scholarly journals “VAC” Technique as a Physiatrist's Bridge between Debridement and Surgery : Case Report of Filarial Leg Ulcer

2016 ◽  
Vol 27 (4) ◽  
pp. 128-130
Author(s):  
P.D. Poonekar ◽  
P. Mishra
Keyword(s):  
Wound Healing ◽  
Case Report ◽  
Diabetic Foot ◽  
Cost Effective ◽  
Complete Healing ◽  
Early Rehabilitation ◽  
Great Success ◽  
Decubitus Ulcers ◽  
Financial Status ◽  
Large Ulcer

Abstract Difficult ulcers have differing aetiologies calling for varying strategies. For long, physiatrists have been treating diabetic foot and decubitus ulcers with great success. The “vacuum assisted therapy” (VAC) technique is proven to alter the local milieu to facilitate wound healing. A known case of filariasis for last 14-15 years, presented with elephantiasis of left leg with a large ulcer. The financial status of the patient prevented usage of the commercial VAC machine and so “in-house” VAC technique innovations were used at a fractional cost. She was successfully treated using the VAC technique and spontaneous complete healing was achieved in 8 weeks and resulted in early rehabilitation. It was very cost-effective.

scholarly journals Spray on skin for diabetic foot ulcers: an open label randomised controlled trial

2019 ◽  
Vol 12 (1) ◽  
Author(s):  
Laurens Manning ◽  
Emma J. Hamilton ◽  
Edward Raby ◽  
Paul E. Norman ◽  
Wendy Davis ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Wound Healing ◽  
Diabetic Foot ◽  
Controlled Trial ◽  
Economic Benefits ◽  
Complete Healing ◽  
Foot Ulcers ◽  
Diabetic Foot Ulcers ◽  
Open Label

Abstract Background One Australian loses a limb every 3 h as a result of infected diabetic foot ulcers (DFU). This common condition accounts for substantial morbidity and mortality for affected individuals and heavy economic costs for the health sector and the community. There is an urgent need to test interventions that improve wound healing time, prevent amputations and recurrent ulceration in patients presenting with DFU whilst improving quality of life and reducing health care costs. Methods One hundred and fifty eligible participants will be randomised to receive an autologous skin cell suspension, also termed ‘spray-on’ skin (ReCell®) or standard care interventions for their DFU. The primary outcome is complete wound healing at 6 months, but participants will be followed up for a total of 12 months to enable secondary outcomes including total overall costs, ulcer free days at 12 months and quality of life to be assessed. Discussion Outpatient costs for dressings, home nursing visits and outpatient appointments are key cost drivers for DFU. If spray-on skin is effective, large cost savings to WA Health will be realised immediately through a shortened time to healing, and through a higher proportion of patients achieving complete healing. Shortened healing times may enable participants to return to work earlier. Any economic benefits are likely to be amplified across Australia and other similar demographic settings where aging populations with increased diabetes rates are considered major future challenges. Trial registration Australian New Zealand Clinical Trials Registry ACTRN12618000511235. Registered on 9 April 2018.

scholarly journals Human amniotic membrane: A biological cost effective dressing in chronic wounds.

2020 ◽  
Vol 27 (06) ◽  
pp. 1249-1254
Author(s):  
Ibrahim Yamin ◽  
Ayesha ◽  
Ramla ◽  
Muhammad Ajmal
Keyword(s):  
Wound Healing ◽  
Amniotic Membrane ◽  
Chronic Wounds ◽  
Biological Membrane ◽  
Case Series ◽  
Cost Effective ◽  
Complete Healing ◽  
Lower Limbs ◽  
Human Amniotic Membrane ◽  
Healing Wound

Objectives: The use of human amniotic membrane is essential new concept in wound healing which functions as a biodegradable scaffold on wound surface, as it is a rich hub of stem cells which play an important role in wound healing. Study Design: Randomized Control Trial. Setting: Department of Surgery THQ Hospital Gojra. Period: 1st January 2019 to 30 September 2019. Material & Methods: Experimental study using clinical trial. A case series of 50 patient cases were picked from surgical OPD. Who fall in criteria of chronic non-healing wound with at least three months duration comprising of diabetic, venous ulcers and traumatic non healing wound and neuropathic ulcers. All located on lower limbs. Results: All 50 patient were treated with standard protocol by applying freshly prepared amniotic membrane out of which 4 chronic wounds more than 4 year duration were not healed and 2 cases escaped from the study. HAM dressing was changed after every 7 days and its effect were studied by seeing measuring the reduction in wound size and improvement in pain, swelling and mental stress. Success rate was found about 90% with complete healing. Conclusion: There is a dire need in developing countries to promote the use of HAM, in chronic non healing wounds which is a biological membrane, readily available (free if fresh) with simple sterilization techniques, easy storage and easy application with ultimate goal in achieving speedy cost effective wound healing.

Effect of Trishothadi Lepam on Tropical foot ulcer – Case Report

2020 ◽  
Vol 8 (05) ◽  
Author(s):  
Jayshree Satpute ◽  
Rajesh Gundre ◽  
Chandrakant Chate
Keyword(s):  
Wound Healing ◽  
Healing Process ◽  
Foot Ulcer ◽  
Cost Effective ◽  
Underlying Mechanism ◽  
Complete Healing ◽  
Wound Healing Process ◽  
Ulcer Case ◽  
Group A ◽  
Group B

Siravyadhana and Trishothadi Lepam application was intended for healthy wound healing. Probably it will have an understanding of underlying mechanism of relieving vascular stasis, reducing venous congestion and beginning of re-vascularization and other wound healing process. The Group-B showing maximum percentage of benefit followed by Group-A. Hence it can be concluded that overall benefit is found maximum in Group-A where Siravyadhana with Trishothadi Lepam was administered. The  drug  Trishothadi Lepam might be shown the efficacy due to Lekhana, Kledahara, Shoshana, Shotha & Dahahara, RaktaShodhaka and Twaka Prasadana properties. this procedure is found to be very much safe, simple, cost-effective, easily administered in the patients of foot ulcers leading them for complete healing avoiding the most unwanted outcome of amputation.

scholarly journals Usefulness of a needleless suture technique for midline laparotomy wound dehiscence: a case report

2021 ◽  
Vol 6 (1) ◽  
pp. 22-24
Author(s):  
Da Yeon Lee ◽  
Pil Young Jung
Keyword(s):  
Wound Healing ◽  
Case Report ◽  
Wound Dehiscence ◽  
Cost Effective ◽  
Suture Technique ◽  
Surgical Wound ◽  
Midline Laparotomy ◽  
Surgical Wound Dehiscence ◽  
Surgical Incisions ◽  
Laparotomy Wound

Surgical wound dehiscence after a laparotomy is a serious complication, and it presents the mechanical wound healing failure of surgical incisions. Since the development of needleless suture techniques, there have been attempts to use a needleless suture for wounds from several surgery types. Recently, many studies have shown that a needleless suture technique leads to good wound healing results. It is rapid, cost effective, can minimize ventilator dependency, and is well tolerated by patients. Here, we report a case of a patient who received a needleless suture technique for midline laparotomy wound dehiscence.

Use of GBT013, a Collagen-Based Dressing, for the Healing of Diabetic Foot Ulcers

2018 ◽  
Vol 108 (5) ◽  
pp. 419-429
Author(s):  
Isabelle J. Dumont ◽  
Marc Lepeut ◽  
Coralie Segalen ◽  
Yannis Guillemin ◽  
Jean Noel Gouze
Keyword(s):  
Wound Healing ◽  
Diabetic Foot ◽  
Foot Ulcer ◽  
Diabetic Foot Ulcer ◽  
Complete Healing ◽  
Ease Of Use ◽  
Foot Ulcers ◽  
Diabetic Patients ◽  
Foot Care ◽  
University Of Texas

The number of people with diabetes is expected to reach 592 million in the year 2035. Diabetic foot lesions are responsible for more hospitalizations than any other complication of diabetes. The aims of this study were to examine for the first time a new biocompatible and biodegradable tridimensional collagen-based matrix, GBT013, in humans for diabetic foot ulcer wound healing and to evaluate its ease of use to better define a protocol for a future clinical trial. Seven adult patients with a diabetic foot ulcer of grade 1A to 3D (University of Texas Diabetic Wound Classification) were treated using GBT013, a new collagen-based advance dressing and were monitored in two specialized foot care units for a maximum of 9 weeks. Five of seven wounds achieved complete healing in 4 to 7 weeks. Nonhealed ulcers showed a significant reduction of the wound surface (>44%). GBT013 was well tolerated and displayed positive wound healing outcomes as a new treatment strategy of chronic foot ulcers in diabetic patients.

scholarly journals Application of magnetoledtherapy and magnetostimulation in the Treatment of Chronic finger wound After Injury. Case Report

2021 ◽  
Vol 64 (3) ◽  
pp. 242-245
Author(s):  
Michał Senejko ◽  
Jarosław Pasek
Keyword(s):  
Wound Healing ◽  
Case Report ◽  
Magnetic Fields ◽  
Pharmacological Treatment ◽  
Therapeutic Potential ◽  
Low Frequency ◽  
Complete Healing ◽  
Low Energy ◽  
Physical Medicine ◽  
Positive Effect

Physical medicine and its wide therapeutic potential shows that this methods can be used in many fields of medicine.It pertains also the wide application of the low-frequency magnetic fields and low-energy optical light emitted by diodes LED.The aim of the study is to present the beneficial results of the treatment a 92-year-old female patient in whom in addition typical pharmacological treatment magnetoledtherapy and magnetostimulation treatments were used, lead to complete healing of the chronic wound.Together with a surgical cleansing of the wound, its daily hygiene comprising of change dressings and pharmacotherapy, additional treatments supporting wound healing such as magnetoledtherapy and magnetostimulation were implemented. A series of 40 daily treatments were carried out, except Saturday and Sunday, with a positive effect.

scholarly journals Effects of Topical Honey Dressing in Decubitus Ulcer

2015 ◽  
Vol 6 (4) ◽  
pp. 99-101 ◽  
Author(s):  
S. Khadanga ◽  
D. Dugar ◽  
T. Karuna ◽  
R. Khetri ◽  
H. Tim ◽  
...  
Keyword(s):  
Wound Healing ◽  
Povidone Iodine ◽  
Antibacterial Properties ◽  
Cost Effective ◽  
Decubitus Ulcer ◽  
Decubitus Ulcers ◽  
Bacteriological Profile ◽  
Group B ◽  
Treatment Of Wounds ◽  
The Cost

Background: The medicinal properties of honey have been recognized since antiquity. Although used as an adjuvant method for accelerating wound healing from ancient times, honey has been sporadically used in the treatment of wounds. Many researchers have shown that honey exerts antibacterial activity against various organisms, including both Gram-positive and Gram-negative bacteria. This study was done to compare the effectiveness of honey and Povidone iodine in wound healing in Decubitus ulcers. Material & Methods: We conducted a prospective hospital based study of 40 patients with bed sore. Patients were selected considering the inclusion and exclusion criteria.  20 patients (Group A) had honey dressing and another 20 patients (Group B) had Povidone iodine dressing. We compared the wound healing status and bacteriological profile between day 1 and day 10 in both the groups. Result: The pain score decrement was significant in honey dressing group but the reduction in size of the wound was not significant. The bacteriological profile was more or less similar in both the groups.  Conclusion: The antibacterial properties of honey, the cost effectiveness, easy availability, reduction in size of wound and more so the significant reduction in pain reveal that honey can be a safe, satisfying, cost effective topical dressing material for decubitus ulcers in general medical and surgical words. DOI: http://dx.doi.org/10.3126/ajms.v6i4.11616 Asian Journal of Medical Sciences Vol.6(4) 2015 99-101    

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