Comparative study of Vac dressing with moist gauze dressing in the treatment of diabetic foot ulcer in tertiary care center
Keywords:
negative pressure, wound dressing, diabetic foot ulcers, moist wound dressing, vacuum assisted closure, wound toiletingAbstract
Background: Diabetic foot ulcers are one of the most commonly encountered cases in any surgical out-patient department. Causes of leg ulcers vary from traumatic, diabetic, chronic venous insufficiency, trophic, hypertensive, and so on. Objectives: To evaluate the safety and clinical efficacy of negative pressure wound therapy compared with moist gauze dressings to treat foot ulcer wounds. Methods: Patients presenting with leg ulcers to the department of general surgery, VMKVC hospital. 40 randomly selected patients will be assigned to the study group based on their willingness for undergoing topical negative pressure dressing and 40 patients to the moist gauze dressing, control group. Results: Most of the ulcer (46%) got healed by secondary intention through VAC. dressing. Treating DFU with VAC therapy results in a better graft take rate (p=0.05) when compared to standard wound care. There is a statistically significant association found between interventions and the area of the ulcer on day 21.Among the study participants according to day 1 ulcer state 16% had healthy granulation tissue, 14% had necrotic granulation tissue, and 50% had their tissue with pale granulation.
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