PREOPERATIVE DIAGNOSIS: Severe decubitus ulcer in the right gluteal region.
POSTOPERATIVE DIAGNOSIS: Severe decubitus ulcer in the right gluteal region.
OPERATIVE PROCEDURE: Extensive debridement of sacral decubitus ulcer.
FINDINGS: The patient had necrotic tissue in her right buttock, gluteal sacral decubitus with bone exposed.
DESCRIPTION OF PROCEDURE: The patient was taken to the operating room and administered general endotracheal anesthesia. The patient was then placed in a prone position. The patient’s skin was prepped. The patient had extensive necrosis involving a right gluteal decubitus ulcer. The patient had extensive debridement of this area. She did have bone exposed with periosteum that was excised as well. The debridement was taken down to healthy tissue. The wound was then irrigated with the pulse lavage irrigation. The wound was packed with sterile gauze. A pressure dressing was applied. The patient was taken to the recovery room having suffered no apparent intraoperative complications.