J Korean Diabetes > Volume 12(2); 2011 > Article
The Journal of Korean Diabetes 2011;12(2):122-127.
DOI: https://doi.org/10.4093/kcd.2011.12.2.122    Published online June 1, 2011.
당뇨병성 족부 궤양을 가진 환자에서 변형된 진공보조 봉합을 이용한 음압 창상 치료법의 경험
김봉재, 석지혜, 조아라, 하종건, 정찬우, 박성오, 박형택, 김미경
Negative-Pressure Wound Therapy Using Modified Vacuum-Assisted Closure in Patients with Diabetic Foot Ulcers.
Bong Jae Kim, Ji Hye Suk, A Ra Jo, Jong Kun Ha, Chan Woo Jung, Seong Oh Park, Hyung Taek Park, Mi Kyung Kim
1Department of Internal Medicine, Maryknoll Medical Center, Busan, Korea. Jihyesuk@gmail.com
2Department of Orthopedic Surgery, Maryknoll Medical Center, Busan, Korea.
Abstract
Diabetic foot ulcers (DFU) are common and serious complications of diabetes mellitus. The prognosis of DFU may be very poor even during early stages depending on the general conditions of patients, and amputation is often required to manage DFU. Various therapeutic approaches to DFU have been introduced, and among these negative-pressure wound therapy using vacuum-assisted closure (VAC-NPWT) is particularly noteworthy. We performed VAC-NPWT in three patients with complicated DFU. We used a modified VAC-NPWT protocol, which used wall suction and curaVAC(R). Dressing changes were performed every week, which was longer than standard method. All of our cases improved with granulating wound beds and were cleared of bacterial infection by the end of modified VAC therapy. These modifications reduced the costs of VAC-NPWT without introducing associated side effects. We recommend the active application of VAC-NPWT for complicated DFU, although this recommendation should be confirmed by large randomized controlled studies.
Key Words: Diabetic foot ulcer, Negative-pressure wound therapy, Vacuum-assisted closure
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