scholarly journals COMPARATIVE STUDY BETWEEN VARIOUS TOPICAL AGENTS IN PROMOTION OF WOUND HEALING IN DIABETIC FOOT

2018 ◽  
Vol 7 (30) ◽  
pp. 3436-3442
Author(s):  
Umesh Raj Somasundaram ◽  
Sabarimalai Palanisamy
Keyword(s):  
Wound Healing ◽  
Comparative Study ◽  
Diabetic Foot

scholarly journals A COMPARATIVE STUDY OF IONIC SILVER BASED DRESSINGS VERSUS CONVENTIONAL DRESSINGS IN MANAGEMENT OF DIABETIC FOOT ULCERS.

2020 ◽  
pp. 77-79
Author(s):  
Ravishankar. N ◽  
Shivakumar. S ◽  
Abirami. K
Keyword(s):  
Wound Healing ◽  
Comparative Study ◽  
Diabetic Foot ◽  
T Test ◽  
Foot Ulcers ◽  
Colloidal Silver ◽  
Diabetic Foot Ulcers ◽  
Ulcer Area ◽  
Ionic Silver ◽  
End Point

AIMS: To compare the efficacy of ionic silver-based dressings with conventional saline dressings in the management of diabetic foot ulcers. OBJECTIVES: To study the efficacy of ionic silver based amorphous hydrogel dressing containing colloidal silver in management of diabetic foot ulcer healing and to compare the time taken for wound healing, number of days taken to reach the end point and cost-effectiveness, with that of conventional saline dressings. METHODS: This was a case control, prospective, comparative study conducted in Department of Surgery, JSS Hospital, Mysuru. Totally 100 patients with diabetic foot ulcers were included, equally divided into -cases (received colloidal silver dressings) and controls (received saline dressings), Simple randomization was done. Study Duration- 18 Months. Data collected regarding changes in wound size, presence of granulation tissue, slough, presence or absence of discharge, was analysed - by Chi square test, Independent T test and Paired T test. RESULTS: There was significant percentage reduction in ulcer area, 66.76±16.8 % in colloidal silver group, compared to only 2.71±4.53% in conventional saline group. The number of days to end point was significantly lesser in colloidal silver group, compared to conventional group (23.16±8.16 days vs 48.34±18.06 days), reduction of ulcer area (from 100%) was more at day 14 (48% in silver group, 89.69% in conventional group). CONCLUSION: The faster rate of wound healing in lesser number of days with significantly more reduction in ulcer area over a period of time, shows that ionic silver based amorphous hydrogel wound dressings with colloidal silver is more efficient than conventional saline dressings in diabetic foot ulcers management. As the number of dressings and number of days to end point is significantly lesser, ionic silver-based dressings are a comparatively more cost-effective treatment option as per our study.

scholarly journals The Effects of Silver-Releasing Foam Dressings on Diabetic Foot Ulcer Healing

2021 ◽  
Vol 10 (7) ◽  
pp. 1495
Author(s):  
Yu-Chi Wang ◽  
Hsiao-Chen Lee ◽  
Chien-Lin Chen ◽  
Ming-Chun Kuo ◽  
Savitha Ramachandran ◽  
...  
Keyword(s):  
Wound Healing ◽  
Diabetic Foot ◽  
Healing Rate ◽  
Early Period ◽  
Foot Ulcer ◽  
Diabetic Foot Ulcer ◽  
Wound Management ◽  
Control Group ◽  
Diabetic Patients ◽  
High Morbidity

Diabetic foot ulcers (DFUs) are a serious complication in diabetic patients and lead to high morbidity and mortality. Numerous dressings have been developed to facilitate wound healing of DFUs. This study investigated the wound healing efficacy of silver-releasing foam dressings versus silver-containing cream in managing outpatients with DFUs. Sixty patients with Wagner Grade 1 to 2 DFUs were recruited. The treatment group received silver-releasing foam dressing (Biatain® Ag Non-Adhesive Foam dressing; Coloplast, Humlebaek, Denmark). The control group received 1% silver sulfadiazine (SSD) cream. The ulcer area in the silver foam group was significantly reduced compared with that in the SSD group after four weeks of treatment (silver foam group: 76.43 ± 7.41%, SSD group: 27.00 ± 4.95%, p < 0.001). The weekly wound healing rate in the silver foam group was superior to the SSD group during the first three weeks of treatment (p < 0.05). The silver-releasing foam dressing is more effective than SSD in promoting wound healing of DFUs. The effect is more pronounced in the initial three weeks of the treatment. Thus, silver-releasing foam could be an effective wound dressing for DFUs, mainly in the early period of wound management.

Punch Grafting for the Management of Hard-to-Heal Diabetic Foot Ulcers: A Prospective Case Series

2021 ◽  
pp. 153473462110310
Author(s):  
Marta García-Madrid ◽  
Irene Sanz-Corbalán ◽  
Aroa Tardáguila-García ◽  
Raúl J. Molines-Barroso ◽  
Mateo López-Moral ◽  
...  
Keyword(s):  
Wound Healing ◽  
Clinical Outcomes ◽  
Diabetic Foot ◽  
Donor Site ◽  
Case Series ◽  
Foot Ulcers ◽  
Diabetic Foot Ulcers ◽  
Wound Debridement ◽  
Prospective Case Series

Punch grafting is an alternative treatment to enhance wound healing which has been associated with promising clinical outcomes in various leg and foot wound types. We aimed to evaluate the clinical outcomes of punch grafting as a treatment for hard-to-heal diabetic foot ulcers (DFUs). Six patients with chronic neuropathic or neuroischemic DFUs with more than 6 months of evolution not responding to conventional treatment were included in a prospective case series between May 2017 and December 2020. All patients were previously debrided using an ultrasound-assisted wound debridement and then, grafted with 4 to 6 mm punch from the donor site that was in all cases the anterolateral aspect of the thigh. All patients were followed up weekly until wound healing. Four (66.7%) DFUs were located in the heel, 1 (16.7%) in the dorsal aspect of the foot and 1 (16.7%) in the Achilles tendon. The median evolution time was 172 (interquartile range [IQR], 25th-75th; 44-276) weeks with a median area of 5.9 (IQR; 1.87-37.12) cm2 before grafting. Complete epithelization was achieved in 3 (50%) patients at 12 weeks follow-up period with a mean time of 5.67 ± 2.88 weeks. Two of the remaining patients achieved wound healing at 32 and 24 weeks, respectively, and 1 patient showed punch graft unsuccessful in adhering. The median time of wound healing of all patients included in the study was 9.00 (IQR; 4.00-28.00) weeks. The wound area reduction (WAR) at 4 weeks was 38.66% and WAR at 12 weeks was 88.56%. No adverse effects related to the ulcer were registered through the follow-up period. Autologous punch graft is an easy procedure that promotes healing, achieving wound closure in chronic DFUs representing an alternative of treatment for hard-to-heal DFUs in which conservative treatment has been unsuccessful.

Therapeutic Properties of Honey for the Management of Wounds; Is There a Role in the Armamentarium of Diabetic Foot Ulcer Treatment? Results From In vitro and In vivo Studies

2021 ◽  
pp. 153473462110268
Author(s):  
Ioanna A. Anastasiou ◽  
Ioanna Eleftheriadou ◽  
Anastasios Tentolouris ◽  
Georgia Samakidou ◽  
Nikolaos Papanas ◽  
...  
Keyword(s):  
Wound Healing ◽  
Diabetic Foot ◽  
Diabetic Animal ◽  
Cochrane Library ◽  
Foot Ulcers ◽  
Diabetic Foot Ulcers ◽  
Diabetic Wound ◽  
Diabetic Wound Healing ◽  
Therapeutic Properties

Diabetic foot ulcers are one of the most dreadful complications of diabetes mellitus and efforts to accelerate diabetic wound healing are of paramount importance to prevent ulcer infections and subsequent lower-limb amputations. There are several treatment approaches for the management of diabetic foot ulcers and honey seems to be a safe and cost-effective therapeutic approach on top of standard of care. The aim of this review was to summarize the therapeutic properties of honey and the data regarding its possible favorable effects on diabetic wound healing. A literature search of articles from 1986 until April 2021 was performed using MEDLINE, EMBASE, and the Cochrane Library to assess for studies examining the therapeutic wound healing properties of honey, it's in vitro effect, and the efficacy and/or mechanism of action of several types of honey used for the treatment of diabetic animal wounds. Honey has antioxidant, anti-inflammatory, and antibacterial properties and in vitro studies of keratinocytes and fibroblasts, as well as studies in diabetic animal models show that treatment with honey is associated with increased re-epithelialization and collagen production, higher wound contraction, and faster wound healing. The use of honey could be a promising approach for the management of diabetic foot ulcers.

scholarly journals Comparative Study of Wound-Healing Activity of Dihydroquercetin Pseudopolymorphic Modifications

2021 ◽  
Author(s):  
R. P. Terekhov ◽  
I. A. Selivanova ◽  
M. N. Anurova ◽  
A. K. Zhevlakova ◽  
I. D. Nikitin ◽  
...  
Keyword(s):  
Wound Healing ◽  
Comparative Study ◽  
Wound Healing Activity
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