First known case of successful pressure ulcer treatment in a lung transplant patient with post-COVID-19 pneumonia

Author:

Tong Yilan1,Yu Sijiong2,Guo Kaijun2,Wang Xiangsheng1,Wu Yang3,Xia Zhongyuan3,Li Guang4,Hu Haifeng5,Yu Mosheng1,Zhu Zhanyong1

Affiliation:

1. Department of Plastic Surgery, Renmin Hospital of Wuhan University, Wuhan, China

2. Beijing University of Agriculture, Animal Science and Technology College, China

3. Department of Anesthesiology, Renmin Hospital of Wuhan University, Wuhan, China

4. Department of Critical Care Medicine, Renmin Hospital of Wuhan University, Wuhan, China

5. Department of Thoracic Surgery, Renmin Hospital of Wuhan University, Wuhan, China

Abstract

Given the current COVID-19 crisis, multiple clinical manifestations and related complications of COVID-19 disease, especially in lung transplant patients following post-COVID-19 pneumonia, are a major challenge. Herein, we report the therapeutic course of the first reported case of sacrococcyx pressure ulcers (PU) in a 65-year-old male COVID-19 patient who underwent lung transplantation and developed a PU following surgery. We used a combination of regulated negative pressure-assisted wound therapy system (RNPT, six treatment courses, five days per treatment course), a skin tension-relief system (an intraoperative aid in minimising wounds caused by sacrococcygeal PUs) and a gluteus maximus myocutaneous flap to repair sacrococcygeal wounds. This successfully treated case provides a reference point for the treatment of similar cases.

Publisher

Mark Allen Group

Subject

Nursing (miscellaneous),Fundamentals and skills

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