🛌 Overcoming the Challenge of Sacral Pressure Ulcers: What Surgeons Need to Know from Recent Evidence
Sacral pressure ulcers (PUs) remain one of the most persistent clinical challenges in reconstructive surgery, particularly in elderly, immobile, or chronically ill patients. These wounds are not only slow to heal but also prone to recurrence, infection, and significant morbidity. So how can we improve outcomes?
In a recent article published in Jurnal Rekonstruksi dan Estetik, titled
LOCAL FLAP TECHNIQUES OUTCOME FOR SACRAL PRESSURE ULCERS CLOSURES: A SYSTEMATIC REVIEW (DOI: 10.20473/jre.v10i1.70756),
Yanuar Ari Pratama and Lakshya Nehal Samineni present a valuable synthesis of local flap techniques used in sacral PU closure offering practical insights and evidence for clinical decision-making.
📌 Key Takeaways for Reconstructive Surgeons and Clinicians:
🔹 High-impact evidence: The systematic review covers seven clinical studies published between 2019–2024 (case series and case reports), providing a current and concentrated look at real-world outcomes.
🔹 Flap Techniques Reviewed:
- Clover-Style Fasciocutaneous Perforator Flap
- Modified Parasacral Bilobed Perforator Flap
- Standard Bilobed Flap
Each technique was shown to offer excellent flap survival, reduced tension, and lower recurrence, making them highly adaptable options depending on patient anatomy and defect complexity.
🔹 Why Local Flaps Still Matter:
Despite advances in microsurgery, local flaps remain the gold standard in sacral PU closure due to their reliability, minimal donor site morbidity, and suitability for fragile or high-risk patients.
🔹 Multidisciplinary Approach Needed:
The article emphasizes the importance of preoperative imaging, wound care collaboration, and rehabilitation to ensure sustained healing and functionality.
🎯 Why This Study Deserves Citation:
This is one of the few systematic reviews that focuses exclusively on sacral PU local flap techniques, bridging the gap between surgical theory and practical implementation. For anyone conducting research or clinical audits in pressure ulcer management, this paper offers consolidated insights, recent references, and real surgical data worth citing.
🔗 Read the full article here:
DOI: 10.20473/jre.v10i1.70756
📚 Published in: Jurnal Rekonstruksi dan Estetik
✍️ Authors: Yanuar Ari Pratama, Lakshya Nehal Samineni
💬 “A well-structured review that should be on every reconstructive surgeon’s reference list when planning sacral PU closures.”
