be an ideal aid to appropriate selection of flap surgery in the individual patient. It will help in the achievement of satisfactory outcomes and will especially assist surgeons who lack the requisite specialized training and experience.

Product Details

ISBN-13:	9783662453575
Publisher:	Springer Berlin Heidelberg
Publication date:	03/28/2015
Edition description:	2015
Pages:	283
Product dimensions:	7.01(w) x 10.00(h) x (d)

About the Author

Dr. Salah Rubayi, MD, FICS, FACS, is Professor of Clinical Surgery in the Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Southern California. As a world-renowned physician and surgeon, he has had a positive impact on the lives of many patients treated at the Rancho Los Amigos National Rehabilitation Center. He is Chair of Rancho's Department of Surgery and Chief of the Pressure Ulcer Management and Plastic and Reconstructive Surgery Programs. Originally trained at University of Baghdad Medical College and the Royal College of Surgeons and Physicians in Edinburgh and Glasgow, Dr. Rubayi joined the medical staff at Rancho in 1982. In 2006 he received the Lifetime Achievement Award, which is the highest award conferred by the Rancho Los Amigos Foundation. Dr. Rubayi has published a number of scientific articles and made numerous scientific presentations nationally and internationally. He has served as a co-investigator on several clinical trials related to pressure ulcer management in patients with spinal cord injury. He is a fellow of the American College of Surgeons, International College of Surgeons, American Society for Laser Medicine and Surgery, and the International Medical Society of Paraplegia.

Table of Contents

History of Pressure Ulcer Management.- Pathology of Pressure Ulcer.- Clinical Wound Evaluation.- General and Special Investigation.- Patient’s Psycho-Social Evaluation.- Pre-Operative Preparation.- Operative Management.- Ischial Ulcer.- Complex Ischial Ulcer.- Sacral Ulcer.- Trochanter Ulcer.- Multiple Flap Procedure as a Single Stage Surgery.- Complex Pressure Ulcer.- The Heel Ulcer.- The Olecranon (elbow) Ulcer Flap.- Hip Joint Involvement with Pressure Ulcer.- Disarticulation and Total Thigh Flap.- Residual Stump Ulceration.- Knee Joint Ulceration.- Post Operative Flap Management.- Flap Complication.- Rehabilitation Post Flap Surgery.

Editorial Reviews

Reviewer: Jeffrey S. Rosenthal, MD (Bridgeport Hospital)
Description: Dr. Rubayi splendidly choreographs a cogent, disciplined, algorithmic presentation for the evaluation, treatment, and surgical methodology to treat patients with pressure ulcers.
Purpose: The book is intended to showcase the author's expertise in dealing with the repair and treatment of complex ulcerative wounds. Dr. Rubayi's vast experience with pressure ulcer care is skillfully documented in this book.
Audience: The audience includes plastic surgery trainees and practicing plastic surgeons. The author's experience with over 25,000 procedures assures his credibility.
Features: The treatment of pressure ulcers must be approached from a variety of fronts if healing is to be accomplished. Hence, the formative early chapters explore the socioeconomic influences, etiology, psychological perspectives, and pathology, as well as the all-important preoperative, intraoperative, and postoperative management of these patients. The surgical triage and care of ulcers is divided into the surgical repair by anatomic site: ischial, sacral, trochanteric, and when the hip joint is involved. The use of multiple flaps to rebuild a single area, reconstruction of the heel, lower/upper limbs, and joints is then elaborated upon along with disarticulation and use of the total thigh flap. The concluding chapters highlight various complications, physical therapy, and the crucial issue of prevention of ulcers. A multitude of photographs depict the various stages of repair paired with didactic descriptions of how each flap is to be handled.
Assessment: Dr. Rubayi's expertise in the realm of pressure ulcer repair is apparent. His book is a concise compendium that will assist in both the evaluation and care of patients with ulcerative wounds.

Doody's Review Service

The book is intended to showcase the author’s expertise in dealing with the repair and treatment of complex ulcerative wounds. Dr. Rubayi’s vast experience with pressure ulcer care is skillfully documented in this book. The audience includes plastic surgery trainees and practicing plastic surgeons. The author’s experience with over 25,000 procedures assures his credibility.” (Jeffrey S. Rosenthal, Doody’s Book Reviews, September, 2015)

From the Publisher