To Study the Outcome Of Healing Between Dermatotraction Versus Vacuum Assisted Dressing In Diabetic Wounds

Abstract

Background: A skin ulcer is an open sore caused by poor blood supply. Adequate blood flow is necessary for wound healing. But if we have any circulation problems, minor injuries won’t heal properly. Over time, an injury can turn into an ulcer. If an ulcer becomes infected, it should be treated quickly Objective: To study the outcome of healing between dermatotraction versus vacuum assisted dressing in diabetic wounds. Materials and Methods: This randomized interventional study was conducted on inpatient basis at S.S.Institute of Medical Sciences, Davangere, Katnataka India.Institutional ethical committee clearance was taken prior to the start of study. Results: Average size of the wound to which dermatotraction was applied was length 9.4cms and width of 4.76cms, whereas vacuum dressing was done to the wound of average size length 12.2cms and width 7.1cms. It was difficult in our study to apply dermatotraction for wounds with bigger size than for vacuum dressing. The most common primary procedure performed was debridement of the infected wound which was done in about 60% in the people in dermatotraction group and 82.5% in people undergoing vacuum assisted dressing. Average
duration for complete closure of the wound was studied and compared between the two groups, which took dermatotraction an average of 22.725 days and vacuum dressing 26.550 days indicating complete closure is faster in cases of dermatotraction.
Conclusions: Dermatotraction in one of the effective ways of closure of infected wounds. One of the major advantages of dermatotraction is anaesthesia. In our study all the study population  undergoing dermatotraction were given local anaesthesia which is readily available, easily, quick and safe and can be repeated safely if needed. Dermatotraction is a simple and easy technique which can be done in a minor OT procedure room unlike vacuum dressing where it requires another procedure for closure of wound like grafting or flap in major operation theater