The aim of this thesis is to compare the efficacy of Vacuum assisted closure device versus conventional dressing before and after split thickness skin grafting in diabetic foot wounds.
Negative pressure wound therapy is a new noninvasive technique for treating open wounds. It works by removing fluid from the wound bed, reducing edema, and encouraging the growth and perfusion of new granulation tissue. Vacuum-Assisted Closure device (VAC) helps to remove fluid from open wounds through a sealed dressing and tubing which is connected to a collection container. Vacuum-assisted closure (VAC) can provide stable and persistent negative pressure, and there are several modes to choose from. VAC has played an important role in helping to close wounds, controlling infection, promoting angiogenesis, increasing blood flow, and promoting granulation tissue growth in wounds. It is now widely applied in all kinds of acute, chronic, and special wounds with good therapeutic results. However, there is a need to pay attention to contraindications and complications of VAC when it is used, avoiding secondary damage due to improper treatment.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
20
Patients Will Receive negative pressure wound therapy dressings before skin grafting to prepare the wound bed and after skin grafting.
Patients will Receive once daily dressing with antibiotic ointment and gauze before and after skin grafting.
Sohag university hospital
Sohag, Egypt
RECRUITINGPeriod of hospitalization.
Number of days of patient hospitalization before and after grafting
Time frame: 2 weeks
Time of complete healing
Number of days needed for each patient for complete healing after operation
Time frame: 1 month
Functional outcome
Number of patients with full range of mobility at site of graft Vs number of patients with limited mobility
Time frame: 5 months
Patient satisfaction of aesthetic outcome
Number of patients satisfied with the aesthetic result of the operation on a scale of 0-10
Time frame: 5 months
Gamal Y Elsayed, Professor
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