Affiliation:
1. Post-graduate, Department of General Surgery, Karpaga Vinayaga institute of medical science and research center, Chengalpattu, Tamil Nadu
2. Assistant professor, Department of General Surgery, Karpaga Vinayaga institute of medical science and research center, Chengalpattu, Tamil Nadu
3. Professor and Unit Chief, Department of General Surgery, Karpaga Vinayaga institute of medical science and research center, Tamil Nadu
Abstract
Background: Management of the wound is a challenging process. Many conventional techniques have been used so far
for wound management yet desired results are not achieved. A newer technique which is cost effective and safer has
come into the play that gives better results. The aim of this study is the evaluate the efficacy of Aim: the negative pressure
wound therapy in wound management in low resource setting. To find out the effectiveness of vacuum Objective:
assisted dressing on wound management by measuring graft uptake, wound healing time, need for re-grafting and
hospital stay. In this prospective randomized comparative study, totally 52 cases were taken Materials and Method:
and divided into two groups randomly by lottery method as control group with 26 cases for conventional papain-urea
ointment in combination with amorphous hydrogel colloidal silver gel dressing and as interventional group of 26 cases
with modified vacuum assisted dressing. All wounds were initially subjected to thorough debridement. Wound bed
preparation for SSG was achieved within 3-4 sets of vacuum dressing. Until regular conventional dressing done in control
group. All the patients subsequently treated with SSG. Outcome was measured and results are compared. Results:
Vacuum assisted dressing found to have sterile wound ,reduced hospital stay, earlier decrease in wound size, good graft
uptake, deceased complication and cost effective. Vacuum assisted dressing proven to be effective t Conclusion: han
conventional method for wound bed preparation in SSG.
Subject
Insect Science,Ecology, Evolution, Behavior and Systematics,Infectious Diseases,Immunology and Allergy,Medicine (miscellaneous),Epidemiology,Molecular Biology,Biochemistry,Infectious Diseases,Pulmonary and Respiratory Medicine,Aerospace Engineering,Mechanical Engineering,Energy Engineering and Power Technology,Aerospace Engineering,Computer Networks and Communications,Software,Electrical and Electronic Engineering,Communication,Artificial Intelligence,Information Systems,Control and Systems Engineering,Software,Urban Studies,Sociology and Political Science,Development
Reference26 articles.
1. Orgill DP, Manders EK, Sumpio BE, Lee RC, Attinger CE, Gurtner GC, et al. The mechanisms of action of vacuum assisted closure: More to learn. Surgery 2009;146:40-51.
2. Borgquist O, Ingemansson R, Malmsjö M. The influence of low and high pressure levels during negative-pressure wound therapy on wound contraction and fl uid evacuation. Plast Reconstr Surg 2011;127:551-9.
3. Saxena V, Hwang CW, Huang S, Eichbaum Q, Ingber D, Orgill DP. Vacuumassisted closure: Microdeformations of wounds and cell proliferation. Plast Reconstr Surg 2004;114:1086-96.
4. Adámková M, Tymonová J, Zámecníková I, Kadlcík M, Klosová H. First experience with the use of vacuum assisted closure in the treatment of skin defects at the burn center. Acta Chir Plast 2005;47:24-7.
5. Labanaris AP, Polykandriotis E, Horch RE. The effect of vacuum-assisted closure on lymph vessels in chronic wounds. J Plast Reconstr Aesthet Surg 2009;62:1068-75.