VACUUM-ASSISTED CLOSURE OF WOUNDS- AN EFFECTIVE METHOD FOR DIABETIC ULCERS
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 36
Abstract
BACKGROUND Wounds are a major source of morbidity, lead to considerable disability and are associated with increased mortality; therefore, they have a significant impact on public health and the expenditure of healthcare resources.1 Vacuum-Assisted Closure (VAC) uses negative pressure to assist wound healing. Negative pressure drains fluid from the wound, thus removing the substrate for growth of microorganisms. Negative pressure may also accelerate granulation tissue formation and promote angiogenesis. The mechanical stimulation of cells by tensile forces may also play a role by increasing cellular proliferation and protein synthesis. Negative Pressure Wound Therapy (NPWT) involves the use of a negative pressure therapy or suction device to aspirate and remove fluids, debris and infectious materials from the wound bed to promote the formation of granulation tissue. MATERIALS AND METHODS A total of 50 cases clinically presenting as ulcer between January 2011 and July 2012 were taken for study. Each case was examined clinically in systematic manner as per the proforma drafted for study of all patients presenting with ulcer. VAC dressing was done, and outcome was measured by recording wound scores on days 3, 7 and 10. RESULTS In our clinical study of 30 cases managed by VAC dressing 63.3% of the cases were of traumatic, 13.3% iatrogenic and 23.3% cases of vascular aetiology. Wound healing was better in the controlled diabetic group compared to uncontrolled diabetic group. Commonest organisms isolated were Staphylococcus, Pseudomonas and Proteus. CONCLUSION In our study, VAC therapy enhanced granulation tissue formation leading to better wound healing and faster recovery. VAC is thus a promising new technology in the field of wound healing with multiple applications in a variety of wounds and can be used in both acute and chronic wounds, salvage procedures or as an adjuvant therapy to improve the results of various surgical procedures.
Authors and Affiliations
Dharmendra B. L, Vijay Kumar N
Keywords
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- EP ID EP545056
- DOI 10.14260/jemds/2018/896
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