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J Korean Wound Management Soc > Volume 4(2); 2008 > Article
Journal of the Korean Wound Management Society 2008;4(2): 105-108.
피판술 후 괴사의 보존적인 방법으로서의 V.A.C.의 유용성
이산하ㆍ김정윤ㆍ정재훈ㆍ은석찬ㆍ허찬영ㆍ백롱민
서울대학교 의과대학 성형외과학교실
Usefulness of V.A.C. as Conservative Methods of Necrosis after Flap Operation
San Ha Lee, Jung Yoon Kim, Jae Hoon Jeong, Seok Chan Eun, Chan Yeong Heo, Rong Min Baek
Department of Plastic and Reconstructive Surgery, Seoul National University College of Medicine, Seoul, Korea
  Published online: 30 November 2008.
ABSTRACT
A 53-year-old woman had recurred mucinous carcinoma of sacrum. After wide excision of tumor, she had local flap for covering sacral defect. However, the flap got congestive. Although leech therapy was applied, the flap became necrotic. And debridement and secondary local flap from upper back were done. The V.A.C. (Vacuum Assisted Closure) therapy was used for conservative method of necrosis after flap operations. After application of V.A.C. for 2 months, the wound size was decreased from 11 cm × 7 cm to 5 cm × 4 cm, and periwound edema was decreased, so the patient could walk. The V.A.C. therapy is a very good option for conservative method of necrosis after flap operations and patient's rehabilitation. (J Korean Wound Management Soc 2008;4:105-108)
Key Words: V.A.C., Flap, Mucinous carcinoma, Rehabilitation
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