• The Journal of Korea CHUNA Manual Medicine
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• v.4 no.1
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• pp.29-38
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• 2003

Objectives : This report was performed to evaluate the treatment of acupuncture Therapy. Bee venom acupuncture Therapy, Herbal medication and Moxibustion In Chronic lschial bursitis. Methods : We treated 1 case of chronic Ischial Bursitis with acupuncture therapy, Bee Venom Acupuncture therapy, herbal medication and Moxibustion Results : After 8 weeks of acupuncture Therapy. Bee venom acupuncture Therapy, Herbal medication and Moxibustion. a remarkable improvenment was made for Chronic lschial bursitis. The patient couldn't feel painful swelling over the center of the buttock and down the back of the leg. Conclusion : Acupuncture Therapy, Bee venom acupuncture Therapy, Herbal medication and Moxibustion were effective In reducing the symptoms. We think that it need the further study and clinical trial for Chronic lschial bursitis.

• Archives of Plastic Surgery
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• v.46 no.5
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• pp.455-461
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• 2019

Background Various surgical management methods have been proposed for ischial sore reconstruction, yet it has the highest recurrence rate of all pressure ulcer types. A novel approach combining the advantages of a perforator-based fasciocutaneous flap and a muscle flap is expected to resolve the disadvantages of previously introduced surgical methods. Methods Fifteen patients with ischial pressure ulcers with chronic osteomyelitis or bursitis, who underwent reconstructive procedures with an inferior gluteal artery perforator (IGAP) fasciocutaneous flap and a split inferior gluteus maximus muscle flap from January 2011 to June 2016, were analyzed retrospectively. The split muscle flap was rotated to obliterate the deep ischial defect, managing the osteomyelitis or bursitis, and the IGAP fasciocutaneous flap was rotated or advanced to cover the superficial layer. The patients' age, sex, presence of bursitis or osteomyelitis, surgical details, complications, follow-up period, and ischial sore recurrence were reviewed. Results All ischial pressure ulcers were successfully reconstructed without any flap loss. The mean duration of follow-up was 12.9 months (range, 3-35 months). Of 15 patients, one had a recurrent ulcer 10 months postoperatively, which was repaired by re-advancing the previously elevated fasciocutaneous flap. Conclusions The dual-flap procedure with an IGAP fasciocutaneous flap and split inferior gluteus maximus muscle flap for ischial pressure ulcer reconstruction is a useful method that combines the useful characteristics of perforator and muscle flaps, providing thick dual padding with sufficient vascularization while minimizing donor morbidity and vascular pedicle injury.