Journal of Surgery

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Role of Negative Pressure Therapy in Healing of Diabetic Foot Ulcers

Received: 7 February 2015    Accepted: 13 February 2015    Published: 9 May 2015
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Abstract

Thirty patients (17 female and 13 males) with chronic diabetic foot ulceration, age ranged from 50 to 65 years (53.4+ 4.1years), were selected from outpatient clinic of Benha teaching hospitals, Egypt from April 2013 to March 2014. Aim: Foot ulceration is one of the most common and severe complications of diabetes. The aim of the current was to clarify the effectiveness of topical negative pressure as a non invasive treatment approach for diabetic ulcers. Methods: Patients were divided into two equal groups; the first group was the control group and treated by traditional dressing while the second one was treated by negative pressure. The treatment course was extended up to six weeks; dressing was changed daily for the first group and day after day for the second group. Assessment was carried out before starting the course and after six weeks of treatment for both groups. The ulcer volume assessment was done by using a 10 cm syringe filled by terramycin ointment, and the wound surface area by using a graded plastic sheet. Student t-test was used to analyze the gained data of wound volume and surface area. Results: There was a significant improvement in the wound volume and surface area in the negative pressure group than that of the control group. Conclusion: It could be concluded that topical negative pressure is an effective non-invasive method in treating chronic diabetic foot ulceration.

DOI 10.11648/j.js.s.2015030201.17
Published in Journal of Surgery (Volume 3, Issue 2-1, March 2015)

This article belongs to the Special Issue Postoperative Pain Syndrome

Page(s) 31-35
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Diabetic Ulcer, Negative Pressure Therapy, Wound Measurement

References
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[3] Armstrong D.G, Lavery L.A, and Boulton A.J.M. Negative pressure wound therapy via vacuum-assisted closure following partial foot amputation: what is the role of wound chronicity. International Wound Journal 2007; 4(1): 79–86.
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[7] Fabian T.S., Kaufman H.J., Lett E.D. The evaluation of subatmospheric pressure and hyperbaric oxygen in ischemic full-thickness wound healing. Am Surg2000; 66:1136–43.
[8] Gustafsson R, Johnsson P, Algotsson L, et al. Vacuum-assisted closure therapy guided by C-reactive protein level in patients with deep sternal wound infection. J Thorac Cardiovasc Surg 2002; 123:895–900.
[9] Gray, M. and Peirce, B. Is negative pressure wound therapy effective for the management of chronic wounds?. Evidence based report card from the center for clinical investigation. JWOCN.2004; 31: 101‐105.
[10] Joseph E, Hamori CA, Bergman S, and et al. A prospective randomised trial of vaccum-assisted closure versus standard therapy of chronic non-healing wounds. Wounds 2000; 3:60–7.
[11] Eginton MT, Brown KR, Seabrook GR, Towne JB, and Cambria RA. A prospective randomized evaluation of negative-pressure wound dressing for diabetic foot wounds. Ann Vasc Surg. 2003; 17(6):645–649.
[12] Borgquist, Ola, Ingemansson, Richard; Malmsjö, and Malin. Wound edge microvascular blood flow during negative-pressure wound therapy: examining the effects of pressures from 10 to 175 mmHg .Plastic & Reconstructive Surgery 2010; 125 (2): 502-509.
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  • APA Style

    Ashraf Hassan Mohammed. (2015). Role of Negative Pressure Therapy in Healing of Diabetic Foot Ulcers. Journal of Surgery, 3(2-1), 31-35. https://doi.org/10.11648/j.js.s.2015030201.17

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    ACS Style

    Ashraf Hassan Mohammed. Role of Negative Pressure Therapy in Healing of Diabetic Foot Ulcers. J. Surg. 2015, 3(2-1), 31-35. doi: 10.11648/j.js.s.2015030201.17

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    AMA Style

    Ashraf Hassan Mohammed. Role of Negative Pressure Therapy in Healing of Diabetic Foot Ulcers. J Surg. 2015;3(2-1):31-35. doi: 10.11648/j.js.s.2015030201.17

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  • @article{10.11648/j.js.s.2015030201.17,
      author = {Ashraf Hassan Mohammed},
      title = {Role of Negative Pressure Therapy in Healing of Diabetic Foot Ulcers},
      journal = {Journal of Surgery},
      volume = {3},
      number = {2-1},
      pages = {31-35},
      doi = {10.11648/j.js.s.2015030201.17},
      url = {https://doi.org/10.11648/j.js.s.2015030201.17},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.s.2015030201.17},
      abstract = {Thirty patients (17 female and 13 males) with chronic diabetic foot ulceration, age ranged from 50 to 65 years (53.4+ 4.1years), were selected from outpatient clinic of Benha teaching  hospitals, Egypt from April 2013 to March 2014. Aim: Foot ulceration is one of the most common and severe complications of diabetes. The aim of the current was to clarify the effectiveness of topical negative pressure as a non invasive treatment approach for diabetic ulcers. Methods: Patients were divided into two equal groups; the first group was the control group and treated by traditional dressing while the second one was treated by negative pressure. The treatment course was extended up to six weeks; dressing was changed daily for the first group and day after day for the second group. Assessment was carried out before starting the course and after six weeks of treatment for both groups. The ulcer volume assessment was done by using a 10 cm syringe filled by terramycin ointment, and the wound surface area by using a graded plastic sheet. Student t-test was used to analyze the gained data of wound volume and surface area. Results: There was a significant improvement in the wound volume and surface area in the negative pressure group than that of the control group. Conclusion: It could be concluded that topical negative pressure is an effective non-invasive method in treating chronic diabetic foot ulceration.},
     year = {2015}
    }
    

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  • TY  - JOUR
    T1  - Role of Negative Pressure Therapy in Healing of Diabetic Foot Ulcers
    AU  - Ashraf Hassan Mohammed
    Y1  - 2015/05/09
    PY  - 2015
    N1  - https://doi.org/10.11648/j.js.s.2015030201.17
    DO  - 10.11648/j.js.s.2015030201.17
    T2  - Journal of Surgery
    JF  - Journal of Surgery
    JO  - Journal of Surgery
    SP  - 31
    EP  - 35
    PB  - Science Publishing Group
    SN  - 2330-0930
    UR  - https://doi.org/10.11648/j.js.s.2015030201.17
    AB  - Thirty patients (17 female and 13 males) with chronic diabetic foot ulceration, age ranged from 50 to 65 years (53.4+ 4.1years), were selected from outpatient clinic of Benha teaching  hospitals, Egypt from April 2013 to March 2014. Aim: Foot ulceration is one of the most common and severe complications of diabetes. The aim of the current was to clarify the effectiveness of topical negative pressure as a non invasive treatment approach for diabetic ulcers. Methods: Patients were divided into two equal groups; the first group was the control group and treated by traditional dressing while the second one was treated by negative pressure. The treatment course was extended up to six weeks; dressing was changed daily for the first group and day after day for the second group. Assessment was carried out before starting the course and after six weeks of treatment for both groups. The ulcer volume assessment was done by using a 10 cm syringe filled by terramycin ointment, and the wound surface area by using a graded plastic sheet. Student t-test was used to analyze the gained data of wound volume and surface area. Results: There was a significant improvement in the wound volume and surface area in the negative pressure group than that of the control group. Conclusion: It could be concluded that topical negative pressure is an effective non-invasive method in treating chronic diabetic foot ulceration.
    VL  - 3
    IS  - 2-1
    ER  - 

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Author Information
  • Faculty of Physical Therapy, Cairo University, Cairo, Egypt

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