About Bioline  All Journals  Testimonials  Membership  News  Donations

East and Central African Journal of Surgery
Association of Surgeons of East Africa and College of Surgeons of East Central and Southern Africa
ISSN: 1024-297X
EISSN: 2073-9990
Vol. 12, No. 2, 2007, pp. 82-87
Bioline Code: js07045
Full paper language: English
Document type: Case Report
Document available free of charge

East and Central African Journal of Surgery, Vol. 12, No. 2, 2007, pp. 82-87

 en Bilateral Thigh Flaps: A Case Report and Review of Literature.
Nthumba, P.M.


Background: Pressure ulcer management is difficult for the patient, relatives, doctor, and nursing staff and requires enormous resources. Management of multiple pressure ulcers in the spinal cord injured patient is a near-impossible task, especially in resource-deprived environments. The paraplegic, with multiple pressure ulcers, will frequently be managed under palliative care in these settings. A case report of a young motivated paraplegic with multiple infected pressure ulcers managed using total thigh flaps, in a rural hospital in Kenya is made. The surgical procedure is detailed, and a review of literature made.
Case Report: A 16-years old school boy presented to AIC Kijabe Hospital in extremis because of severe sepsis from multiple infected pressure ulcers. He had sustained a spinal cord injury 4 years previously, after a fall from a tree. After initial resuscitation, including nutritional support, blood transfusion, urinary drainage and stool diversion; bilateral hip disarticulation, pressure ulcer excision and defect closure using bilateral total thigh flaps was performed. All the pressure ulcers were successfully covered. Rehabilitation enabled him to find a new level of independence and self care. He returned to school.
Conclusion: Bilateral hip disarticulation with bilateral thigh flap utilization for the coverage of multiple pressure ulcers is a useful, life-saving tool. This procedure enhanced the patients’ independence and self-esteem. It is however, a tool to be used only as a last option.

© Copyright 2007 - East and Central African Journal of Surgery

Home Faq Resources Email Bioline
© Bioline International, 1989 - 2022, Site last up-dated on 10-Dec-2021.
Site created and maintained by the Reference Center on Environmental Information, CRIA, Brazil
System hosted by the Internet Data Center of Rede Nacional de Ensino e Pesquisa, RNP, Brazil