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Continuous High-Pressure Negative Suction Drain: New Powerful Tool for Closed Wound Management: Clinical Experience

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dc.contributor.author신, 승준-
dc.date.accessioned2015-10-30T06:45:35Z-
dc.date.available2015-10-30T06:45:35Z-
dc.date.issued2015-
dc.identifier.urihttp://repository.ajou.ac.kr/handle/201003/11858-
dc.description.abstractBackground & 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.
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dc.description.tableofcontentsABSTRACT 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
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dc.language.isoen-
dc.titleContinuous High-Pressure Negative Suction Drain: New Powerful Tool for Closed Wound Management: Clinical Experience-
dc.title.alternative고압력 연속 음압 흡입기를 이용한, 패쇄 창상의 치료의 새로운 해결방법-
dc.typeThesis-
dc.identifier.urlhttp://dcoll.ajou.ac.kr:9080/dcollection/jsp/common/DcLoOrgPer.jsp?sItemId=000000018866-
dc.subject.keywordSeroma-
dc.subject.keywordWall suction-
dc.subject.keywordContinuous high-pressure negative suction drain-
dc.subject.keyword장액종-
dc.subject.keyword고압력 연속음압 흡입기-
dc.description.degreeDoctor-
dc.contributor.affiliatedAuthor신, 승준-
dc.date.awarded2015-
dc.type.localTheses-
dc.citation.date2015-
Appears in Collections:
Theses > School of Medicine / Graduate School of Medicine > Doctor
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