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DOI: http://dx.doi.org/10.18203/2349-2902.isj20151491
Research Article
Department of Surgery, C U Shah Medical College and Hospital, Surendranagar, Gujarat, India
Received: 09 October 2015
Revised: 08 November 2015
Accepted: 02 December 2015
*Correspondence:
Dr. Pukur I. Thekdi,
E-mail: p_thekdi@yahoo.com
Copyright: the author(s), publisher and licensee Medip Academy. This is an open-access article distributed under
the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial
use, distribution, and reproduction in any medium, provided the original work is properly cited.
ABSTRACT
Background: The dressing of wounds is an old art and has undergone a wide variety of changes from ancient herbal
dressing to modern dressing materials. The main aim was always to heal the wounds. Wounds and their management
are fundamental in the practice of surgery. The prevalence of leg ulceration is approximately 1% to 2%, and is slightly
higher in the older adult population. The main aim of the study was to compare the newer dressing materials versus
the conventional dressing materials in terms of various factors responsible for wound healing.
Methods: A total of one hundred patients admitted in surgery ward were allotted into two groups conventional
dressing materials (regime A) and newer dressing materials (regime B) on random basis. The patients were assessed
on daily basis in both test and control groups with parameters like ulcer size, rate of granulation tissue formation, time
required for removal of slough and rate of wound healing.
Results: Out of 100 cases studied, maximum numbers of patients were in age group 51 to 60 years (23%). With use
of Regime A we have noticed that healing stage in 1 patient was within 7 days, 8 patients between 8-14 days, 13
patients between 15-21 days and 28 patients between 22-30 days. With use of Regime B we have noticed healing
stage in 4 patients was within 7 days, 13 patients between 8-14 days, 19 patients between 15-21 days and 14 patients
between 22-30 days.
Conclusions: As per study carried out we would conclude that newer dressing materials are more efficient as
compared to conventional dressing materials in all stages of ulcer healing even though there is slight compromise in
its availability.
Keywords: Dressing materials, Conventional, Newer, Ulcer, Method
INTRODUCTION
The dressing of wounds is an old art and has undergone a
wide variety of changes from ancient herbal dressing to
modern dressing materials. The main aim was always to
heal the wounds. Wounds and their management are the
main fundamental in the practice of surgery. The
prevalence of leg ulceration is approximately 1% to 2%
and is slightly higher in the older adult population.1
Page 108
Removal of slough
Type of Regime
0-7 days
8-14 days
15-21 days
22-28 days
A
B
Type of Regime
A
B
Type of Regime
A
B
Type of Regime
A
B
7
10
0-7 days
20
28
0-7 days
22
31
0-7 days
1
4
14
17
8-14 days
11
9
8-14 days
19
13
8-14 days
8
13
20
23
15-21 days
2
0
15-21 days
0
0
15-21 days
13
19
9
0
22-28 days
0
0
22-28 days
0
0
22-30 days
28
14
Page 109
Page 110
12.
13.
14.
15.
REFERENCES
16.
1.
Mekkes JR, Loots MA, Van Der Wal AC, Bos JD.
Causes, investigation and treatment of leg
ulceration. Br J Dermatol. 2003;148(3):388-401.
2.
The Inquirer (1805). What are the comparative
advantages of the different modes proposed for the
treatment of ulcerated legs? Edinburgh Medical and
Surgical Journal.187-193.This is a very lucid
account of opinion in 1805 on the treatment of leg
ulcers.
3. Kahle B, Hermanns HJ, Gallenkemper G. Evidencebased treatment of chronic leg ulcers. Deutsches
rzteblatt International. 2011;108(14):2317.
4. VanGent WB, Wilschut ED and Wittens C.
Management of venous ulcer disease. The British
Medical Journal. 2010;341(7782):10926.
5. Reiber GE, Boyko E, Smith DG. Lower extremity
ulcers and amputations in indi- viduals with diabetes
In Diabetes in America, 2nd ed. 1995:40927.
6. Gonzlez-Consuegra RV and Verd J. Quality of
life in people with venous leg ulcers: an integrative
review.
Journal
of
Advanced
Nursing.
2011;67(5):92644.
7. Sasanka CS. Venous ulcers of the lower limb: where
do we stand? Indian Journal of Plastic Surgery.
2012;45(2):26674.
8. Amir O, Liu A, Chang ALS. Stratification of
highest-risk patients with chronic skin ulcers in a
Stanford retrospective cohort includes diabetes,
need for systemic antibiotics, and albumin levels.
Ulcers. 2012;Article ID 767861:7.
9. Rayner R, Carville K, Keaton J, Prentice J,
Santamaria XN. Leg ulcers: atypical presentations
and associated co-morbidities. Wound Practice and
Research. 2009;17(4):16885.
10. Cheng CF, Sahu D, Tsen F et al. A fragment of
secreted Hsp90 carries properties that enable it to
accelerate effectively both acute and diabetic wound
healing in mice. The Journal of Clinical
Investigation. 2011;121(11):434861.
11. Rahman GA, Adigun IA, Fadeyi A. Epidemiology,
etiology, and treatment of chronic leg ulcer:
17.
18.
19.
20.
21.
22.
23.
24.
25.
26.
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