Pressure Ulcers

Chapter 26 of Volume 4, Breast, Trunk, Lower Limb & Aesthetics. Revision notes and examiner-style viva questions with model answers for the FRCS (Plast).

20 viva questions in this chapter

1. Describe this photograph.
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2. How does a pressure ulcer form?
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3. How do you classify this?
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4. What risk assessment tool would you use?
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5. What is the role of negative pressure wound therapy here?
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6. The MRI reports osteomyelitis of the ischium. How does that change your management?
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7. How long would you give antibiotics?
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8. Would you reconstruct at the same sitting, or stage it?
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9. Would you offer this patient surgery?
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10. A patient with a temporary cause of immobility. Intensive care want you to operate to expedite rehabilitation.
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11. Take me to theatre.
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12. How would you reconstruct this sacral ulcer?
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13. Which flap for this ischial ulcer?
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14. Third recurrence of a right ischial ulcer. Three previous flaps, all broke down within a year. He says: “What are you going to do differently this time?”
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15. What donor options are left?
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16. You have run out of options. What do you say to him?
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17. Day 8, a two-centimetre area of breakdown at the flap inset. What do you do?
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18. A chronic sacral ulcer of twenty years’ standing has changed character, with rolled everted edges and exuberant granulation. What are you thinking?
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19. The family of a 74-year-old with severe dementia ask: “Can you operate on her to sort this out?”
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20. The family insist on surgery despite an anaesthetic assessment of a 15 per cent perioperative mortality.
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