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Home ›Pressure Sore (Bedsore) Reconstruction
Pillar 12 · 9 pages

Pressure Sore, Bedsore Reconstruction

Sacral, ischial and trochanteric sores debrided and closed with flaps, alongside the offloading routine that stops the next one.

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Pressure Sore (Bedsore) Reconstruction, Elegance Clinic Surat
Who this is for

People with limited mobility who have developed a pressure sore, and the families and carers who look after them.

First visit

Sore staging, nutrition and mobility review, and a plan covering surgery, seating and home care together.

Where surgery happens

Theatre for debridement and flap closure, with positioning and cushioning planned for the ward and home.

Cover

Pressure sore surgery is generally payable under mediclaim.

The pathway

How treatment is planned, step by step

Nothing here is improvised. The sequence below is how care in this specialty is actually organised, and your own written plan follows it.

01
First Offload

Pressure comes off the sore completely, with turning schedules and support surfaces, or nothing else works.

02
Debride Clean

Dead tissue and the underlying bursa are removed, and infection including bone involvement is treated.

03
Close Flap cover

Deep sores are closed with durable muscle or fasciocutaneous flaps designed to tolerate future pressure.

04
Home Prevent

Seating, mattresses, turning and skin checks continue for life, because recurrence is the enemy.

Why a plastic surgeon

Function first, appearance close behind

"The flap closes the sore. The mattress, the turning and the cushion keep it closed."

Pressure sore surgery fails without offloading: the same pressure that made the sore will reopen any flap that is sat on too soon.

Families are taught the prevention routine before discharge, because the home programme decides the long term result.

Dr. Ashutosh Shah
Dr. Ashutosh Shah Plastic, Reconstructive & Cosmetic Surgeon (DNB)
Flap reconstruction
Support surface planning
Nutrition review
Carer training
22+Years in practice
9Pages in this pillar
Home planBefore discharge
Case gallery

Cases from this specialty, consented

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Before / After
Sacral sore reconstructionGluteal flap · 4 months
Before / After
Ischial sore closureFasciocutaneous flap · 4 months
Before / After
Trochanteric sore closureRegional flap · 3 months

Published with documented patient consent, generalised for age and sex, in line with advertising norms applicable to medical practitioners in India.

Costs & schemes

Costs & cover

Published bands are for Surat and include surgeon, anaesthesia, theatre and standard stay. Where a band is not published, a written estimate follows examination. Cover under mediclaim and schemes is confirmed before admission.

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Sacral pressure sore surgery
₹65,000 to ₹1.5L
Mediclaim
Ischial or trochanteric sore surgery
Written estimate
After assessment
Debridement (per sitting)
Written estimate
After assessment
Questions patients ask

Straight answers, before you decide

These are the questions that come up in consultation most often. If yours is not here, send it on WhatsApp and the team will reply, usually the same day.

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No. Early sores heal with offloading, dressings and nutrition. Surgery is for deep sores that expose fat, muscle or bone, or that have failed to heal despite good care.

Sitting is reintroduced gradually over several weeks on a pressure relieving cushion, following a written protocol. Sitting too early is the commonest cause of breakdown.

Because the pressure that caused them returns. Turning schedules, support surfaces and daily skin checks are lifelong, and the home routine matters more than the operation.

Reposition at least every two hours in bed and hourly in a chair, keep skin clean and dry, use the prescribed mattress and cushion, and check pressure points every day in good light.

Debridement and flap closure are generally payable under mediclaim, and cover is confirmed in writing before planned admission.

Yes. Protein intake, anaemia, sugar control and hydration all affect whether a wound closes and stays closed, so these are corrected alongside the surgical plan. Dietary advice is part of treatment, not separate from it.

The depth of the sore, whether bone is involved, the state of surrounding skin, infection and the person's sitting and nursing situation are all assessed. Surgery is planned only when the wound and the person are ready for it to succeed.

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