Özet:

Objective: The bacterial wound is the wounds that develop due to the long-term presence of the tissues and occur more on the ischemic ground observed on the bone marrow of the body. In advanced phases, phase 4 press wounds often come to us as the most suitable option for surgery. In this study, we aimed to evaluate patients treated in our clinic with the cause of stage 4 press wounds in the pelvic area and provide our surgical approach to press wounds. Method: between January 2008 and January 2012 23 facts in our clinic were considered retrospective with a press wound diagnosis in the pelvic area. The effectiveness of the treatment methods we use by studying the etiological and epidemiological information of the incidents. Results: 16 of the cases were male, 7 female, and their ages varied between 17 and 80 (medium: 41). In all cases, the phase 4 was a press wound, but the period from the time of the first occurrence of the current wound varied from 15 days to 12 months (medium: 3.4 months). In the 18 cases, a total of 21 defects were corrected. Depending on the localization and size of the defect, various fleets were planned to be repaid. As a complication, there were three cases of separation in the slurry lines, infection in the wound place in a patient and partial flep necrosis in a patient. The result is that the surgical wounds are seen in immobile patients at least in one period of their lives, while the surgical treatment of advanced press wounds is the most effective treatment. In the circumstances in which surgery is to be applied, the patient’s condition and the expectation of recovery, taking into account the possible complications of his development, should be applied the most suitable option for the occurrence.

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