한방안이비인후피부과학회지 (The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology)

  • 제36권4호
  • /
  • Pages.181-186
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  • 2023
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  • 1738-6640(pISSN)
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  • 2234-4020(eISSN)
대한한방안이비인후피부과학회 (The Society of Korean Medicine Ophthalmology, Otolaryngology & Dermatology)
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봉합 실패로 발생된 과다 육아조직에 대해 한의과에서 시행한 절제 및 재봉합 증례

A Case of Dissection and Resuture Performed at the Department of Korean Medicine for Excessive Granulation Tissue Caused by Suturing Failure

  • 허은나 (부산대학교 한방병원 안이비인후피부과) ;
  • 권강 (부산대학교 한방병원 안이비인후피부과) ;
  • 서형식 (부산대학교 한방병원 안이비인후피부과)
  • Eun-na Heo (Dep. of Ophthalmology, Otolaryngology and Dermatology, Pusan National University Korean Medicine Hospital) ;
  • Kang Kwon (Dep. of Ophthalmology, Otolaryngology and Dermatology, Pusan National University Korean Medicine Hospital) ;
  • Hyung-Sik Seo (Dep. of Ophthalmology, Otolaryngology and Dermatology, Pusan National University Korean Medicine Hospital)
  • 투고 : 2023.10.06
  • 심사 : 2023.11.01
  • 발행 : 2023.11.25
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초록

Objectives : The purpose of this study is to report case of hypergranulation tissue that occurred after laparotomy and dissected by CO2 laser. Methods : A 72-year-old female had hypergranulation tissue on the epigastrium. Local anesthesia was achieved with bufonis venenum pharmacopuncture. The CO2 laser was used for dissection. After removal of granulation, irrigation with soyeom pharmacopuncture solution and simple interrupted suture were performed. Yeonkyopaedok-san were administered for 7 days and the suture was removed after 14 days. At last, saengkigo was applied. Results : Hypergranulation tissue sized 1.0×1.0×1.0cm was clearly removed. Including excessive growing of granulation tissue, adverse effects were not reported until the clear skin adhesion. Conclusions : Hypergranulation tissue was surgically removed and sutured completely without any complications by using pharmacopuncture, oral herbal medicine and ointment that have anti-inflammatory effects and wound healing. Through this study, it is hoped that surgery including suture will be actively performed in more diverse diseases in the Korean medicine community.

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참고문헌

  1. Mitchell A, Llumigusin D. The assessment and management of hypergranulation. British Journal of Nursing. 2021;30(5):S6-10.  https://doi.org/10.12968/bjon.2021.30.5.S6
  2. Spring LK, Rohrer TE, Dover JS. Ablative Fractional Laser Resurfacing: A Novel Treatment for Hypergranulation Tissue. Dermatologic Surgery. 2021;47(2):301-3.  https://doi.org/10.1097/DSS.0000000000002223
  3. Pahng SH, Cha WS, Kim NI. A Research of Ancient operation through traditional medical documents. The Journal of Korean Medical History. 2007;20(2):81-6. 
  4. Pahng SH, Cha WS, Kim NI. A Study about Suture Surgery written in Traditional Korean Medical Books. The Journal of Korean Medical History. 2010;23(2):47-56. 
  5. Choi JS, Ryu SY. A Comparative study of wound healing after skin incision with scalpel, Co2, and Nd:YAG laser in rats. Journal of Korean Maxillofacial Plastic and Reconstructive Surgery. 2000;22(1):33-42. 
  6. Pick RM, Colvard MD. Current status of lasers in soft tissue dental surgery. J Periodontol. 1993;64(7):589-602.  https://doi.org/10.1902/jop.1993.64.7.589
  7. Yoon HS, Jang YJ, Seo EJ, Baek MJ. Latest OR. Manual. 2nd rev. Seoul:Fornuse Publisher. 2021:78-83. 
  8. Park SI, Sunwoo YY, Jung YJ, Chang WC, Park MS, Chung YA, et al. Therapeutic Effects of Acupuncture through Enhancement of Functional Angiogenesis and Granulogenesis in Rat Wound Healing. Evid Based Complement Alternat Med. 2012;2012:464586. 
  9. Lee HB, Lee CW, Lim EC. A Case of Charcot Neuroarthropathy Improved by Korean Medical Treatment Combined with Shudihuangkushen-tang and Haifu-san Wet Dressing. J Korean Med Ophthalmol Otolaryngol Dermatol. 2020;33(3):125-37. 
  10. Hirotsu K, Kannan S, Brian JSI. Treatment of Hypertrophic Granulation Tissue: A Literature Review. Dermatol Surg. 2019;45(12):1507-16.  https://doi.org/10.1097/DSS.0000000000002059
  11. Anantama NA, Du-Cheyne C, Martens A, Roth SP, Burk J, De-Spiegelaere W, et al. The granulation (t)issue: A narrative and scoping review of basic and clinical research of the equine distal limb exuberant wound healing disorder. Vet J. 2022;280:105790. 
  12. Jae HK, Ahn JH, Hwang ML, Kim SY, Jung HA. Three Cases of Nummular Eczema Patients Treated with Cheongshimyeonja-eum Gagambang and Soyeom Pharmacopuncture. J Korean Med Ophthalmol Otolaryngol Dermatol. 2019;32(2):107-19. 
  13. Lee DJ, Kwon K, Seo HS. A Case of Epidermal Cyst Using Surgical Method After Bufonis Venenum Pharmacopuncture Anesthesia. J Korean Med Ophthalmol Otolaryngol Dermatol. 2017;30(2):165-9. 
  14. Jeong MR, Kwon K, Seo HS. A Case Report of 2 Types of Epidermal Cyst Surgically Removed after Bufonis Venenum Pharmacopuncture Anesthesia. J Korean Med Ophthalmol Otolaryngol Dermatol. 2020;33(4):126-32. 
  15. Jeong GP. Uihaksimo. Seoul:Jipmoondang. 2017:364. 
  16. Wang Y, Zhou J, Yan C. Effects of haifu powder on the number of vessels and collagen content of the new granulation tissue in the dorsal wound of rats. Jilin Journal of Chinese Medicine. 2019;39(3):377-80.