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J Korean Wound Management Soc > Volume 9(1); 2013 > Article
Journal of the Korean Wound Management Society 2013;9(1): 50-52.
근막절개술 창상의 음압 치료요법 후 지연 일차봉합술의 치험예
백주명ㆍ문구현
성균관대학교 의과대학 삼성서울병원 성형외과학교실
Delayed Primary Closure of Fasciotomy Wound after Applying VAC Dressing: Case Report
Joo Myong Paik, Goo-Hyun Mun
Department of Plastic and Reconstructive Surgery, Samsung Medical Center, Sungkyunkwan University College of Medicine, Seoul, Korea
  Published online: 30 May 2013.
ABSTRACT
Fasciotomy of the affected muscle in the compartment syndrome is essential to prevent ischemic injury of the nerve and muscle. However, increased muscle pressure makes wound reconstruction a challenging problem. Despite several surgical approaches such as skin grafting, local or free flaps, on account of their complication, delayed primary closure is considered to be best option for fasciotomy wound. Many dressing methods were introduced to accomplish delayed primary closure for fasciotomy wound. We report a case of managing 14 year-old man who visited our emergency room with fasciotomy wound. Due to his swollen lower leg, the sensory and the motor function was decreased and immediate primary closure was not possible. However, by applying negative pressure wound therapy with massive irrigation and debridement every 2 days, we were able to achieve wound closure by means of delayed primary closure and he was discharged with no other complications. (J Korean Wound Management Soc 2013;9:50-52)
Key Words: Fasciotomy, Negative pressure wound therapy, Delayed primary closure
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