scholarly journals Role of Four Layer Compression Dressings in Management of Chronic Venous Ulcers

2019 ◽  
Vol 5 (02) ◽  
pp. 42-45
Author(s):  
Luv Luthra ◽  
Rajendra Prasad ◽  
Ranjith Kumar ◽  
Nivedita Mitta ◽  
Tinku Varghese
Keyword(s):  
Lower Extremity ◽  
Healing Rate ◽  
Randomized Study ◽  
Compression Therapy ◽  
High Morbidity ◽  
Age Group ◽  
Duration Of Treatment ◽  
Medical College ◽  
Venous Ulcers

Abstract Introduction Nonhealing venous ulcers are one of the most common forms of lower extremity ulcers in the present population. It is cumbersome to treat and is associated with high-morbidity and immense treatment expenses. The current treatments include compression therapy. Four-layer compression dressings have proven to be an effective treatment for venous ulcers. Objective This study aimed to evaluate the efficacy of four-layer compression dressings and to study the rate of healing and duration of treatment with four-layer compression dressings. Materials and Methods A prospective randomized study conducted at MS Ramaiah Medical college which included 70 patients who completed the course of weekly dressings depending on the size of ulcer. The regular four-layer dressings were done by a trained podiatrist in vascular outpatient department (OPD) once a week. The area of the ulcer was calculated using the modified Gilmen formula. Results A total of 70 patients who were compliant with the treatment were included in the study. A considerable percentage (74%) of patients were male and all the ulcers were located at the gaiter area. Most belonged to the age group between 41 to 50 years (25%). The healing rate of ulcers at the end of 4, 8 and 12 weeks were 46.87, 28.12, and 25%, respectively. At the end of 12 weeks, all the ulcers healed.

scholarly journals To evaluate lower extremity ulcer cases in respect of their aetiological basis

2017 ◽  
Vol 4 (3) ◽  
pp. 946
Author(s):  
Gajjam Shrinivas A ◽  
Wagh Amol
Keyword(s):  
Lower Extremity ◽  
Surgical Procedures ◽  
Common Type ◽  
High Morbidity ◽  
Leg Ulcers ◽  
Age Group ◽  
Common Occurrence ◽  
Medical Sciences ◽  
Venous Reflux ◽  
Venous Ulcers

Background: Lower extremity ulcer is most common in our population due to their chronicity. Lower extremities are exposed to injury and having a circulation strained by upright posture. This has reason for researchers and surgeon who have been concerned with the reasons for their common occurrence and difficulty in their cure. Researcher interested to study the lower extremity ulcer cases in respect of their aetiological basis.Methods: 100 patients of lower extremity ulcer with various types were admitted in surgical wards of Mallareddy Institute of Medical Sciences, Hyderabad during study period.  The cases were examined in detail and investigated thoroughly.  If there is clinically doubtful case, the diagnosis was made only after histopathological examination.Results: Most common type of ulcer was found in the present was venous 25 (25%) cases, contributed by male (21) and female (04) followed by diabetic 22 (22%) and Traumatic 18 (18%). Most of cases belongs to the age group 41-60 years (45) and male (37 cases). High saphenous vein ligation with stripping of veins (21.4%) and conservative (21.4%) treatment were common surgical procedures used for the treatment of Venous ulcer.Conclusions: In the present, Venous ulcers are the most common of all leg ulcers with high morbidity. The surgical procedures are directed at prevention of venous reflux at various levels.

scholarly journals Treatment of Chronic Venous Ulcers Using New Four Layers Compressive Bandage Dressing

2015 ◽  
Vol 53 (199) ◽  
pp. 156-161 ◽  
Author(s):  
Kaushal K Tiwari ◽  
Krishna G Shrestha ◽  
Bijay Sah ◽  
D.Jaypal Reddy
Keyword(s):  
Compression Therapy ◽  
Venous Ulcer ◽  
Term Treatment ◽  
Lower Limbs ◽  
High Morbidity ◽  
Current Standard ◽  
Venous Ulcers ◽  
Long Term Treatment ◽  
Group A ◽  
Group B

Introduction: Lower-extremity ulcers represent the largest group of ulcers presenting to an outpatient department. It is a cumbersome, difficult to treat disease, which causes high morbidity and huge cost for the patient and healthcare system. Current standard treatment includes compression therapy. However, majority of patients need long term treatment with minimal efficacy. Aim of our study is to evaluate efficacy of four layers compressive bandages for the management of chronic venous ulcers. Methods: In Group A, we have prospectively included 20 patients with chronic venous ulcers on lower limbs for four layers hosiery bandage using Velfour bandage. Other 15 patients, Group B, were treated with conventional wound dressing. Velfour and crepe bandage were done once weekly for three weeks. Results: DVT was cause of chronic venous ulcer in 70% patient in group A and in 73.3% in Group B. Majority of patients were having left sided chronic venous ulcers. The mean duration of the ulcers was 15.6 vs 10.86 months (group A vs. group B). At the end of 3rd week, in 55% wounds in Group A were healed except few big and deep wounds remained. Most of these wounds also became smaller with minimal discharge. Size of wounds significantly decreased in Group A vs. Group B patients (0.7±0.81 cm vs. 1.73±0.77 cm, p<0.00031). However, cost of treatment in group A remained higher than group B. Conclusions: Our study has shown that four layer compressive bandage using Velfour is an easy, effective, and reproducible method of treatment for the chronic venous ulcer.  Keywords: compression bandage; treatment; venous ulcer.

Compression in leg ulcer treatment: inelastic compression

2014 ◽  
Vol 29 (1_suppl) ◽  
pp. 146-152 ◽  
Author(s):  
Giovanni Mosti
Keyword(s):  
Ulcer Healing ◽  
Healing Rate ◽  
Great Majority ◽  
Compression Therapy ◽  
Venous Hypertension ◽  
Reduced Pressure ◽  
Elastic Compression ◽  
Venous Ulcers ◽  
Arterial Inflow ◽  
Pumping Function

Compression therapy is extremely effective in promoting ulcer healing. Which material to use, if elastic or inelastic, is still a matter of debate. This paper will provide an overview on the recent findings in compression therapy mainly for venous or mixed ulcers which are the great majority of leg ulcers. In this paper it will be demonstrated that inelastic compression has been proved to be significantly more effective than elastic compression in reducing venous reflux, increasing venous pumping function and decreasing ambulatory venous hypertension. In addition it is comfortable, well accepted by patients and achieved an extremely high healing rate in venous ulcers. With reduced pressure inelastic compression is able to improve venous pumping function in patients with mixed ulcers without affecting but improving the arterial inflow. It will be also clearly shown that studies claiming a better effect of elastic compression compared to inelastic in favouring healing rate have significant methodological flaws making their conclusions at least doubtful. In conclusion inelastic- is significantly more effective than elastic compression in reducing ambulatory venous hypertension which is the main pathophysiological determinant of venous ulcers and demonstrated to be very effective in getting ulcer healing. New multicentric, randomized and controlled studies, without methodological flaws, will be necessary to prove that elastic- is at least as effective as inelastic compression or, maybe, more effective.

scholarly journals Role of hyperoxygenation on surgical site wound infection: a randomised case control study

2019 ◽  
Vol 6 (8) ◽  
pp. 2927
Author(s):  
Samba Siva Rao G. ◽  
Kiran Kumar Suggala
Keyword(s):  
Surgical Site Infection ◽  
Case Control Study ◽  
Elective Surgery ◽  
Randomized Study ◽  
Control Group ◽  
Site Infection ◽  
Medical College ◽  
Induction Of Anaesthesia ◽  
Control Study

Background: The aim of this study was to assess the influence of hyperoxygenation on surgical site wound infections.Methods: Using prospective randomized study, conducted from January 2018 to December 2018 at Mamata Medical College and General hospital, Khammam. This study includes 100 patients who were going for elective surgery at various divisions of Department of surgery. Patients were assigned randomly to an oxygen/air mixture with a faction of inspiration (FiO2) of 30% (n=50) and 60% (n=50). Administration was started after induction of anaesthesia and maintained for 3hours after surgery.Results: Surgical site infection was recorded in 5 patients (2 of 50, 10%) in the hyperoxygenation group and 11 patients (11 of 50, 22%) in the control group (p<0.05). Time of hospitalization was 5±3 days in the hyperoxygenation group and 9±4 days in the control group (p<0.05).Conclusions: Hyperoxygenation was associated with a reduction in surgical site infection. It also decreases the duration of hospital stay and decreases economic burden.

scholarly journals THE EFFECTS OF TEENAGE PREGNANCY ON OBSTETRICS AND NEONATAL OUTCOME: AN OBSERVATIONAL STUDY.

2020 ◽  
Vol 4 (6) ◽  
Author(s):  
Nutan Narayan ◽  
Dipti Roy
Keyword(s):  
Vitamin D ◽  
Teenage Pregnancy ◽  
Neonatal Outcome ◽  
Vitamin D Supplementation ◽  
Age Group ◽  
Interventional Study ◽  
Medical College ◽  
Group I ◽  
Vitamin D Supplement

Aim: to study the effects of teenage pregnancy on obstetrics and neonatal outcome. Materials and methods: The present prospective comparative interventional study was conducted in the Department of Obstetrics and Gynecology, Nalanda Medical College and Hospital, Patna, Bihar. Total 60 patients were divided in to two groups. Results: Majority of the patients (66.9%) were in the 18-20 years of age group. Pre-eclampsia was observed in 26.7% of the patients who didn’t receive vitamin D supplement whereas the group I which received supplementation showed on pre-eclampsia in   6.7% of the patients (p=0.001). Conclusion: This study concludes that there is significant role of vitamin D supplementation in pregnant women in prevention of pre-eclampsia. Keywords: pre-eclampsia, vitamin D, neonatal outcome, teenage

Efficacy of Mobiderm® Bandage in Compression Therapy for Venous Ulcers: A Prospective Case Series

2021 ◽  
pp. 153473462110582
Author(s):  
Harikrishna K.R. Nair ◽  
Xian Lew ◽  
Kong Yen Liew ◽  
Siti Aishah Kamis ◽  
Nik Muhamad Hakimi Nik Kub ◽  
...  
Keyword(s):  
Case Series ◽  
Compression Therapy ◽  
High Morbidity ◽  
Leg Ulcers ◽  
Calf Circumference ◽  
Mean Values ◽  
Venous Leg Ulcers ◽  
Venous Ulcers ◽  
Wound Size ◽  
Prospective Case Series

Background: Venous leg ulcers severely affect patients’ quality of life due to its high morbidity and recurrent nature. Currently, compression therapy is the first-line treatment for venous leg ulcers. Aim: This study sought to evaluate the efficacy of the Mobiderm® technology developed by Thuasne in a prospective case series of venous leg ulcers. Methods: Nine patients ( N  =  9) with venous leg ulcers were enrolled into this case series. Mobiderm® bandage was applied on to the affected limbs of the patients in the multi-component bandages system. The bandages were changed as frequent as the patients had their wound dressing for their standard treatment in a 12-week duration. Wound size and calf circumference were measured at week 0 and week 12. Paired sample t-test was used to compare the mean values of wound size and calf circumference pre- and post-treatment. Results: Reductions in wound size and calf circumference were observed in all nine patients (100%). Five patients were evaluable at week 12. The wound sizes significantly reduced by 27.2% to 53.2% ( p  =  0.02), and the calf circumferences significantly reduced by 3.2% to 26.0% ( p  =  0.02) after 12 weeks ( N  =  5). Safety was unremarkable, with no occurrence of treatment-emergent-related adverse event. Conclusion: Mobiderm® bandage was reported to be effective in promoting wound healing and reducing swelling, suggesting it to be integrated in the compression therapy for the management of venous leg ulcers.

Best Qualities of Medical Facilitator, Students Perceptive View

2021 ◽  
Vol 15 (11) ◽  
pp. 3343-3345
Author(s):  
Farrukh Sarfraz ◽  
Sobia Nawaz ◽  
Nadeem Razaq ◽  
Muhammad Saif Ullah ◽  
Zahid Mahmood ◽  
...  
Keyword(s):  
Medical Education ◽  
First Year ◽  
Age Group ◽  
Cross Sectional ◽  
Medical College ◽  
Validated Questionnaire ◽  
The One ◽  
Day By Day ◽  
Data Collection Procedure

Introduction: Medical education is blended day by day and there's a continuing need to assess the role of the facilitator in the field of medical education. A great medical facilitator is the one who clear the way within the making of our future clinicians. In this study we attempted to assess the qualities of best medical facilitator in basics and clinical sciences including all medical, surgical and their allied subjects from first year to final year MBBS Students Objective: To expedite the views of MBBS students at Azra Naheed Medical College about the best qualities of Medical facilitator Material and Methods Study design: quantitative cross sectional Settings: Azra Naheed Medical College Duration: Six months i.e. 1st January 2021 to 30th June 2021 Data Collection procedure: A well planned study was done at Azra Naheed medical college which includes all the MBBS students who participated after giving consent. The total numbers of participants in the study were 400. A validated questionnaire comprises of 12 leading statements regarding best qualities of medical facilitator was circulated. The collected data was analyzed by using SPSS version 23. Results: The total number of participants in the study is 400 in which 60% participants were females and 40% were males. The age group in the study is 18-24 years. In this study top five qualities of nest medical facilitator were highlighted. Conclusion: A great facilitator is somebody who is receptive, engaging and motivating, and who includes a sound knowledge of subject of what they are attempting to instruct. They too have the capacity to communicate well with students. Key words: Medical facilitator, Student, Medical, Qualities

STUDY THE CLINICO-DEMOGRAPHIC-ETIOLOGIC PROFILE OF DIAGNOSED CHRONIC LEG ULCER PATIENTS AT SKMCH, MUZAFFARPUR, BIHAR

2021 ◽  
pp. 49-50
Author(s):  
Kumar Vikram ◽  
Sanjay Kumar ◽  
Manoj Kumar ◽  
Debarshi Jana
Keyword(s):  
Diabetes Mellitus ◽  
Chronic Wounds ◽  
Systemic Disease ◽  
Leg Ulcer ◽  
Prospective Clinical Study ◽  
Age Group ◽  
Diabetic Ulcers ◽  
Medical College ◽  
Venous Ulcers ◽  
Management Policies

Aim: to study the clinico-demographic-etiologic prole of the patients diagnosed with chronic leg ulcer. Materials and methods: prospective clinical study was conducted among 50 patients of lower limb ulcers who attended Surgery OPD of Sri Krishna Medical College and Hospital, Muzaffarpur, Bihar. The selected cases were studied with respect to detailed history along with clinical examination and required investigations were done to reach the denitive diagnosis. Result: Most common age group involved in our study is <60 years (42%) followed by <40 years (34%). Male was the predominant sex involved accounting for 41 cases (82%) and females had the disease in 9 cases (18%). Majority of the patients i.e. 21 patients (42%) were farmers by occupation. The most common etiological type was Diabetic ulcers present in 17 cases (34%) followed by trauma 14 (28%). Diabetes Mellitus was the most common systemic disease in our study accounting for 21 patients (48%). The venous ulcers occurred more commonly in the gaiter zone (100%) whereas arterial and diabetic ulcers occurred mainly on the foot i.e., 100% and 52.9% respectively. Conclusion: The present study concluded that the most common etiologies for chronic leg ulcer were diabetes mellitus and trauma. Results of this study may benet development of clinical management policies concerning chronic wounds.

scholarly journals Incidence and Trends in Lower Extremity Amputations in the United States

2020 ◽  
Vol 5 (4) ◽  
pp. 2473011420S0024
Author(s):  
Leah Herzog ◽  
Charles Johnson ◽  
Christopher E. Gross
Keyword(s):  
United States ◽  
Lower Extremity ◽  
Pearson Correlation ◽  
Age Groups ◽  
The United States ◽  
Morbidity And Mortality ◽  
Common Mechanism ◽  
High Morbidity ◽  
Injury Incidence ◽  
Age Group

Category: Trauma Introduction/Purpose: Currently there is minimal focus on traumatic lower extremity amputations due to their relatively low incidence, but they often come with a higher morbidity and mortality than its upper extremity counterparts. The purpose of this study was to evaluate the incidence and trends of lower extremity amputations in the United States over a ten-year period. Methods: The National Electronic Injury Surveillance System (NEISS), was used for evaluation of lower extremity amputations that presented to the United States emergency departments. The overall incidence rate of lower extremity amputations within the United States was calculated as per 100,000 persons. After grouping mechanisms of injury, the data were stratified by both age groups and gender. Chi-square tests were used for direct comparisons of proportions. The five most common mechanisms were ranked for each age group and the most common overall age group for lower extremity amputations were determined using descriptive statistics. Trends for injury incidence and hospital admissions were evaluated using linear regression and Pearson correlation with Bonferroni correction. Results: From 2008 to 2017, 393 patients were reported to have sustained lower extremity amputations via the NIESS database with an estimated 11,475 patients sustaining a lower extremity amputation over the past ten years and an incidence of 2.2/100,000 person-years. The incidence of lower extremity amputations is highest in those less than five years old. Lawnmower incidents are the most common mechanism of injury in all age groups. Conclusion: Due to the high morbidity and mortality associated with these injuries, it is prudent to follow the trends in lower extremity amputations.

scholarly journals Role of prostatic specific antigen density and its correlation with histopathology in diagnosis of the carcinoma of prostrate

2019 ◽  
Vol 6 (8) ◽  
pp. 2837
Author(s):  
Yashashvi Choudhary ◽  
Mohit Kumar Patel ◽  
Padmakar K. Baviskar
Keyword(s):  
Specific Antigen ◽  
Age Group ◽  
Prostatic Biopsy ◽  
Ml Estimation ◽  
Medical College ◽  
Appropriate Treatment ◽  
Number Of Patients ◽  
Prostatic Diseases ◽  
Sensitivity Specificity

Background: The specific threshold for prostate-specific antigen (PSA) to delineate patients who are at the highest risk has been controversial. It is wiser to refine PSA by its derivative parameter like PSAD (PSA/vol) which can be used as a better diagnostic tool in early detection of carcinoma of prostrate. To evaluate sensitivity and specificity of PSAD in diagnosis of carcinoma of prostrate.Methods: A study including 70 patients was done in Pravara Medical College and Rural Hospital, Loni. Patients were screened for prostatic diseases by DRE, blood PSA (ng/ml) estimation, prostatic volume by transabdominal ultrasonography and prostatic biopsy by FNAC or Tru cut Biopsy.Results: In the present study maximum incidence of BPH and CaP manifested in the age group of 61-70 (i.e., 35.18%) and Ca prostate were in age group of 71-80 (i.e., 50%). The maximum number of patients with BPH were having PSA values between 3-10 ng/ml, where as in CaP the value varied between 10.1-20 ng/ml. The maximum number of patients were in the range of 3-10 ng/ml in which age group 61-70 were having highest (35.71% of the pts in that range) followed by PSA range 10.1-20 ng/ml in which, age group 71-80 have shown maximum number (54.54% of the pts in that range) . The sensitivity, specificity, accuracy of PSAD in diagnosing malignant prostatic diseases were analysed and values were as follows: sensitivity: 87.50%, specificity: 92.59%.Conclusions: It was concluded that patients with PSAD >0.15 can be advised for prostatic biopsy and regular follow so that appropriate treatment is performed and mortality due to prostatic malignancy is reduced.

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