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KMID : 1190620050010010083
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Journal of the Korean Wound Care Society
2005 Volume.1 No. 1 p.83 ~ p.86
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The Treatment of Pressure Sore
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Oh Kap-Sung
Lim So-Young
Mun Goo-Hyun
Hyon Won-Sok
Bang Sa-Ik
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Abstract
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Pressure ulcer is one of the most severe complications in the immobilized patients such as the spinal cord injury, cerebrovascular disease. As the accident and industrial injury increase, the incidence of pressure ulcer is increasing too. Appropriate pressure ulcer prevention is never an easy work. Damage owing to pressure may occur within few hours, before the patient receives medical attention. Careful observation and general care for prevention is essential. Sacral pressure ulcer treatment requires multidisciplinary approach, surgical procedures following nutritional and medical status rehabilitation, spasticity treatment and infection control. Flap coverage is essential for successful treatment of pressure ulcer. Historically, rotation or advancement flaps were used in many cases, but nowadays musculocutaneous or fasciocutaneous flaps have been preferred universally. Recently development of perforator flaps allowed reconstructive surgeons to harvest flaps without sacrificing muscles. For the patients who are not in good general state and therefore are not candidates to undergo operations, wound cleansing is considered as an important component of pressure ulcer care. Among several dressing methods, VAC (Vacuum assisted closure) therapy is known as one of the most effective methods in the treatment of pressure sores.
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KEYWORD
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Pressure sore, VAC, Perforator flap
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