버거병으로 인한 하지 창상에 Healoderm을 이용한 치유의 치험예 |
김대영ㆍ문구현 |
성균관대학교 의과대학 삼성서울병원 성형외과학교실 |
A Treatment of Open Wound Due to Buerger's Disease Using Healoderm: Case Report |
Dae Young Kim, Goo Hyun Mun |
Department of Plastic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea |
Published online: 30 November 2012. |
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ABSTRACT |
Buerger's disease (thromboangiitis obliterans) is a nonatherosclerotic, segmental, inflammatory disease that most commonly affects the small and medium-sized arteries, veins, and nerves of the distal extremities. This disease is characterized by highly cellular and inflammatory occlusive thrombus with relative sparing of the blood vessel wall. Patients are mostly young tobacco smokers who present with distal extremity ischemia, ischemic ulcers or gangrene and these conditions cause superficial open wound frequently. For management of superficial open wound, not only conventional surgical methods just like split thickness skin grafting but also appropriate supportive dressing materials can be available for clinicians and are used for wound healing purposes. We report the case of managing 45 year-old female patient with Buerger's disease who had open wound on Rt. foot after amputation. To get optimal treatment, Healoderm dressing was applied before defect coverage with split thickness skin grafts. (J Korean Wound Management Soc 2012;8:87-90) |
Key Words:
Buerger's disease, Wound healing, Split thickness skin graft, Healoderm |
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