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):

1. Mahak Ali: Civil Hospital, Karachi, Pakistan

2. Hyder Ali: Civil Hospital, Karachi, Pakistan

3. Faisal Akhlaq: Civil Hospital, Karachi, Pakistan

4. Faraz Adil: Civil Hospital, Karachi, Pakistan

5. Aiman Naseem: Civil Hospital, Karachi, Pakistan

6. 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.

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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