A STUDY OF VACCUM ASSISTED CLOSURE THERAPY IN DIABETIC FOOT PATIENTS

Dr. Prajakta Mhatre, Dr. Tushar Rege, Dr. Sandeep Rai

Abstract


Foot ulceration is the precursor to approximately 85% of all diabetic amputations, with an estimated 14% to 20% of patients
with foot ulcers undergoing an amputation. Research estimates that the lifetime incidence of foot ulcers within diabetic
community is around 15% and may become as high as 25%. Negative-pressure wound therapy (NPWT) is a therapeutic
technique using a vaccum dressing to promote healing in acute or chronic wounds and enhance healing of first and second
degree burns.
NPWT appears to be useful for diabetic ulcers and management of the open abdomen(laparotomy).
Conclusion: VAC is useful tool for bad exudative wounds after a good debridement and promotes healing.


Keywords


VAC, NPWT, Diabetic foot ulcer, debridement, vacuum

Full Text:

PDF

References


Nather A, Chionh SB, Han YY, Chan PL, Nambiar A. Effectiveness of Vacuum-assisted Closure (VAC) Therapy in the Healing of Chronic Diabetic Foot Ulcers. Ann Acad Med Singapore. 2010;39:353–8.

Boulton AJ. The diabetic foot. Medicine. 2010;38(12):644–648.

Cavanagh P, Attinger C, Abbas Z, Bal A, Rojas N, Xu ZR. Cost of treating diabetic foot ulcers in five different countries. Diabetes Metab Res Rev. 2012;28(Suppl 1):S107–S111.

Eginton MT, Brown KR, Seabrook GR, Towne JB, Cambria RA. A prospective randomized evaluation of negative-pressure wound dressings for diabetic foot wounds. Ann Vasc Surg. 2003;17(6):645–649.

Vaidhya N, Panchal A, Anchalia MM. A new cost-effective method of NPWT in diabetic foot wound. Indian J Surg. 2015;77(Suppl 2):525–529.

Ramsey SD, Newton K, Blough D, et al. Incidence, outcomes, and cost of foot ulcers in patients with diabetes. Diab Care. 1999; 22: 382- 387.

Henriksson F, Agardh CD, Berne C et al. Direct medical costs for patients with type 2 diabetes in Sweden J Intern Med. 2000; 248: 387-396.

Muller IS, de Grauw WJC, van Gerwen WHEM et al. Foot amputation and lower limb amputation in type 2 diabetic patients in Dutch primary health care. Diab Care. 2002; 25: 570-574.

Abbot CA, Carrington AL, Ashe H et al. The North-West Diabetes Foot Care Study: incidence of, and risk factors for, new diabetic foot ulceration in a community-based patient cohort. Diabet Med. 2002; 19: 377-84.

Abbot CA, Vileykite L, Williamson S, Carrington AL, Boulton AJM. Multicenter study of the incidence of and predictive risk factors for diabetic neuropathic foot ulceration. Diab Care. 1999; 22: 382-7.

Nomikos Iakovos N; et al. (2006). "Protective and Damaging Aspects of Healing: A Review". Wounds. 18 (7): 177–185.

McLennan S; et al. (2006). ", Molecular aspects of wound healing" (PDF). Primary intention. 14 (1): 8–13.


Refbacks

  • There are currently no refbacks.