A clinical study on chronic leg and foot ulcers
Journal Title: International Journal of Medical and Health Research - Year 2017, Vol 3, Issue 2
Abstract
Current treatment modalities for chronic leg ulcers are time consuming, expensive, and only moderately successful. Recent data suggest that creating a subatmospheric pressure by vacuum-assisted closure therapy supports the wound healing process. Methods: The efficacy of vacuum-assisted closure in the treatment of chronic leg ulcers was prospectively studied in D Y Patil medical college, pune with chronic leg ulcers were randomly assigned to either treatment by V.A.C. or therapy with conventional wound care techniques. The primary outcome measure was the time to complete healing (days). Statistical analysis was performed on the intention-to-treat basis. Results: The median time to complete healing was 29 days (95% confidence interval [CI], 25.5 to 32.5) in the V.A.C. group compared with 45 days (95% CI, 36.2 to 53.8) in the control group. Further, wound bed preparation during V.A.C. therapy was also significantly shorter at 7 days (95% CI 5.7 to 8.3) than during conventional wound care at 17 days (95% CI, 10 to 2). The costs of conventional wound care were higher than those of V.A.C. Both groups showed a significant increase in quality of life at the end of therapy and a significant decrease in pain scores at the end of follow-up. Conclusions: V.A.C. therapy should be considered as the treatment of choice for chronic leg ulcers owing to its significant advantages in the time to complete healing and wound bed preparation time compared with conventional wound care. Particularly during the preparation stage, V.A.C. therapy appears to be superior to conventional wound care techniques.
Authors and Affiliations
Dr. Subrata Roy
Keywords
Related Articles
- EP ID EP582850
- DOI -
- Views 139
- Downloads 0
A graphical visualisation of cancer data utilizing R statistical software
Medical science is a highly important and an advanced field that employs a variety of quantitative and qualitative methods. There is a widespread evidence of extensive application of statistical methods and software in m...
Assessment of variations of anterior ethmoidal artery evaluated by computed tomography of paranasal sinuses
Computed tomography (CT) has helped not only to evaluate nasosinusal disease, but also to characterize the anatomy of the paranasal sinuses. The coronal plane, in particular, is considered as a map for assessing the anat...
Immediate implant placement in infected sites: A case report
Early restoration of the masticatory function, phonatory and aesthetics is some of the current goals of the therapy based on end osseous implants. Facing the classic protocols of implant insertion, which recommend a peri...
Detection of antinuclear antibodies in chronic Hepatitis (C) patients in Taif governorate
Objective: To investigate the prevalence and correlation of auto-antibodies in patient with chronic hepatitis C (CHC) and also to investigate the significance of auto-immune reaction in HCV infected patients. Methods: Se...
Knowledge and understanding of the adolescent health care services among health care professionals in Saudi Arabia
Aim: The study aimed to find out the knowledge and understanding of the adolescent health care services among health care professionals in two major tertiary care hospitals in Saudi Arabia. Methods: This was a cross sect...