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Journal of the Korean Wound Management Society 2010;6(1): 018-024. |
| 만성 난치성 창상에서 피부이식 생존의 증진을 위한 CuravacⰒ의 효용성 |
| 이성표ㆍ지소영ㆍ이지원ㆍ양완석 |
| 동강병원 성형외과 |
| Efficacy of CuravacⰒ System to Enhance Skin Graft Survival in Chronic Intractable Wound |
| Seong Pyo Lee, So Young Ji, Ji Won Lee, Wan Suk Yang |
| Department of Plastic and Reconstructive Surgery, Dong-Kang General Hospital, Ulsan, Korea |
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Published online: 31 May 2010. |
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| ABSTRACT |
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In patients with poor general condition, the management of chronic intractable wounds is considered to be difficult and still remains a challenge. With the introduction of the CuravacⰒ (Daewoong Pharmaceutical, Korea) in 2009 that consists of the wall suction unit or the private label product of portable suction unit, expensive application of V.A.C. TherapyⰒ was solved by reducing additional products as well as foam. Because the treatment with this device was registered for health insurance benefits, it was developed as an alternative option to reduce the burden of medical expenses. In this study, we have cured 20 patients with chronic wounds after successful skin graft by the use of CuravacⰒ postoperatively. The average survival rate was 98.6 percent and adjacent infection on graft margin was not observed except one patient. One of the advantages of the CuravacⰒ is to enhance a good contact between skin graft and recipient bed without any dead space. Second, there is no need of splint or additional devices to be fixed. Third, this treatment option is very cost-effective because the health insurance benefits. Fourth, there are no differences compared to V.A.C. TherapyⰒ. Fifth, it continuously absorbs either hematoma and seroma. Sixth, it increases the rate of successful skin graft by both accelerating neovascularization and preventing infection. Furthermore, it improves the healing time in case of meshed skin graft as well. Lastly, this can be a good alternative dressing method technically, especially for difficult surgical areas. Therefore, the application of CuravacⰒ after a skin graft is assumed to be a very efficient treatment modality in chronic intractable wounds. (J Korean Wound Management Soc 2010;6:18-24) |
| Key Words:
CuravacⰒ; system, V.A.C. TherapyⰒ; , Chronic intractable wound, Skin graft |
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