Sosyo
Online ISSN : 1884-880X
ISSN-L : 1884-880X
Volume 7, Issue 2
Displaying 1-8 of 8 articles from this issue
Special Edition from the 7rd Annual Meeting of Japan Society for Surgical Wound Care
Feature Article 1 : How to Use Techniques of Plastic Surgery in Wound Healing Treatment ?
  • Yoshihisa Kawakami, Takuto Oyama, Satoshi Takagi, Hiroyuki Ohjimi
    2016 Volume 7 Issue 2 Pages 55-64
    Published: 2016
    Released on J-STAGE: April 01, 2016
    JOURNAL FREE ACCESS
    Supplementary material
    Skin grafting is one of several surgical procedures that are useful for closing wounds. Twenty years ago, skin grafting over bones and tendons was not possible, as the blood supply was usually insufficient to allow the graft to take. However, in 1997 negative pressure wound therapy ( NPWT ), a non-invasive wound treatment system, was first reported. In addition, the mass production of cell growth factors, basic fibroblast growth factor ( bFGF ), and similar products became feasible around 1980, and the use of such substances has since become commonplace. Both NPWT and bFGF trigger the formation of granulation tissue and thereby enable skin graft preparation. Our findings indicate that the combined use of NPWT and bFGF increases the skin graft survival rate, as does the use of NPWT for skin graft fixation.
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Feature Article 2 : How to Construct the Team of Which Wound Surgeon become a Leader
  • Yusuke Yamamoto, Hiroaki Nakazawa, Hiroyuki Sakurai
    2016 Volume 7 Issue 2 Pages 65-73
    Published: 2016
    Released on J-STAGE: April 01, 2016
    JOURNAL FREE ACCESS
    During major burns treatment, emergency and intensive care are important for survival because major burns are complex systemic injuries. Wound care and reconstruction are also required to promote survival and increase the patient's quality of life. Therefore, burns teams can include nurses, anesthesiologists, rehabilitation therapists, nutritionists, psychosocial experts, and pharmacists. Wound care surgeons should lead burns teams because the first goal of burns treatment is wound closure. The leaders of burn teams should : 1. be skilled in burn wound closure ; 2. be able to produce an individualized care plan that takes the patient's general condition into consideration ; 3. be able to prevent or deal with predicted complications; and 4. have excellent interpersonal communication skills.
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Original Article
  • Tatsuya Kiuchi
    2016 Volume 7 Issue 2 Pages 74-80
    Published: 2016
    Released on J-STAGE: April 01, 2016
    JOURNAL FREE ACCESS
    Chronic pyoderma is a chronic debilitating skin disease that is characterized by recurrent abscess formation, skin rupturing, scarring, and the formation of draining sinus tracts. In advanced cases, wide local excision of the wound and the contiguous subcutaneous tissue is often necessary. The resultant skin defects tend to be too large and / or contaminated to allow immediate wound closure. Therefore, skin grafting is often necessary to cover the defect. Furthermore, chronic pyoderma most commonly affects the axillary, inguinal, and anogenital regions, and it can be difficult to get skin grafts to take in these regions. In this case study, we discuss a two-stage surgical procedure for the treatment of severe chronic pyoderma. In the first stage, wide local wound excision was performed, and negative pressure wound therapy ( NPWT ) was applied to the soft-tissue defect to prepare the wound bed. In the second stage, a split-thickness skin graft was transplanted to close the wound, and NPWT was applied to support the grafts at the recipient sites. Satisfactory results were achieved in all patients. No instances of recurrence or any other complications were reported.
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