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

Authors

  • 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

DOI:

https://doi.org/10.51253/pafmj.v72i3.7489

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.

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Published

25-06-2022

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. Pakistan Armed Forces Medical Journal, 72(3), 913–16. https://doi.org/10.51253/pafmj.v72i3.7489

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Section

Original Articles