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Journal of the Korean Wound Management Society 2013;9(1): 31-33. |
| 휴대용 초음파기기를 이용한 만성창상환자에서의 효과적인 변연절제의 체험예 |
| 강민석ㆍ박창식ㆍ허찬영 |
| 서울대학교 의과대학 분당서울대학교병원 성형외과학교실 |
| Debridement of Pressure Sore with Ultech Smart Wound Care System (ULSC-12D): Case Report |
| Min Suk Kang, Chang Sik Pak, Chan Yeong Heo |
| Department of Plastic and Reconstructive Surgery, Seoul National University Bundang Hospital, Seoul National University School of Medicine, Seongnam, Korea |
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Published online: 30 May 2013. |
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| ABSTRACT |
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Chronic wound management is a challenging field for many surgeons, for its tendency to recur and difficulty for a ""perfect cure"". There have been many attempts to manage chronic wounds via various methods, including surgical, biological, or chemical managements. Surgical debridement is an easy and quick method, but unnecessarily removes clean uncontaminated tissue and requires at least local anesthesia. We present a successful case of ultrasonic debridement using a portable device for a simple method of ""painless debridement"". A 78 year-old women visited our reconstruction center with a pressure sore on her sacral area. We used the Ul-tech Smart Wound Care System (ULSC-12D) for debridement of the chronic wound. Follow-up visits were made on post-op day 3, 7, and 14. With this portable device using low-frequency (25 kHz) ultrasound, we successfully completed the procedure, and observed the gradual change of the wound. Foul odor and purulent discharge were significantly reduced by day 14, and the patient did not suffer from severe pain or excessive bleeding. From this case, we propose a useful, simple and easy way for the debridement of a chronic wound. (J Korean Wound Management Soc 2013;9:31-33) |
| Key Words:
Ultrasound, Wound debridement, Pressure ulcer |
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