A comparative study of negative pressure dressing with and without silver alginate to promote faster wound healing in chronic wounds | Pakistan Armed Forces Medical Journal 2022

Author(s)

Mahak Ali Civil Hospital, Karachi, Pakistan

Hyder Ali Civil Hospital, Karachi, Pakistan

Faisal Akhlaq Civil Hospital, Karachi, Pakistan

Faraz Adil Civil Hospital, Karachi, Pakistan

Aiman Naseem Civil Hospital, Karachi, Pakistan

Urooj Ali Jinnah Post-Graduates Medical Center, Karachi, Pakistan

Abstract

Objective: To determine the effectiveness of negative pressure dressing with silver alginate hydro-fibre dressings in managing chronic wounds compared to negative pressure dressing without silver alginate hydro-fibre dressings. Study Design: Cross-sectional analytical study. Place and Duration of the Study: Department of Plastic and Reconstructive Surgery at Dr Ruth K.M. Pfau Civil Hospital Karachi from Jan to Jul 2021. Methodology: All patients above 18 years of age of either gender presented with more than six weeks of wound duration, hemoglobin levels more than 10 g/dl, platelet count above 150 x 10E9/L, and size of the wound more than 10*10cm were consecutively enrolled. Negative pressure dressings with and without hydro-fibre dressings were applied. A team of plastic surgeons monitored the wound site to assess granulation tissue by noting the size of the wound and pain severity. The outcome was assessed at four weeks. Results: Of 62 patients, the median age was 43 (32.5-56.7) years. There were 37 (59.67%) males and 25 (40.32%) females. The outcome assessment at four weeks showed that overall pain was observed in 34 (54.83%) patients. Pain severity (p-value <0.001) and low granulation score (p-value 0.025) were found significantly higher in patients who received negative pressure dressing without silver alginate as compared to the patients who received negative pressure dressing with silver alginate. A significant median difference in granulation days was observed between groups (p-value <0.001). Conclusion: Combining negative pressure dressings with silver alginate dressing has a positive effect on the chronic wound compared to using negative pressure dressings alone.

Publication Details

Page(s) 913-916

DOI 10.51253/pafmj.v72i3.7489

Published Journal: Pakistan Armed Forces Medical Journal, Volume: 72, Issue: 3, Year: 2022

Keywords

Silver alginate Negative pressure dressings Chronic wound

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