Reconstructive plastic surgery of pressure ulcers:
Gespeichert in:
| Format: | Buch |
|---|---|
| Sprache: | English |
| Veröffentlicht: |
Berlin [u.a.]
Springer
2015
|
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| Beschreibung: | XVIII, 283 S. 40 schw.-w. Ill., 250 farb. Ill. 254 mm x 178 mm |
| ISBN: | 3662453576 9783662453575 |
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| 020 | |a 9783662453575 |9 978-3-662-45357-5 | ||
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| 245 | 1 | 0 | |a Reconstructive plastic surgery of pressure ulcers |c Salah Rubayi. With contributions by Burl R. Wagenheim and Alicia Mcleland |
| 264 | 1 | |a Berlin [u.a.] |b Springer |c 2015 | |
| 300 | |a XVIII, 283 S. |b 40 schw.-w. Ill., 250 farb. Ill. |c 254 mm x 178 mm | ||
| 336 | |b txt |2 rdacontent | ||
| 337 | |b n |2 rdamedia | ||
| 338 | |b nc |2 rdacarrier | ||
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| 700 | 1 | |a Rubayi, Salah |e Sonstige |4 oth | |
| 700 | 1 | |a Wagenheim, Burl R. |e Sonstige |4 oth | |
| 700 | 1 | |a Mcleland, Alicia |e Sonstige |4 oth | |
| 776 | 0 | 8 | |i Erscheint auch als |n Online-Ausgabe |z 978-3-662-45358-2 |
| 856 | 4 | 2 | |m X:MVB |q text/html |u http://deposit.dnb.de/cgi-bin/dokserv?id=4784761&prov=M&dok_var=1&dok_ext=htm |3 Inhaltstext |
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| 943 | 1 | |a oai:aleph.bib-bvb.de:BVB01-027951950 | |
Datensatz im Suchindex
| _version_ | 1809771465598304256 |
|---|---|
| adam_text |
Contents
Pressure
Ulcers: An Important Condition in Medicine
and Surgery
. 1
1.1
Introduction
. 1
1.2
Significance of Pressure Ulcers
. 1
1.2.1
Incidence of Pressure Ulcers
. 1
1.2.2
Cost of Pressure Ulcer Management
. 2
1.2.3
Medico-Legal Implications
. 2
1.2.4
Advances in Prevention
. 3
1.2.5
Advances in the Management of Pressure Ulcers.
. . 3
1.2.6
Complications and Life-Threatening Risks
of Pressure Ulcers
. 3
References
. 3
Etiology and Pathology of Pressure Ulcers
. 5
2.1
Pathology of Pressure Forces
. 5
2.2
Significant Factors in Development of Pressure Ulcers
. 5
2.3
Predisposing Factors in Developing Pressure Ulcers
. 6
2.4
Severe Muscle Spasms
. 7
2.5
Other Factors Contributing to the Development of
Pressure Ulcers
. 7
2.6
Site of Pressure Ulcer Development
. 8
2.7
Local Pathological Changes and Sequel
in Pressure Ulcer Stage IV
. 8
2.8
Sacrococcygeai Ulcer
. 9
2.9
Ischial Ulcer
. 10
2.10
Ischial
Bursa
and Bursitis
. 12
2.
1
1
Pelvic Ulcer
. 14
2.12
Trochanteric Ulcer.
. 14
References
. 16
Comprehensive Clinical Wound Evaluation
. 19
3.1
Definition of Pressure Ulcer
. 19
3.2
Staging of the Pressure Ulcer
. . 19
3.3
The Importance of Clinical Staging of Pressure Ulcers
. 19
3.4
Patient Medical History.
. 20
3.5
Nutritional Assessment
. 21
3.6
Physical Therapy Evaluation
. 21
3.7
Laboratory Tests and Data
. 21
xi
x¡¡
Contents
3.8
Risk Assessment
. 21
3.9
Wound Evaluation and Assessment
. 21
References
. 23
4
General and Special Investigation
in Pressure Ulcer Patients
. 25
4.1
In Surgical Practice
. 25
4.2
General Tests
. 25
4.3
Specific Diagnostic Tests
. 26
4.3.1
Radiological Imaging Studies
. 26
4.3.2
Sinogram Study
. 29
4.3.3
Computerized Tomography (CT) Scan
. 29
4.3.4
Bone Scan
. 30
4.3.5
Magnetic Resonance Imaging
(MRI)
. 30
4.3.6
Magnetic Resonance Angiogram
(MRA)
. 30
4.4
Diagnosis of Osteomyelitis and Bone Biopsy
. 30
4.5
Wound Bacteriological Swab for Culture, Sensitivitys
and Bacterial Colonization
. 33
References
. 33
5
Pressure Ulcers from a Psychological Perspective
. 35
5.1
Introduction
. 35
5.2
Psychological Factors and Conditions
. 35
5.3
Personality in Genera]
. 36
5.3.1
Antisocial Personality
. 36
5.3.2
Other Personality Types
. 37
5.4
Substance Abuse
. 38
5.5
Pain
. 38
5.6
Cognition
. 40
5.7
Depression
. 40
5.8
Stress and Anxiety
. 41
5.9
Social Support, Resiliency, and Coping
. 42
5.10
Clinical Implications
. 43
5.10.1
Psychology Evaluation
. 43
5.11
Unit or Program Protocols
. 44
5.12
Behavioral Agreements
. 45
5.13
Substance Abuse Issues
. 45
5.14
Pain-Related Considerations
. 45
5.14.1
Assessment
. 46
5.14.2
Behavioral Agreements
. 46
5.14.3
Harm Reduction
. 47
5.15
Other Psychological Considerations
. 47
5.15.1
Limiting "High-Maintenance" Admissions
. 47
5.152
Team Meetings
. 47
5.15.3
Communication
. 47
Conclusion
. 48
References
. 48
Contents
XIII
6
Comprehensive
Preoperative
Management
of Patients with Pressure Ulcer
. 53
6.1
Wound Preparation and Local Wound Care
. 53
6.1.1
Debndement
. 53
6.1.2
Local Wound Management
. 53
6.1.3
Negative Pressure Wound Therapy
. 54
6.2
Nutritional Assessment
. 55
6.2.1
Dietary Intake
. 55
6.2.2
Anthropométrie
Measurements
. 56
6.2.3
Biochemical. Tests
. 56
6.2.4
Calories (Energy) and Protein
. 57
6.2.5
Micronutnents
. 57
6.2.6
Methods of Delivering Dietary Intake to
Patients with Pressure Ulcers or Post-surgery
. 57
6.3
Control
oí
Muscle Spasms and Joint
Contractures
. 58
6.4
Medical Management of Spasms
. 59
6.4.1
Baclofen
(Lioresal®)
. 59
6.4.2
Diazepam
(Valium®)
. 59
6.4.3
Dantrolene Sodium (Dantnum®)
. 60
6.4.4
Clonidine
. 60
6.4.5
Tizamdme (Zanaflex®)
. 60
64.6
Cannabis (Marino!®).
60
6.5
Local Pharmacological Therapy
. 60
6.5.1
Phenol/Alcohol Injection
. 60
6.5.2
Botuhmmi Toxin Therapy (Botox®)
. 61
6.5.3
Intrathecal Infusion
-
Intrathecal Baclofen
(Lioresal®) Pump
. 61
6.6
Surgical Intervention
. 61
6.7
Patient Positioning, Post Surgery, and Type of Bed
. 62
6.8
Antibiotic and Intravenous Fluid Administration
Before Surgery
. 63
6.9
Medical Assessment
. 64
6.10
Urologica!
Assessment
. 64
6.11
Bowel Management of Patients with Pressure Ulcer
. 64
6.12
Patient Compliance with Flap Surgery
in the Postoperative Period
. 65
6.13
Physical Therapy Evaluation
. 65
References
. 65
7
General Operative Management and Postoperative Care
. 67
7.1
Indications for Surgery
. 67
7.2
History of Reconstructive Surgery in Management
of Pressure Ulcers
. 67
7.3
The Ladder of Reconstructive Surgery
. 69
7.4
Principles of Flap Design and Repair of Pressure Ulcers
. 69
7.5
Methods and Strategies
m
Flap Selection
. 69
Contents
7.6
Type of Anesthesia and Patient Positioning
for Pressure Ulcer Surgery
. 71
7.6.1
Type of Anesthesia to Be Administered
. 71
7.6.2
Patient Position on the Operating Table
. 72
7.7
Principles of the Surgical Methods
. 73
7.8
Postoperative Flap Management
. 75
7.8.1
Immediate Postoperative Care
. 75
7.8.2
Fifth Postoperative Day
. 76
7.8.3
Third Week Post Flap Surgery
. 77
7.8.4
Fourth Week Post Flap Surgery
. 77
7.8.5
Sixth Week Post Flap Surgery
. 78
References
. 78
Reconstructive Surgery for Ischial Ulcer
. 81
8.1
Introduction
. 81
8.2
Clinical Manifestation
. 81
8.3
Indications for Bowel Diversion (Diverting Colostomy)
. 81
8.4
Surgery for Single Ischial Ulcer Stage IV
. 82
8.5
Gluteus
Maximus Infenorly
Based
Musculocutaneous Rotation Flap
. 82
8.5.1
Topographical Landmark
. 82
8.5.2
Surgical Anatomy
. 83
8.5.3
Vascular Pattern of the Gluteus
Maximus
Muscle.
. 84
8.5.4
Gluteus
Maximus
Rotation Musculocutaneous
Flap
. 84
8.5.5
Flap Design
. 84
8.5.6
Operative Techniques
. 85
8.6
Hamstring Muscle Advancement Flap
. 87
8.6.1
Surgical Anatomy
. 87
8.6.2
Vascular Supply of the Hamstring Muscles
. 89
8.6.3
Design of the Flap
. 89
8.6.4
Surgical Technique
. 89
8.7
Gracilis Muscle Flap
. 90
8.7.1
Surgical Anatomy
. 91
8.7.2
Operative Technique
. 92
8.8
Gracilis Muscle and Medial Thigh Fasciocutaneous
Rotation Flap
. 93
8.8.1
Operative Techniques
. 93
8.9
Gracilis Muscle as a Musculocutaneous Flap
. 95
8.9.1
Operative Technique
. 95
8.10
Gracilis Muscle and
Postenor
Thigh Fasciocutaneous
Rotation Flap
. 95
8.10.1
Operative Technique
. 97
8.10.2
Flap Design
. 97
8.10.3
Flap Elevation Technique
. 97
8.11
Gracilis
Muscle Transfer and Tunnel with Direct
Closure of the Wound
. 99
8.11.1
Operative Technique
. 99
8.12
Recurrent Ischial Ulcer
. 100
Contents
8.13
Complicated Extensive Ischial Ulcer with Extension
into the Male Urethra
. 101
8.13.1
Operative Technique in Male Patients
. 102
8.14
Extension of the Ischial Ulcer into the Hip Joint
or Trochantenc Area
. 104
8.14.1
Operative Technique
. 106
8.15
Pelvic Ulcer
. 108
8.15.1
Description
. 108
8.15.2
Options for Operative Repair
. 110
8.15.3
Operative Technique for Biceps Femoris
Myocutaneous Flap
. 110
8.16
Ischial
Bursa.
Ill
8.16.1
Operative Technique
. 112
References
. 115
9
Reconstructive Surgery for Sacral Ulcer
. 117
9.1
Introduction
. 117
9.2
Options for Repairs of Sacral Ulcer
. 117
9.2.1
Single Sacrococcygeal Ulcer
. 117
9.2.2
Complex and Recurrent Sacrococcygeal Ulcer.
. . 118
9.3
Gluteus
Maximus Musculocutaneous
Rotation Flap
. 118
9.3.1
Surgical Anatomy of the Gluteus
Maximus
Muscle
. 118
9.3.2
Flap Design and Surface Markings
. 118
9.3.3
Operative Technique
. 118
9.4
Bilateral Gluteus
Maximus Musculocutaneous
Rotation Flap
.
1
20
9.5
Gluteus
Maximus
Advancement Island Flap
. 122
9.5.1
Operative Technique
. 122
9.6
Bilateral Gluteus
Maximus
Island Advancement Flap
. 123
9.7
Splitting Gluteus
Maximus
Flap
. 124
9.7.1
Operative Technique
. 125
9.8
Complex and Recurrent Sacrococcygeal Ulcer
. 126
9.9
Vastus Laterális
Muscle Flap
. 127
910
Extended Tensor Fascia
Lata
Rotation Flap
. 127
9.11
Extended
Postenor
Thigh Rotation Fasciocutaneous Flap
. . . 129
9.11.1
Operative Technique
. 129
9.12
Biceps Femons Myocutaneous Rotation Flap
. 130
9.12.1
Operative Technique
. 131
9.13
Gracilis
MuscJe Transfer Flap
. 132
9.13.1
Operative Technique
. 132
References
. 136
10
Reconstructive Surgery for Trochanteric Ulcer
. 137
10.1
Introduction
. 137
10.2
The Tensor
Fascia Lata V-Y
Advancement Flap
. 138
10.2.1
Surgical Anatomy
. 138
10.2.2
Surface Marking
. 138
10.2.3
Operative Technique
. 138
10.3
The Tensor
Fascia Lata
Rotation Flap
. 139
xvi Contents
10.4
Surface
Maiking
of the Flap
. 141
10.4.1
Operative Technique
. 141
10.5 Postenor
Trochantenc Ulcer
. 142
References
. 147
11
Reconstructive Surgery of the Hip Joint Involved with
Pressure Ulcer, Pathological Conditions, and Trauma
. 149
11.1
Introduction
. 149
11.2
Pathological Conditions or Injuries that Can Affect
the Hip Joint
. 149
11.3
Infection of the Hip Joint and Septic Arthntis
. 149
11.4
Girdlestone Procedure
. 150
11.4.1
History
. 150
11.4.2
Side Effects of the Girdlestone Procedure
. 151
11.4.3
Operative Technique of Girdlestone Procedure.
. 151
11.4.4
Topographical Marking of the Operative Site
. 152
11.4.5
Operative Technique
. 152
11.5
Vastos
Laterális
Muscle Flap
. 154
11.5.1
Surgical Anatomy of the
Vastus Laterális
Muscle
. 154
11.5.2
Operative
Technique for Elevation of the Vastus
Laterális
Muscle
. 155
11.6
Rectus Femons Muscle Flap
. 158
11.6.1
Surgical Anatomy of the Rectus Femoris Muscle
. 158
11.6.2
Operative Technique for Utilizing the Rectus
Femoris Muscle
. 159
11.7
Rectus Abdommis Muscle Flap
. 159
11.7.1
Surgical Anatomy of the Rectus Abdorninis
Muscle
. 161
11.7.2
Operative Technique for Flap Elevation
. 161
11.8
Heterotopic Ossification (HO) of the Hip Joint
. 163
11.8.1
Introduction
. 163
11.8.2
Preoperative
Requirement
. 165
11.8.3
Operative Technique
. 165
11.8.4
Postoperative Management
. 167
11.8.5
Postoperative Complications from HO
Excision Surgery
. 169
11.9
Hip Joint Conditions When
a Girdlestone
Procedure
and Muscle Flap Axe Indicated
. 169
References
. 172
12
Multiple Ulcers Closed by Multiple Flaps
as a Single Procedure
. 175
12.1
Introduction
. 175
12.2
Review of the Literature
. 175
12.3
The Author's Experience in Repairing Multiple Ulcers
by Multiple Flaps as a Single Procedure
. 176
12.4
Examples of
Clinica!
Cases
. 178
12.4.1
Case
1 . 178
12.4.2
Case
2. 183
12.4.3
СаѕеЗ
. 186
References
. 189
Contents
13
Reconstructive Surgery for Pressure Ulcers
in Special Areas of the Body
. 191
13.1
Introduction and Etiology
. 191
13.2
Etiology of the Specific Ulcers
. 191
13.3
Reconstructive Surgery for the Specific Ulcers
. 192
13.3.1
Heel Ulcer
. 192
13.4
Ulcération
of the Media] and Lateral Plantar
Surface of the Foot
. 194
13.5
Lateral Malieolus Ulcer
. 195
13.6
Ulcers of the Head of the Fibula and
Tibial
Shin
. 195
13.7
Ulcération
Around the Knee Joint
. 196
13.7.1
Surgical Anatomy and Landmark
. 200
13.7.2
Operative Technique
. 200
13.7.3
Case
1 . 208
13.7.4
Case
2. 212
13.8
Elbow Ulcer (Olecranon Ulcer)
. 213
13.8.1
Operative Technique
. 214
13.9
Occipital Ulcer
. 217
13.9.1
Operative Technique
. 217
References
. 219
14
Disarticulation and Total Thigh Flap
. 221
14.1
Introduction
. 221
14.2
Operative Procedure
. 222
14.3
Modification of Total Thigh Flap Procedure
. 228
14.3.1
Excision of the Anus and Rectal Closure
. 228
14.3.2
The Extended Total Thigh Flap
(Below the Knee)
. 228
14.4
Postoperative Management
. 234
14.4.1
Ulcération
and Breakdown
m
the Total Thigh
Flap Stump
. 234
14.5
Surgical Options of Repairs
. 234
14.5.1
The Rectus Abdomims Muscle Flap
. 234
14.5.2
Repair of the Ulcer
m
Unilateral Disarticulation
and Total Thigh Flap from the
Contralateral
Side
. 237
14.5.3
Repair of
Ulcération
in Bilateral Total
Thigh Stump
. 241
References
. 242
15
Complications of Flap Surgery
. 243
15.1
Introduction
. 243
15.2
General Systemic Factors That Contribute
to Flap Complications
. 243
15.2.1
Chronic Open Wounds
. 243
15.2.2
Quality of Skm and Deep Tissue
. 243
15.2.3
Location of Flap Surgeries
. 244
152.4
Muscle Spasms
. 244
15.2.5
Preoperative Nutrition and Anemia
. 244
15.2.6
Patient Compliance
. 244
xviii Contents
15.3
Nonspecific Complications That Affect Flap Healing
. 244
15.3.1
Postoperative Hypoproteinemia
. 244
15.3.2
Deep Venous Thrombosis (DVT)
. 244
15.4
Specific Complications Related to Flap Wounds
. 245
15.4.1
Major Complications
. 245
15.4.2
Wound Infection
. 246
15.4.3
Hematoma
. 246
15.4.4
Fat Necrosis
. 247
15.4.5
Flap Necrosis
. 247
References
. 248
16
Physical Therapy Evaluation and Rehabilitation:
Pre-
and Post-reconstructive Plastic Surgery
for Pressure Ulcer
. 249
16.1
Introduction
. 249
16.2
Physical Therapy Preoperative Clinical Evaluation
. 249
16.3
Post Myocutaneous Flap Surgery Protocol
. 251
16.4
Initial Sit
. 252
165
Pressure Relief
. 253
16.6
Functional Evaluation
. 255
16.7
Seating Evaluation
. 257
16.8
Selecting a Cushion
. 259
169
Patient Education
. 263
16.10
Sensate
Patients
. 265
16.1 ]
Patient with Above- or Below-Knee Amputation
. 265
16.12
Patients with Hip
Disarticulation
. 266
16.13
Patients with Cnrdlestone Procedure
. 266
16.14
Patients with Bilateral Hip
Disarticulation
. 267
1615
Ambulatory Patients
. 267
References
. 268
17
Prevention of Pressure Ulcer
. 271
17.1
Introduction
. 271
17.2
Managing Pressure on the Skin
. 272
17.3
Special Beds and Positioning
. 272
17.4
Sitting Pressure Management
. 274
17.5
Bowel and Bladder Function
. 276
17.6
Contributing Factors to Pressure on the Skin
. 277
17.7
Nutrition
. 277
17.8
Psychosocial
Issues
. 278
17.9
Patient Education
. 278
References
. 279
Index
. 281 |
| any_adam_object | 1 |
| building | Verbundindex |
| bvnumber | BV042517547 |
| classification_rvk | YF 4523 |
| ctrlnum | (OCoLC)892073221 (DE-599)DNB1058754378 |
| dewey-full | 616.545 |
| dewey-hundreds | 600 - Technology (Applied sciences) |
| dewey-ones | 616 - Diseases |
| dewey-raw | 616.545 |
| dewey-search | 616.545 |
| dewey-sort | 3616.545 |
| dewey-tens | 610 - Medicine and health |
| discipline | Medizin |
| format | Book |
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| genre | (DE-588)4143413-4 Aufsatzsammlung gnd-content |
| genre_facet | Aufsatzsammlung |
| id | DE-604.BV042517547 |
| illustrated | Illustrated |
| indexdate | 2024-09-10T01:42:43Z |
| institution | BVB |
| isbn | 3662453576 9783662453575 |
| language | English |
| oai_aleph_id | oai:aleph.bib-bvb.de:BVB01-027951950 |
| oclc_num | 892073221 |
| open_access_boolean | |
| owner | DE-355 DE-BY-UBR |
| owner_facet | DE-355 DE-BY-UBR |
| physical | XVIII, 283 S. 40 schw.-w. Ill., 250 farb. Ill. 254 mm x 178 mm |
| publishDate | 2015 |
| publishDateSearch | 2015 |
| publishDateSort | 2015 |
| publisher | Springer |
| record_format | marc |
| spelling | Reconstructive plastic surgery of pressure ulcers Salah Rubayi. With contributions by Burl R. Wagenheim and Alicia Mcleland Berlin [u.a.] Springer 2015 XVIII, 283 S. 40 schw.-w. Ill., 250 farb. Ill. 254 mm x 178 mm txt rdacontent n rdamedia nc rdacarrier Dekubitus (DE-588)4149036-8 gnd rswk-swf Wiederherstellungschirurgie (DE-588)4065971-9 gnd rswk-swf (DE-588)4143413-4 Aufsatzsammlung gnd-content Dekubitus (DE-588)4149036-8 s Wiederherstellungschirurgie (DE-588)4065971-9 s DE-604 Rubayi, Salah Sonstige oth Wagenheim, Burl R. Sonstige oth Mcleland, Alicia Sonstige oth Erscheint auch als Online-Ausgabe 978-3-662-45358-2 X:MVB text/html http://deposit.dnb.de/cgi-bin/dokserv?id=4784761&prov=M&dok_var=1&dok_ext=htm Inhaltstext Digitalisierung UB Regensburg - ADAM Catalogue Enrichment application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=027951950&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Reconstructive plastic surgery of pressure ulcers Dekubitus (DE-588)4149036-8 gnd Wiederherstellungschirurgie (DE-588)4065971-9 gnd |
| subject_GND | (DE-588)4149036-8 (DE-588)4065971-9 (DE-588)4143413-4 |
| title | Reconstructive plastic surgery of pressure ulcers |
| title_auth | Reconstructive plastic surgery of pressure ulcers |
| title_exact_search | Reconstructive plastic surgery of pressure ulcers |
| title_full | Reconstructive plastic surgery of pressure ulcers Salah Rubayi. With contributions by Burl R. Wagenheim and Alicia Mcleland |
| title_fullStr | Reconstructive plastic surgery of pressure ulcers Salah Rubayi. With contributions by Burl R. Wagenheim and Alicia Mcleland |
| title_full_unstemmed | Reconstructive plastic surgery of pressure ulcers Salah Rubayi. With contributions by Burl R. Wagenheim and Alicia Mcleland |
| title_short | Reconstructive plastic surgery of pressure ulcers |
| title_sort | reconstructive plastic surgery of pressure ulcers |
| topic | Dekubitus (DE-588)4149036-8 gnd Wiederherstellungschirurgie (DE-588)4065971-9 gnd |
| topic_facet | Dekubitus Wiederherstellungschirurgie Aufsatzsammlung |
| url | http://deposit.dnb.de/cgi-bin/dokserv?id=4784761&prov=M&dok_var=1&dok_ext=htm http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=027951950&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
| work_keys_str_mv | AT rubayisalah reconstructiveplasticsurgeryofpressureulcers AT wagenheimburlr reconstructiveplasticsurgeryofpressureulcers AT mclelandalicia reconstructiveplasticsurgeryofpressureulcers |