{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T09:15:26Z","timestamp":1777713326815,"version":"3.51.4"},"reference-count":9,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2015,8,6]],"date-time":"2015-08-06T00:00:00Z","timestamp":1438819200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The International Journal of Lower Extremity Wounds"],"published-print":{"date-parts":[[2015,9]]},"abstract":"<jats:p>A 48-year-old woman with antiphospholipid syndrome (APS) had multiple skin necrosis caused by massive bleeding and hematoma collection at the right lower leg, left thigh, and abdomen. During the first month, we did surgical debridement every 2 to 3 days with meticulous coagulation and applied negative pressure wound therapy (NPWT). Then as the base showed initial granulation, we changed the NPWT every 4 days. NPWT was used with lower pressure and cyclic mode (\u221240 to \u221275 mm Hg) to minimize trauma and to reduce the possibility of bleeding from the wounds. After 2 months of NPWT treatment, all the wounds eventually healed with secondary intension despite the patient\u2019s condition with diabetes, hemodialysis, anticoagulant use, and corticosteroid therapy. This report supports the idea that if accompanied by conservative debridement with meticulous bleeding control, application of NPWT in low pressures and close monitoring of the patient, NPWT is possible to use even in wounds of patients with risk for bleeding.<\/jats:p>","DOI":"10.1177\/1534734615598421","type":"journal-article","created":{"date-parts":[[2015,8,6]],"date-time":"2015-08-06T22:00:38Z","timestamp":1438898438000},"page":"303-306","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Using a Contradictory Approach to Treat a Wound Induced by Hematoma in a Patient With Antiphospholipid Antibody Syndrome Using Negative Pressure Wound Therapy"],"prefix":"10.1177","volume":"14","author":[{"given":"Min Young","family":"Jang","sequence":"first","affiliation":[{"name":"Seoul Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joon Pio","family":"Hong","sequence":"additional","affiliation":[{"name":"Seoul Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anca","family":"Bordianu","sequence":"additional","affiliation":[{"name":"\u201cCarol Davila\u201d University of Medicine and Pharmacy, Bucharest, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hyun Suk","family":"Suh","sequence":"additional","affiliation":[{"name":"Seoul Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2015,8,6]]},"reference":[{"key":"bibr1-1534734615598421","doi-asserted-by":"publisher","DOI":"10.1016\/j.berh.2008.08.008"},{"key":"bibr2-1534734615598421","doi-asserted-by":"publisher","DOI":"10.1007\/s11926-014-0481-0"},{"key":"bibr3-1534734615598421","volume-title":"CADTH Rapid Response Reports. Negative Pressure Wound Therapy for Managing Diabetic Foot Ulcers: A Review of the Clinical Effectiveness, Cost-effectiveness, and Guidelines","author":"Canadian Agency for Drugs and Technologies in Health","year":"2014"},{"key":"bibr4-1534734615598421","doi-asserted-by":"publisher","DOI":"10.1111\/j.1742-4801.2004.00031.x"},{"key":"bibr5-1534734615598421","doi-asserted-by":"publisher","DOI":"10.1111\/j.1742-481X.2008.00437.x"},{"key":"bibr6-1534734615598421","doi-asserted-by":"publisher","DOI":"10.1097\/01.prs.0000227675.63744.af"},{"key":"bibr7-1534734615598421","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(02)03948-6"},{"key":"bibr8-1534734615598421","doi-asserted-by":"publisher","DOI":"10.1097\/01.sap.0000245121.32831.47"},{"key":"bibr9-1534734615598421","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.12201"}],"container-title":["The International Journal of Lower Extremity Wounds"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1534734615598421","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1534734615598421","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1534734615598421","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T10:07:58Z","timestamp":1777457278000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1534734615598421"}},"subtitle":["Lessons Learnt"],"short-title":[],"issued":{"date-parts":[[2015,8,6]]},"references-count":9,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2015,9]]}},"alternative-id":["10.1177\/1534734615598421"],"URL":"https:\/\/doi.org\/10.1177\/1534734615598421","relation":{},"ISSN":["1534-7346","1552-6941"],"issn-type":[{"value":"1534-7346","type":"print"},{"value":"1552-6941","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,8,6]]}}}