Bhim Bahadur Khadka, 25yrs old is a nice family man happily living with his family in western Nepal.  Like many other young nepali man he decided to work in Dubai to earn more money to help his family and to support his daughter’s education. He had  worked in Dubai for several years and send money to his family on and off. Unfortunately one day he fell down from the roof while working in the construction site. He got the fracture of his cervical vertebra (C6) and became quadriplegic. The primary operation with the anterior fusion of the vertebra has done.

Bhim Bahadur returned back to Nepal and admitted to one of the hospitals in Kathmandu. He developed fourth degree pressure ulcer in the sacral region meaning by that there is a big defect in the sacral area with the exposure of the sacral bone and presence of infection with the discharge of pus.
The patient was admitted in Nepal Plastic Surgery Hospital. Patient’s general conditions were improved. Regular positioning of the patient was done by the hospital’s staffs and also by the family member. Psychological support from the hospital staffs and also by his wife and other family members  makes his stay at ease in the hospital.

With the regular dressing wounds become much clean. Repeated debridement was done. The wound was closed with Bilateral V-Y Advancement Gluteal Muscle Flap.

The overall condition of the patient was improved and with some rehabilitation the patient was discharged from the hospital. Mr Bhim Bahadur was returned back home safely.

Many Nepalese are leaving the country to find the job elsewhere because of the less job opportunity inside the country due to disturbed political situations. There are many young Nepalese people who sustained injuries while working in countries like India, Dubai, Malaysia, Qatar, Saudi Arabia and so on. Many youngsters became paralysed and lost their jobs and returned back home.  Paraplegic patients can easily develop pressure sores. Pressure sores are more common in Sacral, Trochanteric and Ischiatic area. Prevention is always better than cure. It applies to pressure sore also. Regular positioning of the patient can easily prevent the bed sore to occur. The pressure ulcer is treated with the regular dressing, debridement and closure of the wounds with the Flaps.