Pressure ulcers, commonly known as “bedsores,” are a condition affecting approximately 70% of patients, particularly those over 70. The incidence of pressure ulcers in hospitalized patients during treatment is actually an indicator of the hospital’s quality. This incidence is around 10% in all developed countries. If the rate of pressure ulcer formation is significantly higher than this, we can say that the hospital’s quality of care is low.

Painful ulcers develop especially in patients with paralyzed legs or those who cannot feel pressure in their lower extremities. We can compare this to a hose carrying water with a certain pressure. When the pressure inside exceeds the pressure inside, the flow stops. This is similar to blood vessels. When the vessels cannot nourish the tissues due to pressure, ulcers begin to form. As a result, the ulcer is least visible on the surface of the skin. Like an iceberg, it grows larger as it goes deeper.

These ulcers occur especially in protruding and bony areas, such as the shoulders, tailbone, and heels, depending on the patient’s sleeping position. When sitting, ulcers often form on the seat.

Pressure Ulcer Treatment

The main goal in treating pressure ulcers is to prevent their formation. All strategies are based on this. A pressure ulcer develops within 24-48 hours. All care services, especially in hospitals, are planned accordingly. Frequently changing the patient’s position and checking areas prone to ulcers can prevent their formation. However, if an ulcer does form, treatment is easier immediately after it develops. It is necessary to treat the patient immediately after the ulcer forms. If treatment is unsuccessful despite all these measures, it is necessary to pay close attention to the patient’s general condition and provide systemic treatment. This includes treating blood pressure, diabetes, nutrition, etc. If the ulcer still forms and deepens, then surgery becomes necessary. Pressure ulcers can be treated surgically. Plastic surgeons in all hospitals can treat pressure ulcers.