To evaluate the VAC (Vacuum Assisted Closure) therapy in transplants of leg ulcers versus usual dressing method. The VAC Therapy system consists of: * A unit delivering a precise under atmospheric pressure, controlled and regulated in the wound site, * Consumables necessary for the implementation of the dressing, * Collecting tanks exudates with gel. VAC therapy is a system using negative pressure. It is known to be efficient into care of chronic wounds and ulcerous wounds by increasing the cicatrisation. This system is systematically used into the dermatology unit of the CHU of Saint-Etienne after transplants of leg ulcers, but no data confirms the interest of this method compared to usual dressing method. This study will provide this data.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
36
Patients received V.A.C.® Therapy (KCI medical) after a transplants of leg ulcers.
Patients received usual dressing method (compresses) after a transplants of leg ulcers
CHU de SAINT-ETIENNE
Saint-Etienne, France
Percentage of healing between VAC system and compresses for all types of leg ulcers
Number of patients having a wound at least 50% of the grafted area between VAC system and compresses
Time frame: 1 month after the transplant
Percentage of healing between VAC system and compresses for all types of leg ulcers
Number of patients having a wound at least 50% of the grafted area between VAC system and compresses
Time frame: 3 months after the transplant
Evolution of the pain by Analogic Visual Scale.
Pain score as measured by visual analog scale between VAC system and compresses
Time frame: day 0 : just before the transplant
Evolution of the pain by Analogic Visual Scale.
Pain score as measured by visual analog scale between VAC system and compresses
Time frame: day 1 : the day after the transplant
Evolution of the pain by Analogic Visual Scale
Pain score as measured by visual analog scale between VAC system and compresses
Time frame: Month 1
Quality of life questionnaire score.
Quality of life questionnaire score between VAC system and compresses
Time frame: day 0 : just before the transplant
Quality of life questionnaire score.
Quality of life questionnaire score between VAC system and compresses
Time frame: Day 5
Quality of life questionnaire score.
Quality of life questionnaire score between VAC system and compresses
Time frame: Month 1
Quality of life questionnaire score.
Quality of life questionnaire score between VAC system and compresses
Time frame: Month 3
Cost of the treatment.
Cost of the treatment, between VAC system and compresses This coast includes costs of consumables, hospitalisation days and nursing costs
Time frame: Month 3
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