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Clinical Uses of NPWT with Irrigation of Normal Saline in Diabetic Foot Ulcer: Outcome Assessed by DEPA Score

INTRODUCTION: Diabetic foot ulcer (DFU) is a common complication of uncontrolled diabetes. Negative pressure wound therapy (NPWT) with irrigation of normal saline is one of the methods for wound care and dressing techniques in DFU. Wound assessment is another aspect of DFU management for deciding wh...

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Autores principales: Malviya, Vikas Kumar, Goyal, Sakshi, Bansal, Vishal, Jaiswal, Kritik
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9153316/
https://www.ncbi.nlm.nih.gov/pubmed/35655637
http://dx.doi.org/10.4103/JCAS.JCAS_227_20
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author Malviya, Vikas Kumar
Goyal, Sakshi
Bansal, Vishal
Jaiswal, Kritik
author_facet Malviya, Vikas Kumar
Goyal, Sakshi
Bansal, Vishal
Jaiswal, Kritik
author_sort Malviya, Vikas Kumar
collection PubMed
description INTRODUCTION: Diabetic foot ulcer (DFU) is a common complication of uncontrolled diabetes. Negative pressure wound therapy (NPWT) with irrigation of normal saline is one of the methods for wound care and dressing techniques in DFU. Wound assessment is another aspect of DFU management for deciding whether the wound is prepared or not for coverage. The present study uses DEPA score as a wound assessment tool in DFU. MATERIALS AND METHODS: This case series include 11 patients with DFU who were treated using NPWT with simultaneous irrigation of normal saline. RESULTS: All 11 patients were male and age more than 60. Most patients have duration of diabetes for less than 10 years. Staphylococcus aureus (n = 5, 45.4%) was most common bacterial flora. Most patients in series presented with DEPA score more than 7 and after application of NPWT instillation therapy significant improvement seen with score in most of the patient with DEPA score below 6. Mean time for NPWT (irrigation) application was 15 days. Mean time of wound preparation was 18.7 days. Final surgical procedures executed in all patients, split skin grafting performed in 7 patients. 4 patients had wound coverage by reverse sural flap (2), medial plantar flap (1) and local flap coverage (1). CONCLUSION: NPWT with normal saline irrigation is an effective method of wound preparation in DFU. DEPA score is an important tool for assessment of wound preparation which gives exact information for timing of wound coverage once diabetic foot wound is prepared.
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spelling pubmed-91533162022-06-01 Clinical Uses of NPWT with Irrigation of Normal Saline in Diabetic Foot Ulcer: Outcome Assessed by DEPA Score Malviya, Vikas Kumar Goyal, Sakshi Bansal, Vishal Jaiswal, Kritik J Cutan Aesthet Surg Original Article INTRODUCTION: Diabetic foot ulcer (DFU) is a common complication of uncontrolled diabetes. Negative pressure wound therapy (NPWT) with irrigation of normal saline is one of the methods for wound care and dressing techniques in DFU. Wound assessment is another aspect of DFU management for deciding whether the wound is prepared or not for coverage. The present study uses DEPA score as a wound assessment tool in DFU. MATERIALS AND METHODS: This case series include 11 patients with DFU who were treated using NPWT with simultaneous irrigation of normal saline. RESULTS: All 11 patients were male and age more than 60. Most patients have duration of diabetes for less than 10 years. Staphylococcus aureus (n = 5, 45.4%) was most common bacterial flora. Most patients in series presented with DEPA score more than 7 and after application of NPWT instillation therapy significant improvement seen with score in most of the patient with DEPA score below 6. Mean time for NPWT (irrigation) application was 15 days. Mean time of wound preparation was 18.7 days. Final surgical procedures executed in all patients, split skin grafting performed in 7 patients. 4 patients had wound coverage by reverse sural flap (2), medial plantar flap (1) and local flap coverage (1). CONCLUSION: NPWT with normal saline irrigation is an effective method of wound preparation in DFU. DEPA score is an important tool for assessment of wound preparation which gives exact information for timing of wound coverage once diabetic foot wound is prepared. Wolters Kluwer - Medknow 2022 /pmc/articles/PMC9153316/ /pubmed/35655637 http://dx.doi.org/10.4103/JCAS.JCAS_227_20 Text en Copyright: © 2022 Journal of Cutaneous and Aesthetic Surgery https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Malviya, Vikas Kumar
Goyal, Sakshi
Bansal, Vishal
Jaiswal, Kritik
Clinical Uses of NPWT with Irrigation of Normal Saline in Diabetic Foot Ulcer: Outcome Assessed by DEPA Score
title Clinical Uses of NPWT with Irrigation of Normal Saline in Diabetic Foot Ulcer: Outcome Assessed by DEPA Score
title_full Clinical Uses of NPWT with Irrigation of Normal Saline in Diabetic Foot Ulcer: Outcome Assessed by DEPA Score
title_fullStr Clinical Uses of NPWT with Irrigation of Normal Saline in Diabetic Foot Ulcer: Outcome Assessed by DEPA Score
title_full_unstemmed Clinical Uses of NPWT with Irrigation of Normal Saline in Diabetic Foot Ulcer: Outcome Assessed by DEPA Score
title_short Clinical Uses of NPWT with Irrigation of Normal Saline in Diabetic Foot Ulcer: Outcome Assessed by DEPA Score
title_sort clinical uses of npwt with irrigation of normal saline in diabetic foot ulcer: outcome assessed by depa score
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9153316/
https://www.ncbi.nlm.nih.gov/pubmed/35655637
http://dx.doi.org/10.4103/JCAS.JCAS_227_20
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