Vacuum-assisted closure in diabetic foot: A tertiary care experience | [Rawal Medical Journal • 2023]

Author(s):

1. Syed Shams-ud-Din: Department of Surgery, Federal Government Polyclinic Hospital,Islamabad,Pakistan

2. Mirza Tassawar Hussain: Department of Surgery, Federal Government Polyclinic Hospital,Islamabad,Pakistan

3. Erum Bashir Khan: Department of Surgery, Federal Government Polyclinic Hospital,Islamabad,Pakistan

4. Aabid Ali: Department of Surgery, Federal Government Polyclinic Hospital,Islamabad,Pakistan

5. Sana Samad Khan: Department of Surgery, Federal Government Polyclinic Hospital,Islamabad,Pakistan

6. Muhammad Zaheen Gul: Department of Surgery, Federal Government Polyclinic Hospital,Islamabad,Pakistan

Abstract:

Objective: To assess the effect of vacuum-assisted closure (VAC) dressing on diabetic wound healing and change the diabetic foot care protocols in our population and setup. Methodology: The study was carried out in the Federal Government Services Hospital, Islamabadfrom January 2018 to January 2021. A total of 80 patients were divided into two groups. Group A: conventional pyodine dressing and Group B: Modified VAC dressing group. Healing end point was taken when the whole wound was covered by granulation tissue. Results: Patients in group A had a mean age of 56.89 ± 7.23 years and group B had a mean age of 58.13 ± 8.44 years. The formation of granulation tissue on the wound was quicker in Group B (12.67 ± 5.81 days) than in group A (29.90 ± 9.11 days). Reduction in surface area was also better in Group B than in Group A. Complications like ascending infections, re-debridement and amputations were all greater in group A. Conclusion: Modified VAC dressing is a quick and safe method to achieve a healthy endpoint in diabetic foot ulcers than conventional dressings

Page(s): 390-393

DOI: DOI not available

Published: Journal: Rawal Medical Journal, Volume: 48, Issue: 2, Year: 2023

Keywords:

Diabetic foot , Diabetes mellitus , Vacuumassisted closure , Diabetes mellitus , diabetic complications

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