XXXX : Current understanding and newer modalities of treatment.

@entity1 @entity6227 @entity1066 @entity26
This article reviews the mechanism, symptoms, causes, severity, diagnosis, prevention and present recommendations for surgical as well as non-surgical management of pressure @entity1066 . Particular focus has been placed on the current understandings and the newer modalities for the treatment of pressure @entity1066 . The paper also covers the role of nutrition and pressure-release devices such as cushions and mattresses as a part of the treatment algorithm for preventing and quick healing process of these wounds. @entity6227 develop primarily from pressure and shear; are progressive in nature and most frequently found in bedridden, chair bound or immobile @entity1 . They often develop in @entity1 who have been hospitalised for a long time generally for a different problem and increase the overall time as well as cost of hospitalisation that have detrimental effects on @entity1 's quality of life. Loss of sensation compounds the problem manifold, and failure of reactive hyperaemia cycle of the pressure prone area remains the most important aetiopathology. @entity6227 are largely preventable in nature, and their management depends on their severity. The available literature about severity of pressure @entity1066 , their classification and medical care protocols have been described in this paper. The present treatment options include various approaches of cleaning the wound, debridement, optimised dressings, role of antibiotics and reconstructive surgery. The newer treatment options such as negative pressure wound therapy, hyperbaric @entity26 therapy, cell therapy have been discussed, and the advantages and disadvantages of current and newer methods have also been described.
