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Effectiveness of Various Modalities of and Protocol for Optimal Management of Chronic Leg Ulcers

Archana L Thakur , Meghraj J Chawada1 , Archana L Thakur2 , PT Jamdade3

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New Indian Journal of Surgery 11(2):p 134-140, April-June 2020. | DOI: https://dx.doi.org/10.21088/nijs.0976.4747.11220.9

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Meghraj J Chawada, Archana L Thakur, PT Jamdade. Effectiveness of Various Modalities of and Protocol for Optimal Management
of Chronic Leg Ulcers. New Indian J Surg. 2020;11(2):134–140.

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Received : N/A         Accepted : N/A          Published : N/A

Abstract

 

Context: Based on the cause and type of wound, numerous products are available in the market, making the selection a very difficult task.
Aims: To study the Effectiveness of various modalities of and protocol for optimal management of chronic leg ulcers Settings and design: The present study was a hospital based observational descriptive study
carried out in Government Medical College, Latur Methods: The study population was all patients with leg ulcers with complaint duration of more than 6 weeks. The patients were subjected to appropriate
investigations like complete blood counts (Hb gm%, total leucocyte count and platelets), blood sugar (random blood sugar). Colour Doppler study of lower limb vessels was done in patients with suspected vascular disease of lower extremity, X ray of affected leg to rule out any bone involvement in clinically suspicious cases. Statistical Analyzis: Chi-square for proportions and ANOVA for continuous variables was applied. Results: Healthy granulation formation and mean follow-up period was significantly less in VAC method. Healthy granulation formation and mean follow-up period was significantly lesser when
silver nitrate was used. Mechanical debridement was required in only one case when silver nitrate was used. Conclusion: Out of all the available dressing methods for conservative management of ulcer
in this setup, vacuum assisted closure/negative pressure wound therapy is superior followed by conventional dressing method. Placental extract
is better for ulcers with no or minimal slough for accelerated formation of granulation tissue. Any ulcer with any etiology of size more than 5 cm2
mostly requires surgical intervention.
Keywords: Management; Therapy; Dressing; Placental extract; Tissue.

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Cite this article

 

Meghraj J Chawada, Archana L Thakur, PT Jamdade. Effectiveness of Various Modalities of and Protocol for Optimal Management
of Chronic Leg Ulcers. New Indian J Surg. 2020;11(2):134–140.

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DOI: https://dx.doi.org/10.21088/nijs.0976.4747.11220.9

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