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Dr. Greg Vigna
Dr. Greg Vigna emphasizes the need for surgical closure of severe decubitus ulcers and warns against discharging high-risk patients to inadequate care settings
Discharge to a nursing home or long-term acute care hospital that doesn't provide flap closure creates an unreasonable risk of complications for the injured.” - Greg Vigna, MD, JD
SANTA BARBARA , CA, UNITED STATES, January 21, 2025 /EINPresswire / --“Hospital-acquired decubitus ulcers require either a transfer to a hospital specializing in flap reconstruction or should remain in the hospital until surgically closed,” states Greg Vigna, MD, JD , national decubitus ulcer attorney.
What does the WHS Guidelines 2023 update report?
“Preamble: Surgical treatment of pressure injury/ulcers is often considered a final invasive choice for wounds refractory to less aggressive care or for use when rapid closure is indicated, however, recent literature suggests that surgery can and should be performed safely in properly selected patients.
Guideline 6.8: A pressure ulcer should be closed surgically if it does not respond to wound care and there is no other contraindication to the surgical procedures. Exceptions may include the elderly or patients with a fatal illness, for whom palliative, local wound care is more appropriate. (Level I – increased).
Principle: Wound closure decreases protein loss, fluid loss, the possibility of wound infection, and the later development of malignancy in the wound. Early complication rates are acceptably low."
Read the WHS Guidelines:
Dr. Greg Vigna states,“Hospitals that discharge Stage IV decubitus ulcers to nursing homes are doing so with the knowledge that these patients are at significant risk of malnutrition, sepsis, and death. These patients require a clinitron bed, nutritional support, surgical debridement of all necrotic tissue and undermining, and flap closure with antibiotic coverage. Discharge to a nursing home or long-term acute care hospital that doesn't provide flap closure creates an unreasonable risk of complications for the injured.”
Dr. Vigna states,“Patients with pelvic osteomyelitis from infected decubitus ulcers are at especially high risk of death and the prognosis is poor. These patients need a treatment plan aimed at reconstructive surgery and discharge to a nursing home or the community is essentially a death sentence.”
Read about the prognosis of decubitus-related osteomyelitis:
Greg Vigna, MD, JD, is a national malpractice attorney and an expert in wound care. He is available for legal consultation for families and patients who have suffered decubitus ulcers due to poor nursing care at hospitals, nursing homes, or assisted living facilities. The Vigna Law Group , along with Ben C. Martin, Esq., of the Ben Martin Law Group , a Dallas, Texas national pharmaceutical injury law firm, jointly prosecute hospital and nursing home neglect cases that result in bedsores nationwide.
Greg Vigna, MD, JD
Vigna Law Group
+1 8178099023
email us here
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Legal Disclaimer:
MENAFN provides the information “as is” without warranty of any kind. We do not accept any responsibility or liability for the accuracy, content, images, videos, licenses, completeness, legality, or reliability of the information contained in this article. If you have any complaints or copyright issues related to this article, kindly contact the provider above.