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두겹 압박방식 3MTM CobanTM을 이용한 울혈성 정맥궤양의 치료: 증례보고

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Author(s)
추호준손대구김준형한기환김형태Hojun ChuDaegu SonJunhyung KimKihwan HanHyungtae Kim
Keimyung Author(s)
Son, Dae GuKim, Jun HyungHan, Ki HwanKim, Hyoung Tae
Department
Dept. of Plastic Surgery (성형외과학)
Dept. of Surgery (외과학)
Journal Title
대한성형외과학회지
Issued Date
2011
Volume
38
Issue
5
Abstract
Purpose: Venous stasis ulcer is the most severe form of chronic venous insufficiency and this commonly appears in the lower limb. Pharmacological therapy, reconstruction of the venous system, surgical management, cellular therapy and compression therapy are known as the treatments of venous stasis ulcer, but relapses are common, which make it a typical chronic wound. We report here on a case of recurrent venous stasis ulcer that healed with compression therapy without any other treatment.
Methods: A 35-year-old man with a 13 years history of venous stasis had developed an ulcer on the distal third portion of the lower left limb which was developed 12-year before enrollment in this study. He had been treated with vacuum assist closure, 2 times of cell therapy and 3 times of skin graft for 8 years, but the lesion recurred. From November, 2008 compression therapy was done with the 3M CobanTM 2 Layer Compression System (3M, St. Paul, USA). The ulcer at that time was oval shaped and 3 × 4 cm in size. A comfort layer bandage was applied from the proximal phalanx of the great toe to the knee. A compression layer bandage was applied on the previous layer with it being overlapped one half the width of the comfort layer bandage. The dressing was changed every 4 days and the change was recorded with photography. Results: A total of 12 CobanTM 2 Layer Compression Systems were used. The size of the ulcer decreased to 2.5 × 2.5 cm in one month, to 2 × 2 cm in 2 months, it was 1 × 1.8 cm in size at 3 months and it completely healed in 4 months.
Conclusion: The venous stasis ulcer was completely healed using the 3M CobanTM 2 Layer Compression System. This method was easy to apply, made the patient
comfortable and it provided an excellent compression effect. As in the previous studies, this compression therapy has been proven to play an important role for the treatment and prevention of venous stasis ulcer.
Alternative Title
Treatment of Venous Stasis Ulcer with 3MTM CobanTM
2 Layer Compression System: A Case Report
Keimyung Author(s)(Kor)
손대구
김준형
한기환
김형태
Publisher
School of Medicine
Citation
추호준 et al. (2011). 두겹 압박방식 3MTM CobanTM을 이용한 울혈성 정맥궤양의 치료: 증례보고. 대한성형외과학회지, 38(5), 699–702.
Type
Article
ISSN
1015-6402
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/39358
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Plastic Surgery (성형외과학)
1. School of Medicine (의과대학) > Dept. of Surgery (외과학)
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