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논문 기본 정보

자료유형
학술저널
저자정보
Sung Ji Yoon (Pusan National University) Bae Yong Chan (Pusan National University) Nam Su Bong (Pusan National University) Kim Joo Hyoung (Pusan National University)
저널정보
대한창상학회 Journal of Wound Management and Research Journal of Wound Management and Research Vol.16 No.1
발행연도
2020.1
수록면
13 - 20 (8page)

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Background: Negative-pressure wound therapy with instillation (NPWTi) is an adjunctive treatment modality for complex and infected wounds. However, commercial devices are expensive and not readily available in many countries. The objective of this study is to introduce an NPWTi method that is applicable where commercial NPWTi devices are not available and to report the clinical outcomes of the NPWTi method for the adjunctive treatment of complex wounds.Methods: This prospective clinical experimental study included 51 patients who had wounds on which operative debridement was performed between January 2017 and March 2019. A negative-pressure wound therapy (NPWT) device was applied with an intravenous (IV) line for continuous instillation of 0.9% normal saline plus 1% povidone-iodine solution for chronic wounds. The outcomes measured were the number of operating room visits, time to final surgical procedure, number of infected wounds, time to resolution of infection, type of reconstruction operation, and occurrence of complications.Results: The average number of operations performed was 2.5±0.8, and the time to final surgical procedure was 28.4±15.4 days. The number of infected wounds was 35 (68.6%), and the time to resolution of infection was 15.0±14.6 days. All wounds were closed or covered. Though partial graft failure occurred in two cases, they healed completely by secondary healing in 2 weeks.Conclusion: A continuous-instillation NPWT system using an IV line could be an adjunctive modality in treating complex wounds at institutions where commercial NPWTi systems are not readily available.
#Negative-pressure wound therapy #Wound healing #Wounds

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참고문헌 (13)

참고문헌 신청
Fleischmann W / 1998 / Vacuum sealing as carrier system for controlled local drug administration in wound infection / Unfallchirurg 101:649~654 google schola Kim PJ / 2015 / Negative pressure wound therapy with instillation : review of evidence and recommendations / Wounds 27:S2~S19 google schola Huang C / 2014 / Effect of negative pressure wound therapy on wound healing / Curr Probl Surg 51:301~331 google schola Timmers MS / 2009 / Negative pressure wound treatment with polyvinyl alcohol foam and polyhexanide antiseptic solution instillation in posttraumatic osteomyelitis / Wound Repair Regen 17:278~286 google schola Kim PJ / 2015 / Comparison of outcomes for normal saline and an antiseptic solution for negative-pressure wound therapy with instillation / Plast Reconstr Surg 136:657e~664e google schola

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