Vacuum Assisted Closure- utilization as home based therapy in the managementof complex diabetic extremity wounds

Hafeez, Kamran and Rashid, Haroon and Kaim Khani, Ghulam Mustafa and Kumar, Darshan and Kumar, Sunil (2014) Vacuum Assisted Closure- utilization as home based therapy in the managementof complex diabetic extremity wounds. Pakistan Journal of Medical Sciences, 31 (1). ISSN 1681-715X

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Abstract

Objective: Vacuum assisted closure is a reported technique to manage complex wounds. We have utilized this technique by using simple locally available material in the management of our patients on outpatient basis. The objective of this study is to present our experience.

Methods: This study was conducted from June 2011 to June 2013 at Dow University Hospital and Aga Khan University Hospital, Karachi. There were 38 patients managed with vacuum assisted closure. Mean age was 56±7.8 years. Twenty three patients presented with necrotizing fasciitis and 15 patients with gangrene. Lower limbs were involved in majority of the patients. Debridement or amputations were done. Vacuum dressing was changed twice weekly in outpatient department. Wounds were closed secondarily if possible or covered with split thickness skin graft in another admission.

Results: All the wounds were successfully granulated at the end of vacuum therapy. Mean hospital stay was 7.5 days. Vacuum dressing was applied for a mean of 20 days. There was reduction in the size of the wound. Thirteen patients underwent secondary closure of the wound under local anesthesia, 18 patients required coverage with split thickness skin graft and 7 patients healed with secondary intention.

Conclusion: Vacuum assisted closure appeared to be an effective method to manage complex diabetic wounds requiring sterile wound environment.

Item Type: Article
Subjects: Open Archive Press > Medical Science
Depositing User: Unnamed user with email support@openarchivepress.com
Date Deposited: 05 May 2023 09:28
Last Modified: 07 Jun 2024 09:57
URI: http://library.2pressrelease.co.in/id/eprint/1120

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