Treatment of ischial pressure sores by means of sclerotherapy using absolute ethanol.

Hayashi, Toshihiko; Honda, Kouichi; Kimura, Chu; Yamamoto, Yuhei; Oyama, Akihiko; Sugihara, Tsuneki · Ann Plast Surg · 2004

case_report · Level V

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Abstract

The ischial region is a common site of pressure sore. The ischial pressure sore with a large subcutaneous bursa is resistant to conservative treatment and tends to require radical surgical treatment. In this article the authors describe their experience with a simple surgical treatment on 8 ischial pressure sores in 7 patients with subcutaneous bursa by means of sclerotherapy using absolute ethanol. This method involves causing the bursa to become scarred and closing it up by sterilizing, fixing, and denaturing by the pharmacologic effect of absolute ethanol instead of surgical excision of the bursa. This alternative method has a possibility of treating pressure sores as well as other fistulous diseases in various areas.

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