Diabetic Wound Healing and Limb Salvage in an Outpatient Wound Care Program

1993 ◽  
Vol 86 (3) ◽  
pp. 311-317 ◽  
Author(s):  
JOHN E. KEYSER
2021 ◽  
Vol 19 ◽  
pp. 228080002110549
Author(s):  
Michael Rodrigues ◽  
Thilagavati Govindharajan

A hydrocellular functional material as a wound dressing is developed and it is found to be superior in its efficacy as compared to some of the comparator controls in diabetic wound healing studies. A study on wound contraction and Histopathological analysis is done in rats. The efficacy of the dressing is comparable to the established wound dressings like Carboxymethyl cellulose alginate dressings and autolytic enzyme based hydrogel. It is found to be superior to Polyhexamethylene biguanide dressing used as reference controls in this study. The reason for good wound healing performance of the dressing can be attributed to a combined property of effective exudates management and broad spectrum antimicrobial effect. The concept of functional hydro cellular material has shown good results due to the excellent balance of exudates pickup and drying it out. This ensures moist wound healing conditions on the wound. Because of its porous nature it allows good air flow and gaseous exchange in the structure. The cationic sites created on the surface of the dressing ensure a good antimicrobial action on the exudates in the dressing. It reduces the infection load on the wound. The nonleaching property of the dressing also helps in preventing the generation of more resistant and mutant strains of the microbes. The developed dressing can be used as a relatively durable long lasting dressing for wound management in diabetic wounds. The need of repetitive wound dressing changes can be brought down with this concept of dressing. It is not only cost effective in terms of its material cost but also is a cost effective solution when entire wound management cost is considered. Such novel wound dressing material can change the quality of life of diabetic wound patients especially in developing world, where access to functional advanced wound care dressings is limited.


2018 ◽  
pp. 116-124
Author(s):  
Damsir Eni Ungke

Diabetic injury is one form of chronic complications. Diabetes mellitus is an open wound on the skin surface that can be accompanied by local tissue death. Diabetes mellitus patients at risk of 29 times the occurrence of diabetic injuries. Diabetic injury is an open wound on the skin surface caused by the presence of macroangiopathy resulting in vascular insusifiensi and neuropati. Organs most often affected by diabetes mellitus complications include the leg blood vessels. Disorders of blood vessels that often occur in diabetes that is on the legs and feet. This study aims to determine the effectiveness of wound care using modern bandage (Metcofazin) on diabetic wound healing process at Emergency Hospital (IGD) Arifin Nu'mang Hospital of Sidrap Regency, and to know the effectiveness of wound care using conventional dressing (normal saline saline NaCl 0 , 9% and gauze bandage) to diabetic wound healing process at Emergency Injury Installation (IGD) Arifin Nu'mang Hospital of Sidrap Regency. The type of research used by the researcher is qualitative research with case study approach. This research has been conducted on 21 November until December 21, 2014 at the Emergency Installation (IGD) Arifin Nu'mang Hospital, Sidrap Regency. Samples used in this study are patients with diabetic injuries at Arifin Nu'mang Hospital Sidrap District with sampling technique by puposive sampling. The results of this study indicate that the treatment of luk a using a modern bandage (metcofazine) is more effective than wound care using conventional dressing (normal saline 0.9% NaCl saline and gauze dressing) on ​​diabetic wound healing process at Arifin Nu'mang Hospital Sidrap Hospital.


1970 ◽  
Vol 4 (2) ◽  
Author(s):  
Yunita Sari ◽  
Eman Sutrisna ◽  
Hartono H

Penelitian menyatakan bahwa vibrasi 47 Hz dapat meningkatkan penyembuhan luka diabetes. Namun sampai saat ini belum diketahui apakah frekuensi dibawah dan diatas 47 Hz dapat meningkatkan penyembuhan luka diabetes. Oleh karena itu, tujuan dari penelitian ini adalah untuk mengetahui efek frekuensi vibrasi yang berbeda terhadap penyembuhan luka diabetes. Desain penelitian eksperimen ini melibatkan 5 kelompok tikus putih; kelompok yang mendapatkan vibrasi 40 Hz (frekuensi rendah), kelompok 106 Hz (frekuensi menengah), kelompok 200 Hz (frekuensi tinggi), kelompok 300 Hz (frekuensi sangat tinggi), dan kelompok kontrol (tanpa vibrasi). Induksi diabetes dilakukan dengan Alloxan Monohidrat. Vibrasi diberikan selama 10 menit. Status luka didasarkan pada jaringan nekrotik, ukuran luka, inflamasi, dan reepitelisasi. Analisis histologi dilakukan dengan pewarnaan Hematoksilin dan Eosin. Ukuran luka dianalisis dengan uji ANOVA, diikuti oleh tes Tukey. Hasil penelitian menunjukkan bahwa jaringan nekrotik dan intensitas inflamasi paling sedikit pada kelompok 40 Hz, dan paling banyak pada kelompok 300 Hz. Reepitelisasi paling baik pada kelompok 40 Hz, dan paling rusak pada 300 Hz. Ukuran luka di kelompok 40 Hz secara signifikan lebih kecil dibandingkan dengan kelompok lain (p <0.05). Hasil penelitian ini menunjukkan bahwa vibrasi frekuensi rendah dapat mempercepat penyembuhan luka diabetes, sebaliknya, vibrasi frekuensi tinggi dapat merusak atau memperparah jaringan luka.Kata kunci :Diabetes, penyembuhan, luka, terapi komplementer, vibrasi.The Provision of Different Vibration Frequency to Accelerate Diabetic Wound HealingAbstractStudies have revealed that diabetic wound healing can be accelerated using the vibration therapy of 47 Hz. However, no strong evidence compelled the use of different vibration rates. Thus, this experimental study aimed to examine the effect of different vibration frequencies towards diabetic wound healing. Five groups of white rats were injected using Alloxan Monohydrate within ten minutes before the vibration therapy. The dosage was given categorized as 40 Hz (low), 106 Hz (moderate), 200 Hz (high) and 300 Hz (very high). Control group was created without given vibration therapy. Wound status was evaluated using the presence of necrotic tissues, size, inflammation, and reepithelization where Hematoxicilin and Eosin color-based were used to analyse the histological presentation. Using ANOVA and Tukey test, it was found that the necrotic tissues and the intended inflammation have less developed among low vibration group compared to others. Reepithelization and wound size reduction most experienced by the lower group, but the worst damaged occupied by the highest vibration group. It is suggested that lower vibration frequency enabled to accelerate the wound care healing, but a high-frequency rate can disturb or damage the injured tissues. Keywords:Complementary therapy, diabetes mellitus, wound healing.


Planta Medica ◽  
2012 ◽  
Vol 78 (11) ◽  
Author(s):  
CBS Lau ◽  
VKM Lau ◽  
CL Liu ◽  
PKK Lai ◽  
JCW Tam ◽  
...  

Diabetes ◽  
2018 ◽  
Vol 67 (Supplement 1) ◽  
pp. 634-P
Author(s):  
PIUL S. RABBANI ◽  
JOSHUA A. DAVID ◽  
DARREN L. SULTAN ◽  
ALVARO P. VILLARREAL-PONCE ◽  
JENNIFER KWONG ◽  
...  

Nanomedicine ◽  
2020 ◽  
Vol 15 (23) ◽  
pp. 2241-2253
Author(s):  
Pengju Zhang ◽  
Yuqi Jiang ◽  
Dan Liu ◽  
Yan Liu ◽  
Qinfei Ke ◽  
...  

Aim: To develop an effective strategy for increasing angiogenesis at diabetic wound sites and thereby accelerating wound healing. Materials & methods: A micropatterned nanofibrous scaffold with bioglass nanoparticles encapsulated inside coaxial fibers was prepared by electrospinning. Results: Si ions could be released in a sustained manner from the scaffolds. The hierarchical micro-/nano-structure of the scaffold was found to act as a temporary extracellular matrix to promote endothelial cell adhesion and growth. The scaffold greatly improved angiogenesis and collagen deposition at the wound site, which shortened the healing period of diabetic wounds. Conclusion: This study provides a promising therapeutic option for chronic diabetic wounds with improved angiogenesis.


Sign in / Sign up

Export Citation Format

Share Document