Comparison Between Negative Pressure Wound Therapy and Conventional Wound Dressings Before and After Split-Thickness Skin Grafting in Diabetic Foot Wounds
NCT ID: NCT05716503
Last Updated: 2023-04-12
Study Results
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Basic Information
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UNKNOWN
NA
20 participants
INTERVENTIONAL
2023-02-01
2024-04-30
Brief Summary
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Detailed Description
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Vacuum-Assisted Closure device (VAC) helps to remove fluid from open wounds through a sealed dressing and tubing which is connected to a collection container. Vacuum-assisted closure (VAC) can provide stable and persistent negative pressure, and there are several modes to choose from.
VAC has played an important role in helping to close wounds, controlling infection, promoting angiogenesis, increasing blood flow, and promoting granulation tissue growth in wounds. It is now widely applied in all kinds of acute, chronic, and special wounds with good therapeutic results. However, there is a need to pay attention to contraindications and complications of VAC when it is used, avoiding secondary damage due to improper treatment.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
Control group (B): Will Receive once daily dressing with antibiotic ointment and gauze before and after skin grafting.
SUPPORTIVE_CARE
NONE
Study Groups
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Study group (A)
Study group (A): Will Receive negative pressure wound therapy dressings before skin grafting to prepare the wound bed and after skin grafting.
Negative Pressure Wound Therapy (NPWT)
Patients Will Receive negative pressure wound therapy dressings before skin grafting to prepare the wound bed and after skin grafting.
Control group (B)
Control group (B): Will Receive once daily dressing with antibiotic ointment and gauze before and after skin grafting.
Ordinary dressings with antibiotic ointment and gauze
Patients will Receive once daily dressing with antibiotic ointment and gauze before and after skin grafting.
Interventions
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Negative Pressure Wound Therapy (NPWT)
Patients Will Receive negative pressure wound therapy dressings before skin grafting to prepare the wound bed and after skin grafting.
Ordinary dressings with antibiotic ointment and gauze
Patients will Receive once daily dressing with antibiotic ointment and gauze before and after skin grafting.
Eligibility Criteria
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Inclusion Criteria
* Patients with diabetic foot wounds who are scheduled for skin grafting.
Exclusion Criteria
* An obvious septicemia.
* Foot osteomyelitis.
* Ulcer resulting from venous insufficiency.
* Features of malignant ulcer.
* Patients being treated with corticosteroids, immunosuppressive drugs.
* Any other serious pre-existing cardiovascular, pulmonary or immunological disease.
20 Years
75 Years
ALL
No
Sponsors
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Sohag University
OTHER
Responsible Party
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Hady Khaled Elhossiny
Resident of plastic and reconstructive surgery, Sohag University hospital
Locations
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Sohag university hospital
Sohag, , Egypt
Countries
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Central Contacts
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Gamal Y Elsayed, Professor
Role: CONTACT
Facility Contacts
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References
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Sinha K, Chauhan VD, Maheshwari R, Chauhan N, Rajan M, Agrawal A. Vacuum Assisted Closure Therapy versus Standard Wound Therapy for Open Musculoskeletal Injuries. Adv Orthop. 2013;2013:245940. doi: 10.1155/2013/245940. Epub 2013 Jun 26.
Lone AM, Zaroo MI, Laway BA, Pala NA, Bashir SA, Rasool A. Vacuum-assisted closure versus conventional dressings in the management of diabetic foot ulcers: a prospective case-control study. Diabet Foot Ankle. 2014 Apr 8;5. doi: 10.3402/dfa.v5.23345. eCollection 2014.
Ali Z, Anjum A, Khurshid L, Ahad H, Maajid S, Dhar SA. Evaluation of low-cost custom made VAC therapy compared with conventional wound dressings in the treatment of non-healing lower limb ulcers in lower socio-economic group patients of Kashmir valley. J Orthop Surg Res. 2015 Dec 10;10:183. doi: 10.1186/s13018-015-0314-5.
Ravari H, Modaghegh MH, Kazemzadeh GH, Johari HG, Vatanchi AM, Sangaki A, Shahrodi MV. Comparision of vacuum-asisted closure and moist wound dressing in the treatment of diabetic foot ulcers. J Cutan Aesthet Surg. 2013 Jan;6(1):17-20. doi: 10.4103/0974-2077.110091.
Other Identifiers
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Soh-Med-23-01-08
Identifier Type: -
Identifier Source: org_study_id
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