A Comparative Study of Negative Pressure Dressing with and without Silver Alginate to Promote Faster Wound Healing in Chronic Wounds

  • Mehak Ali Civil Hospital, Karachi Pakistan
  • Hyder Ali Civil Hospital, Karachi Pakistan
  • Faisal Akhlaq Civil Hospital, Karachi Pakistan
  • Faraz Adil Civil Hospital, Karachi Pakistan
  • Aiman Naseem Civil Hospital, Karachi Pakistan
  • Urooj Ali Jinnah Post-Graduates Medical Center, Karachi Pakistan
Keywords: Chronic wound, Negative pressure dressings, Silver alginate

Abstract

Objective: To determine the effectiveness of negative pressure dressing with silver alginate hydro-fibre dressings in managing chronic wounds compared to negative pressure dressing without silver alginate hydro-fibre dressings.

Study Design: Cross-sectional analytical study.

Place and Duration of the Study: Department of Plastic and Reconstructive Surgery at Dr Ruth K.M. Pfau Civil Hospital Karachi, from Jan to Jul 2021.

Methodology: All patients above 18 years of age of either gender presented with more than six weeks of wound duration, hemoglobin levels more than 10 g/dl, platelet count above 150 x 10E9/L, and size of the wound more than 10*10cm were consecutively enrolled. Negative pressure dressings with and without hydro-fibre dressings were applied. A team of plastic surgeons monitored the wound site to assess granulation tissue by noting the size of the wound and pain severity. The outcome was assessed at four weeks.

Results: Of 62 patients, the median age was 43 (32.5-56.7) years. There were 37 (59.67%) males and 25 (40.32%) females. The outcome assessment at four weeks showed that overall pain was observed in 34 (54.83%) patients. Pain severity (p-value <0.001) and low granulation score (p-value 0.025) were found significantly higher in patients who received negative pressure dressing without silver alginate as compared to the patients who received negative pressure dressing with silver alginate. A significant median difference in granulation days was observed between groups (p-value <0.001).

Conclusion: Combining negative pressure dressings with silver alginate dressing has positive effect on the chronic wound compared to using negative pressure dressings alone.

Downloads

Download data is not yet available.
Published
2022-06-25
How to Cite
Ali, M., Ali, H., Akhlaq, F., Adil, F., Naseem, A., & Ali, U. (2022). A Comparative Study of Negative Pressure Dressing with and without Silver Alginate to Promote Faster Wound Healing in Chronic Wounds. PAFMJ, 72(3), 913-16. https://doi.org/10.51253/pafmj.v72i3.7489
Section
Original Articles