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Journal of the Korean Wound Management Society 2011;7(1): 25-28. |
| 하지의 괴사성 근막염 치료에 있어 음압 치료 드레싱의 유용성 |
| 이경태ㆍ변재경ㆍ임소영ㆍ문구현ㆍ오갑성ㆍ방사익 |
| 성균관대학교 의과대학 삼성서울병원 성형외과학교실 |
| The Efficacy of Negative-pressure Wound Dressings in Necrotizing Fasciitis of Lower Extremities |
| Kyeong Tae Lee, Jai-Kyong Pyon, So Young Lim, Goo Hyun Mun, Kap Sung Oh, Sa Ik Bang |
| Department of Plastic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea |
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Published online: 30 May 2011. |
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| ABSTRACT |
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Necrotizing fasciitis is all kinds of disease of fulminating septic process that involves not only the full layers of the skin but all underlying structures, including muscular structures. The negative pressure dressing is widely used to induce and promote the wound healing process. The authors applied the negative pressure dressing to necrotizing fasciitis open wound in lower extremities to test out clinical impression. A retrospective chart reviews of 4 patients suffering from necrotizing fasciitis over a 3-year period was performed. All the patients was intensively treated in acute aggravating period by careful monitoring and coverage of broad antibiotics usage. After the stabilization of disease process, the negative pressure wound dressing was applied to prepare the wound bed for coverage. The efficacy was evaluated by comparing with the conventional wet dressing technique of wound care. Negative pressure wound dressing greatly reduce the wound size (36% vs. 32.9%) and shorten the period to coverage operation (29.8 days vs. 33 days), to compared with conventional wet gauze dressing. The negative pressure wound dressing was found to have an efficacy in managing the necrotizing fasciitis wounds. The negative pressure dressing should be considered as a good option in patients with necrotizing fasciitis. (J Korean Wound Management Soc 2011;7:25-28) |
| Key Words:
Negative-pressure dressing, Necrotizing fasciitis, Lower extremities |
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