Home|Journals|Articles by Year Follow on Twitter| Subscribe to List

Directory for Medical Articles
 

Open Access

Original Article

IMJ. 2015; 7(2): 82-86


THE EFFECTIVENESS OF VACUUM ASSISTED WOUND CLOSURE (VAC) IN DIABETIC FOOT

SHAHZAD AHMED, ISHTIAQ AHMED, KHALID KHAN.

Abstract
OBJECTIVES: To determine the mean healing time of vacuum assisted wound closure in diabetic foot ulcer patients.
STUDY DESIGN: An interventional case Series.
PLACE AND DURATION: Department of General Surgery, The Royal Oldham Hospital, Oldham, U.K from 1st September 2012 to 30th March 2013.
METHODOLOGY: All patients with diabetic foot ulcer of any size and duration were included in the study that fulfills inclusion criteria. Patients were subjected to VAC dressing which involved the controlled application of sub-atmospheric pressure to the local wound environment, using a sealed wound dressing connected to a vacuum pump. Patients were followed by disappearance of exudates and appearance of granulation tissue and the time of healing of wound.
RESULTS: Among 40 patients studied, 45.0% were between 41 to 50 years of age with male to female ratio was 1.6:1. The mean duration of diabetes in patients was an average of 14 5.65 years. Duration of diabetic foot was 24 6.0 and initial average wound area was 50.6 27.6cm2. After VAC therapy, the wound area ranged from 3.4 to 92.35 cm2, the average area being 41.75 cm2. The actual reduction in wound area attained by VAC therapy varied from 3.4 to 38.6 cm2, with an average reduction of 11.4 4.55 cm2. The percentage reduction in wound area ranged from 10.3% to 62.11%, with an average reduction of 27.9 13.7%. Wounds were healed after VAC therapy for an average of 21.75 10.55 (range, 14 to 40) days.
CONCLUSION: VAC therapy is very effective and useful in the treatment of diabetic foot and ulcers and has an effective role in promotion of proliferation of granulation tissue, reduction in the wound size and healing of wound in lesser time.

Key words: Diabetes Mellitus, Diabetic Foot, Vacuum Assisted Closure (VAC), Wound area, Healing time


Full-text options

Full-text Article


Share this Article


Readers of this article also read the following articles
»Impact of Patients’ Knowledge, Attitude and Practices on Hypertension on Compliance with Antihypertensive Drugs in a Resource-poor Setting
»EFFECTS OF CANOLA OIL SUPPLEMENTED WITH ATHEROGENIC ELEMENT & NIGELLA SATIVA (KALONJI) ON SERUM LIPIDS IN ALBINO RATS - AN EXPERIMENTAL STUDY
»Antioxidant and Immunostimulant Effect of Carica Papaya Linn. Aqueous Extract in Acrylamide Intoxicated Rats
»Total phenolic, flavonoids and tannin contents in different extracts of Artemisia absinthium
»Newer anti-platelet and anti-thrombotic drugs on the horizon
»Usefulness of serum ascites cholesterol gradient (SACG), total protein (TP) ratio and serum ascites albumin gradient (SAAG) in differentiating tuberculous ascites and cirrhotic ascites
»ORGANIC NUTRIENT SOLUTIONS IN PRODUCTION AND ANTIOXIDANT CAPACITY OF CUCUMBER FRUITS
»Variation in erythrocyte and leukocyte counts before and after normal vaginal delivery
»Conventional risk factors and coronary angiography findings in our setup
»THE FREQUENCY OF EPIDURAL CATHETER MIGRATION IN PATIENTS RECEIVING EPIDURAL ANALGESIA DURING LABOR INCREASES WITH TIME
»Carbamazepine provoked hepatotoxicity: attenuation by vitamin C



Advertisement
American Journal of Research in Medical Sciences

SUBMIT YOUR ARTICLE NOW




ScopeMed.com
BiblioMed Home
Follow ScopeMed on Twitter
Author Tools
eJPort Journal Hosting
About BiblioMed
License Information
Terms & Conditions
Privacy Policy
Contact Us

The articles in Bibliomed are open access articles licensed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License (https://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.
ScopeMed is a Database Service for Scientific Publications. Copyright ScopeMed Information Services.