Role of Prolonged Vaginal Packing for Decubitus Ulcer in Utero-Vaginal Prolapse.
Journal Title: International Journal of Medical Science And Advanced Clinical Research (IJMACR) - Year 2018, Vol 1, Issue 5
Abstract
Background: Utero-vaginal prolapse is a common condition in aged women and often they come to hospital with decubitus ulcer. Prolonged vaginal packing not only will heal the decubitus ulcer but also it may help in returning the normal rugosity of the vaginal skin. Aims: To assess the role of prolonged moist vaginal packing in Decubitus ulcer over utero-vaginal prolpase. Methods & material: This prospective study conducted at the gynecology OPD of Jawaharlal Nehru Medical College, Hospital, Bhagalpur . Hundred (100) patients of utero-vaginal prolapse with decubitus ulcer were studied. After initial staging (POP-Q staging), daily moist (5% povidone-iodine solution soaked gauze) vaginal packing at home was advised. After 2 weeks, re-examination done for decubitus ulcer healing. Packing continued till operation (interval 1 month). Preoperative staging and modification of operation were noted. Results: Initial staging was stage 3 - 30%, stage 4 - 70%. Pre-operative scoring revealed stage 3 became stage 2 in 60% cases and stage 4 became stage 3 in 50% cases. This improvement helped us to avoid excessive excision of vaginal mucosa. Conclusion: Prolonged pre-operative moist gauze vaginal packing may improve the outcome of the disease.
Authors and Affiliations
Dr. Arti Kumari
Keywords
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