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Comparison of Negative Pressure Wound Therapy Using Vacuum-Assisted Closure with Conventional Wound Dressing in the Treatment of Diabetic Foot Ulcers: Our Experience

Manjunath B.D. , Manjunath B.D1 , Mommad Arafat ali2 , Abdul Razack3 , Harindranath HR4 , Praveen Kumar KH5

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New Indian Journal of Surgery 10(1):p 77-81, January-February 2019. | DOI: DOI: https://dx.doi.org/10.21088/nijs.0976.4747.10119.13

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Abstract

 Background: Diabetic foot ulcers (DFUs) are considered one of the most common and devastating chronic complications of diabetes. As a consequence of DFUs, a lower limb is lost every 30 seconds some where in the world, and the probability of losing the other leg is 50% after 3 years. DFUs contribute to 85% of non traumatic lower Lind amputations and lead to 13 to 17% of mortality rate in patients with diabetics mellitus. Negative pressure wound therapy (NPWT) is a newer non-invasive adjunctive therapy system that uses controlled negative. pressure, using vacuum assisted closure (VAC) device, to. help promote faster wound healing by removing fluid. from open wounds, preparing the wound bed for closure, reducing oedema, and promoting formation of granulation tissue. Methodology: We have conducted a study in Bangalore Medical College and Research Institute Bangalore for a period of one year comparing the conventional dressing versus VAC dressing in faster healing of the wound. Induced about 40 patients in the study. Conclusion: Patients treated with VAC therapy has faster appearance of granulation tissue than that with Conventional dressings. From our study VAC therapy has proved to be more effective than conventional dressing in healing of Diabetic Foot Ulcers.

Keywords: Diabetic foot ulcers (DFUs); Negative pressure wound therapy (NPWT). Diabetes mellitus (DM).

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DOI: DOI: https://dx.doi.org/10.21088/nijs.0976.4747.10119.13

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