repository
고압력 연속 음압 흡입기를 이용한, 패쇄 창상의 치료의 새로운 해결방법
| DC Field | Value | Language |
|---|---|---|
| dc.contributor.advisor | 박명철 | - |
| dc.contributor.author | Shin, Seung Jun | - |
| dc.date.accessioned | 2019-10-21T07:24:59Z | - |
| dc.date.available | 2019-10-21T07:24:59Z | - |
| dc.date.issued | 2015-02 | - |
| dc.identifier.other | 18866 | - |
| dc.identifier.uri | https://dspace.ajou.ac.kr/handle/2018.oak/18657 | - |
| dc.description | 학위논문(박사)--아주대학교 일반대학원 :의학과,2015. 2 | - |
| dc.description.tableofcontents | ABSTRACT ⅰ TABLE OF CONTENTS ⅲ LIST OF FIGURES ⅳ LIST OF TABLES v Ⅰ. INTRODUCTION 1 Ⅱ. PATIENTS AND METHODS 3 Ⅲ. RESULTS 8 IV. CASE REVIEWS 12 V. DISCUSSION 15 REFERENCES 20 국문요약 23 | - |
| dc.language.iso | eng | - |
| dc.publisher | The Graduate School, Ajou University | - |
| dc.rights | 아주대학교 논문은 저작권에 의해 보호받습니다. | - |
| dc.title | 고압력 연속 음압 흡입기를 이용한, 패쇄 창상의 치료의 새로운 해결방법 | - |
| dc.title.alternative | Seung Jun Shin | - |
| dc.type | Thesis | - |
| dc.contributor.affiliation | 아주대학교 일반대학원 | - |
| dc.contributor.alternativeName | Seung Jun Shin | - |
| dc.contributor.department | 일반대학원 의학과 | - |
| dc.date.awarded | 2015. 2 | - |
| dc.description.degree | Doctoral | - |
| dc.identifier.localId | 695768 | - |
| dc.identifier.url | http://dcoll.ajou.ac.kr:9080/dcollection/jsp/common/DcLoOrgPer.jsp?sItemId=000000018866 | - |
| dc.subject.keyword | Seroma | - |
| dc.subject.keyword | Wall suction | - |
| dc.subject.keyword | Continuous high-pressure negative suction drain | - |
| dc.description.alternativeAbstract | Background & Aims: Although various reconstructive flap surgeries have been successfully performed, there still are difficult wound complications, such as seroma formation, wound margin necrosis, delayed wound healing, and even flap failures. The negative-pressure wound therapy has been described in detail in the literature to assist open chronic/complex wound closure in reconstructive surgery. However, the negative-pressure wound therapy was difficult to be applied under the incisional closed wounds. Methods: A total of 23 patients underwent the various reconstructive flap surgeries with continuous high-pressure negative suction drain. Instead of using regular suction units, BarovacⓇ (50 - 90 mmHg, Sewoon Medical, Seoul, Republic of Korea) drainage tubes were connected to the wall suction unit, providing continuous high-powered negative pressure. In addition, continuous subatmospheric suction pressure (100 －300 mmHg) was applied. Outcome of the measures was obtained from the incidence of seroma, volume of postoperative drainage, hospitalization period, and incidence of other typical wound complications. Dead space was evaluated postoperatively with ultrasonography. Results: Using continuous high-pressure negative suction drain, successful management of seroma was obtained without any major complication such as wound infection, flap loss, and wound margin necrosis, except for only 1 case of seroma after discharge from the hospital. The indwelling time of the drain in the latissimus dorsi donor site was significantly reduced in comparison with the authors’ previous data (P = 0.047). The volume of drainage and hospitalization period were also reduced; however, these were not statistically significant. The dead space with continuous high-pressure negative suction drain was more reduced than in the control group in the immediate postoperative period and confirmed with ultrasonography. Conclusions: Continuous high-pressure negative suction drain might be the simple and powerful solution in the management of challenging closed wounds. | - |
- Appears in Collections:
- Graduate School of Ajou University > Department of Medicine > 4. Theses(Ph.D)
- Files in This Item:
- There are no files associated with this item.
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.
-
- License
- STATISTICS
- Total Visit :3,772,573
- Total Download :1,819
- Today View :9,074
