Bedsore Surgery
Bedsore Surgery in Mumbai
Bedsore surgery, also called pressure ulcer or decubitus ulcer surgery, is a medical intervention designed to treat severe pressure sores that have not responded to conventional treatments. Pressure sores commonly occur in individuals with limited mobility and can lead to significant complications like infections, tissue necrosis, and systemic illness if left untreated. Surgery aims to close these chronic wounds, restore tissue integrity, and improve overall patient comfort and quality of life.
What is Bedsore Surgery?
Bedsore surgery involves a combination of debridement (removal of dead or infected tissue) and reconstructive techniques such as skin grafts or flap procedures to repair the wound. These procedures not only close the wound but also help prevent further breakdown of the skin and underlying tissues.
This surgery is a critical step in managing advanced-stage Bedsores, particularly in patients where conservative measures like wound care, antibiotics, or pressure relief strategies have failed to promote healing.
Who is Most at Risk of Bedsores?
Bedsores are common in individuals who experience
- Prolonged Immobility – Patients who are bedridden or in a wheelchair as a result of disease or trauma.
- Neurological Disorders – Conditions such as spinal cord injury or stroke that reduce sensation and mobility.
- Poor Circulation – Diseases like diabetes or vascular conditions that impair blood flow.
- Inadequate Nutrition – Poor dietary intake leading to weakened skin and tissue resilience.
- Ageing Skin – Elderly individuals whose skin is thinner and more fragile.
Who Can Benefit from Bedsore Surgery?
Patients may be suitable for surgery if they
- Have deep wounds classified as Stage 3 (full-thickness skin loss) or Stage 4 (exposed muscle, bone, or tendons).
- Experience ongoing infections or complications despite conservative management.
- Face significant pain, reduced mobility, or other challenges due to open sores.
- Are otherwise healthy enough to undergo anaesthesia and surgery.
Benefits of Bedsore Surgery
- Effective Wound Closure - Promotes faster healing by removing unhealthy tissue and reconstructing the area.
- Prevention of Complications - Minimises risks of infection, sepsis, or further tissue damage.
- Improved Mobility - Patients can move more comfortably after healing, reducing reliance on assistive devices.
- Enhanced Comfort - Eliminates discomfort caused by chronic, open sores.
- Restored Quality of Life - Helps patients regain independence and confidence in daily activities.
What to Expect During Bedsore Surgery
- Corrects structural abnormalities for improved functionality.
- Enhances facial symmetry and aesthetics.
- Restores confidence and quality of life.
- Treats underlying conditions, preventing long-term complications.
What to Expect During the Procedure
- Preoperative Evaluation –
A thorough assessment will be conducted, including blood tests, imaging, and a review of the patient’s overall health to determine their suitability for surgery. Nutritional counselling may also be provided to optimise healing. - Surgical Procedure –
- Debridement: Removal of dead or infected tissue to prepare the wound bed for reconstruction.
- Reconstructive Techniques:
- Skin Grafts: Covering the sore by transplanting healthy skin from another area of the body.
- Flap Surgery: Using nearby muscles, skin, or tissues to close and protect the wound.
- Placement of surgical drains may be necessary to prevent fluid build-up.
- Anaesthesia –
General or regional anesthesia is utilized, depending on the size and location of the wound. - Duration –
Depending on how complicated the wound is, the surgery usually takes two to four hours.
Recovery and Aftercare
Successful recovery from Bedsore surgery requires ongoing care and lifestyle modifications
- Hospital Stay:
Patients may need to remain in hospital for a few days to ensure proper wound monitoring and pain management. - Pressure Management:
- Special mattresses or cushions are used to reduce pressure on vulnerable areas.
- Frequent repositioning is essential to prevent recurrence.
- Wound Care:
- To avoid infection, clean and change dressings often.
- Monitoring for signs of complications like redness, swelling, or increased pain.
- Physical Therapy:
Rehabilitation may be required to restore strength, mobility, and overall functionality. - Nutritional Support:
In addition to nutrients like zinc and vitamin C, a high-protein diet can greatly accelerate the healing of wounds. - Follow-Up Visits:
Routine check-ups with the surgical team to monitor healing progress and adjust care plans as needed.
Risks and Complications
Like all surgical procedures, Bedsore surgery carries certain risks, including
- Infection at the surgical site.
- Inadequate wound healing as a result of underlying medical conditions.
- Recurrence of Bedsores without proper preventive measures.
- Scarring or asymmetry at the surgical site.
- Complications related to anaesthesia.
However, these risks are minimised with skilled surgical techniques and comprehensive post-operative care.
Schedule Your One-on-One Session
View More Services
Frequently Asked Questions
Is Bedsore surgery painful?
The procedure itself is pain-free due to anaesthesia. Post-operative pain is managed with medications and subsides as healing progresses.
How long does recovery take?
Recovery typically ranges from several weeks to months, depending on the wound’s size and the surgical technique used.
Will Bedsores return after surgery?
Bedsores can recur if pressure management and other preventive measures are not followed. In order to sustain outcomes, proper aftercare is essential.
Is this surgery suitable for elderly patients?
Yes, provided the patient is in good general health and cleared for surgery by their medical team.