PAKISTAN ARMED FORCES
MEDICAL JOURNAL (Category Y)

A Journal of Army Medical & Dental Corps

Being published since 1956

ISSN (online) 2411-8842
ISSN (print) 0030-9648

VOL 68, No. 1, FEBRURAY 2018

COMPARING NEGATIVE PRESSURE WOUND TREATMENT WITH HONEY DRESSING IN HEALING OF FOOT ULCERS IN DIABETICS

Umar Bashir, Rasikh Maqsood, Hassan Shabbir,

Abstract

Objective: To evaluate and compare the effectiveness of vacuum assisted treatment with that of honey dressing in duration of healing of foot ulcers in diabetics.
Study Design: Randomized control study.
Place and Duration of Study: Combined Military Hospital Multan & Nishtar Hospital Multan, from Aug 2016 till Feb 2017.
Patients and Methods: A total of 95 patients with ages between 30-60 years of both sexes, who presented with diabetic ulcers of foot involving subcutaneous tissue& skin. Patients were divided randomly into two groups; Group V and H. Group V was subjected to Vacuum Pack closure (negative pressure wound treatment) and group H was treated with honey dressing, follow up was done till the appearance of healthy tissue after initial debridement, suitable for STSG (Split Thickness Skin Graft) or primary closure.
Results: Healthy tissue appeared much faster in Vacuum assisted treatment, then with honey dressing with mean of 18.2 days for V.A.C and 28.8 days for honey dressing.
Conclusion: Vacuum assisted closure was more effective in the treatment of foot ulcers in diabetics. It promotes healthy granulation tissue in the wound bed at a faster rate in comparison to honey dressing.

Keywords : Vacuum Assisted Closure (V.A.C), Honey dressing Negative pressure wound treatment, Diabetic foot, and Occlusive dressings



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