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감염된 만성창상에서 국소음압세척치료의 이용

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Author(s)
정진욱김준형정영진박무식손대구한기환Jinwook JeongJunhyung KimYung Jin JungMusik ParkDaegu SonKihwan Han
Keimyung Author(s)
Kim, Jun HyungPark, Mu SikSon, Dae GuHan, Ki Hwan
Department
Dept. of Plastic Surgery (성형외과학)
Journal Title
대한성형외과학회지
Issued Date
2010
Volume
37
Issue
3
Abstract
Purpose: Continuous irrigation method is an important step in managing wound infection. V.A.C. devices have been used in intractable wounds for reducing discharge, improving local blood flow, and promoting healthy granulation tissue. We expect synergistic effects of reduced infection and more satisfactory, accelerated wound healing when using both methods simultaneously. This study evaluated continuous irrigation combined with V.A.C. appliance for treatment of infected chronic wounds.
Methods: We reviewed data from 17 patients with infected intractable chronic wounds. V.A.C. device (Group A) was used in 9 patients, and V.A.C. with antibiotics irrigation (Group B) was used in 8 patients. We placed MepitelR on the surface of wound and placed an irrigation and aspiration tube on each side. A sponge was placed on the Mepitel and covered with film dressing. The wound was irrigated continuously with mixed antibiotics solution at the speed of 200 cc/hr and aspirated through the wall suction at the pressure of -125 mmHg. V.A.C. applied time, wound culture and wound size were compared between the two groups.
Results: No complication were seen in two groups. Compared with Group A, in the Group B, V.A.C. applied time was shortened from 32.7 days to 25.6 days and showed efficacy in the reduction rate of wound size. No statistical differences were shown in bacterial reversion.
Conclusion: V.A.C. appliance with continuous irrigation is an effective new method of managing infected chronic wounds and useful to reduce treatment duration and decrease wound size. Moreover it could be applied more widely to infected wound.
Alternative Title
Vacuum Assisted Wound Closure Appliance and Continuous Irrigation on Infected Chronic Wound
Keimyung Author(s)(Kor)
김준형
박무식
손대구
한기환
Publisher
School of Medicine
Citation
정진욱 et al. (2010). 감염된 만성창상에서 국소음압세척치료의 이용. 대한성형외과학회지, 37(3), 227–232.
Type
Article
ISSN
1015-6402
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/39343
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Plastic Surgery (성형외과학)
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