International Journal of Multidisciplinary Research and Development

International Journal of Multidisciplinary Research and Development


International Journal of Multidisciplinary Research and Development
International Journal of Multidisciplinary Research and Development
Vol. 5, Issue 4 (2018)

Comparative study between vacuum assisted closure and traditional moist dressing in the treatment of diabetic foot infection


Mahmoud S Shehata, Mahmoud E Nagaty, Ayman H Ebrahim, Yasser H Metwally, Ibrahim S Bakr

Aim: To compare the efficacy of vacuum assisted closure therapy and traditional moist wound dressings in improving the healing process in chronic diabetic foot wounds.
Study Design: A prospective randomized study.
Place and Duration of study: General Surgery Department, Al-Hussein hospital, Faculty of Medicine, Al-Azhar University from January 2017 to December 2017.
Patients and Methods: A total of 100 patients, with chronic diabetic foot wounds were included in this study. After surgical intervention of the wound either debridement and/or amputation, all patients were randomly classified by the closed envelope technique into 2 groups, with 50 patients in each group. Patients in Group A underwent vacuum assisted closure therapy and Patients in Group B underwent traditional moist dressings respectively. Wounds were evaluated every week for six weeks as regard size and depth of the wound, timing of healthy granulation tissue formation, number of debridement sessions and local wound complications (cellulitis–secondary amputation).
Results: There was a significant reduction in the size of the wound in group A compared to group B with mean 66.36 % for VAC group and mean 36.68 % for the traditional moist dressing group. As regards the timing of healthy granulation tissue formation, it was more rapid in group A than in group B with mean 6.04 days for VAC group and mean 9.67 days for the traditional moist dressing group. As regards the number of debridement sessions, it was significantly less in Group A compared to group B with mean 0.20 for VAC group and mean 2.86 for the traditional moist dressing group. Regarding local wound complications, Group A has less wound infection and cellulitis than Group B with mean 16 % for VAC group and mean 64.0 % for the traditional moist dressing group.
Conclusion: VAC therapy appears to be safe and more effective than traditional moist dressing for the treatment of diabetic foot infections; as it provides faster wound healing and less wound complication rates.
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How to cite this article:
Mahmoud S Shehata, Mahmoud E Nagaty, Ayman H Ebrahim, Yasser H Metwally, Ibrahim S Bakr. Comparative study between vacuum assisted closure and traditional moist dressing in the treatment of diabetic foot infection. International Journal of Multidisciplinary Research and Development, Volume 5, Issue 4, 2018, Pages 188-193
International Journal of Multidisciplinary Research and Development