Comparison of efficacy of negative pressure wound therapy vs conventional normal saline dressing in diabetic foot
Dr. Koli Nikhil Vanura
, Dr. Arun Kumar. T
Negative pressure wound therapy (NPWT); Wound healing; Granulation tissue
Introduction: Wounds are a major source of morbidity and sometimes, mortality and there are several ways to treat them. Negative pressure wound therapy (NPWT) is one way, and this involves the use of a suction device to aspirate and remove fluids, debris, and infectious materials from the wound bed to promote the formation of granulation tissue and wound healing. Another way is with the use of conventional wound dressings. Methods: A total of 40 patients of Diabetic foot ulcer who were admitted in the department of general surgery were included in the study. Study group A received negative pressure dressing therapy. Dressing was changed every 3rd day. Control group B received daily dressing changes with saline-moistened gauze. Treatment outcome and patient satisfaction was assessed in terms of time taken for wound closure and reduction in the bacterial burden of the wound. Results: 13 wounds became pus culture negative for organisms in 3rd culture sample in NPWT group, but in conventional group, only 9 patients attained pus culture negativity in 8th sample. And this showed the power of NPWT in reducing the bacteriological burden of diabetic wounds. 11 out of 20 patients, wound closure was attained within or equal to 2 weeks in NPWT group. 7 out of 20 patients, wound closure was attained within or equal to 4 weeks in conventional dressing group. And this showed the power of NPWT in reducing the duration of wound closure mainly by skin grafting. Complete clearance of aerobic flora and anerobic flora was observed much earlier in patients who received NPWT. Interpretation & Conclusion: NPWT is effective in reduction of bacterial flora of diabetic wounds as the wound showed pus culture & sensitivity negative for growth. NPWT enhanced granulation tissue formation leading to earlier wound healing and faster recovery compared to conventional wound dressings.
"Comparison of efficacy of negative pressure wound therapy vs conventional normal saline dressing in diabetic foot ", IJSDR - International Journal of Scientific Development and Research (www.IJSDR.org), ISSN:2455-2631, Vol.8, Issue 6, page no.718 - 722, June-2023, Available :https://ijsdr.org/papers/IJSDR2306108.pdf
Volume 8
Issue 6,
June-2023
Pages : 718 - 722
Paper Reg. ID: IJSDR_207196
Published Paper Id: IJSDR2306108
Downloads: 000347312
Research Area: Medical Science
Country: Kalaburagi, Karnataka, India
ISSN: 2455-2631 | IMPACT FACTOR: 9.15 Calculated By Google Scholar | ESTD YEAR: 2016
An International Scholarly Open Access Journal, Peer-Reviewed, Refereed Journal Impact Factor 9.15 Calculate by Google Scholar and Semantic Scholar | AI-Powered Research Tool, Multidisciplinary, Monthly, Multilanguage Journal Indexing in All Major Database & Metadata, Citation Generator
Publisher: IJSDR(IJ Publication) Janvi Wave
