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섬수약침 마취후 수술적으로 제거된 표피낭종 증례

A Case of Epidermal Cyst Using Surgical Method After Bufonis Venenum Pharmacopuncture Anesthesia

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Objectives : The aim of this study is to report the effect of surgical method after Bufonis Venenum Pharmacopuncture Anesthesia on epidermal cyst. Methods : A 49-year-old male was presented with a 1.5×1.5(㎝) sized epidermal cyst on the upper back. Local anesthesia was achieved with Bufonis Venenum pharmacopuncture. After 5 minutes, 2.5㎝ incision was made using 11th blade. To minimize bleeding, the laser(CO2 Hani-maehwa laser-surgical mode) was excised to the cyst wall. After incision, cyst were separated and removed using adson forceps and iris scissors. Then buried intradermal suture and simple interrupted suture were performed. Yeonkyopaedok-san was administered for 5 days for anti-inflammatory effects. After 10 days, the suture was removed after confirmation of skin adhesion. Results : Cyst size measured 1.0×1.0×1.0(㎝). Until the suture is removed, Adverse effects were not reported. Conclusions : Bufonis Venenum pharmacopuncture applies to local anesthesia. Korean medicine cautery method applies to laser(CO2 Hani-maehwa laser). It can be considered that To expand the application of surgical treatment in korean medicine.

Abstract

Objectives : The aim of this study is to report the effect of surgical method after Bufonis Venenum Pharmacopuncture Anesthesia on epidermal cyst. Methods : A 49-year-old male was presented with a 1.5×1.5(㎝) sized epidermal cyst on the upper back. Local anesthesia was achieved with Bufonis Venenum pharmacopuncture. After 5 minutes, 2.5㎝ incision was made using 11th blade. To minimize bleeding, the laser(CO2 Hani-maehwa laser-surgical mode) was excised to the cyst wall. After incision, cyst were separated and removed using adson forceps and iris scissors. Then buried intradermal suture and simple interrupted suture were performed. Yeonkyopaedok-san was administered for 5 days for anti-inflammatory effects. After 10 days, the suture was removed after confirmation of skin adhesion. Results : Cyst size measured 1.0×1.0×1.0(㎝). Until the suture is removed, Adverse effects were not reported. Conclusions : Bufonis Venenum pharmacopuncture applies to local anesthesia. Korean medicine cautery method applies to laser(CO2 Hani-maehwa laser). It can be considered that To expand the application of surgical treatment in korean medicine.

참고문헌 (9)

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  5. 이승훈, "섬수(蟾酥)의 임상적 활용을 위한 문헌적 고찰 -독성 및 수치를 중심으로-", Journal of Acupuncture Research, 26(1), pp.121~133 (2009), 대한침구의학회
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  7. Textbook Compilation Committee of National University of Traditional Korean Dermatology & Surgery, "Textbook of Traditional Korean Dermatology & Surgery", pp.221~222 (2007), Sunwo
  8. 이득주, "하니매화레이저를 이용한 여드름 흉터 치료 1례", 한방안이비인후피부과학회지, 29(2), pp.106~111 (2016), 대한한방안이비인후피부과학회[DOI]
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