After reconstruction of bedsores in the elderly 'Proof of the effectiveness of 'Sound pressure wound treatment'

Nov 10, 2024

Professor Park Joon-ho's team of plastic surgery surgery at Boramae Hospital in Seoul Metropolitan Government, operated by Seoul National University Hospital, published a study to find out the effectiveness of negative pressure wound treatment (negative pressure wound treatment) after reconstruction of sacral bedsores in elderly patients.

Negative pressure wound treatment refers to a non-invasive intervention procedure that uses a sealing sponge connected to a vacuum device with controlled negative pressure to remove body fluid from a wound and promote wound healing through tissue deformation.

Based on the results of studies that proved the safety and efficiency of negative pressure wound treatment conducted by Professor Park Joon-ho's team since 2021, the study was conducted to minimize side effects and find a way to manage the surgical site stably after lobotomy (a surgery to bring and cover the entire skin of other parts of the body) to reconstruct the bedsores of the elderly.



The study was conducted between March 2019 and April 2023 in 52 patients who underwent a lobectomy due to pressure ulcers in the sacral region. A retrospective analysis of the amount of exudate, infection, hematoma, serous fluid, wound opening, and epidermal necrosis was conducted by dividing the group that underwent classical dressing and the group that underwent surgical site management using negative pressure wound treatment.

In the group that underwent postoperative negative pressure wound treatment, it was confirmed that the amount of exudate, infection, and wound opening, etc., were statistically significantly lowered at 6 months after surgery.



Acupuncture is a disease in which the incidence of elderly patients is close to 30% and is on the rise, and not only pain but also wounds do not heal well, and if the infection worsens, it can lead to death from sepsis. Currently, pressure ulcer treatment and surgery are actively performed, but the most common pressure ulcer site, 'Cheongol', is difficult to manage and highly likely to be contaminated, resulting in the most side effects such as recurrence or infection.

Therefore, it is very important to manage side effects after reconstructive surgery for pressure ulcers, which is essential to prevent recurrence of pressure ulcers and reoperation due to infection.



The existing method of manually disinfecting the bedsore area has a high risk of side effects along with practical difficulties, but Professor Park Joon-ho's team's study, 「Cure using negative pressure wound treatment after surgery on the bedsore of the elderly」 is expected to contribute greatly to the quality of life of elderly patients by providing safe and efficient treatment options.

Professor Park Jun-ho said "Bathroom is a disease that puts a great burden on elderly patients, and this study reaffirmed that negative pressure wound treatment can help safely and effectively manage after surgery. This is a result that is differentiated from the existing classical treatment method, and can greatly contribute to substantially improving the quality of life of elderly patients""Based on the research team's research on the skin care using negative pressure wound treatment from five years ago, we will do our best to ensure that many elderly patients return to a healthy daily life after surgery as soon as possible."," he said.

The study was recently published in the SCI-level international journal 'BMC Geriatrics'. Meanwhile, a research team led by Professor Park Joon-ho of Plastic Surgery at Boramae Hospital has been recognized for its excellence in research by publishing research results on the efficacy of negative pressure wound treatment in SCI-level international journals every year since 2021.

After reconstruction of bedsores in the elderly 'Proof of the effectiveness of 'Sound pressure wound treatment'
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