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  4. Perspectives of Canadian Plastic Surgeons on the Surgical Management of Pressure Injuries

Perspectives of Canadian Plastic Surgeons on the Surgical Management of Pressure Injuries

Plastic Surgery, 2024 · DOI: 10.1177/22925503241308541 · Published: November 6, 2024

HealthcareSurgeryDermatology

Simple Explanation

Pressure injuries are a significant health issue, particularly for those with limited mobility like spinal cord injury patients and the elderly. Surgical options such as debridement and flap coverage can help, especially in severe cases. This study surveyed Canadian plastic surgeons to understand their methods and thoughts on surgically treating pressure injuries, especially concerning resident training. The survey found that most surgeons prefer managing these injuries in community facilities with plastic surgery support, but better training and organized care plans are still needed.

Study Duration
6 weeks
Participants
129 Canadian Plastic Surgeons
Evidence Level
Not specified

Key Findings

  • 1
    Most Canadian plastic surgeons manage stage 3 or 4 pressure injuries, but not all perform both debridement and flap coverage.
  • 2
    The majority of surgeons believe care should occur in community facilities with plastic surgery coverage, not just academic centers.
  • 3
    Most plastic surgeons agree that residents should be proficient in both debridement and flap coverage by the end of their training.

Research Summary

This study explores the perspectives and practices of Canadian plastic surgeons regarding the surgical management of pressure injuries through a web-based survey. The survey reveals that while most surgeons manage stage 3 or 4 pressure injuries, there are variations in the techniques used and preferences for care settings. The study emphasizes the need for standardized care pathways, improved resident training, and healthcare infrastructure reforms to optimize outcomes for patients with advanced-stage pressure injuries.

Practical Implications

Improved Training

Plastic surgery residency programs should emphasize proficiency in debridement and flap coverage for pressure injuries.

Resource Allocation

Healthcare facilities should be equipped with the necessary resources and multidisciplinary expertise to manage pressure injuries effectively.

Standardized Care

Developing and implementing standardized care pathways can improve outcomes for patients with advanced-stage pressure injuries.

Study Limitations

  • 1
    The response rate of 31.8% may limit the generalizability of results.
  • 2
    Selection bias may be present, as surgeons more engaged in wound management or academic training may have been more likely to participate in the survey.
  • 3
    The views of nonrespondents might differ from those of participants.

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