COMPARATIVE STUDY OF MODIFIED VACUUM ASSISTED CLOSURE DRESSING AND CONVENTIONAL DRESSING FOR SPLIT SKIN GRAFTING WOUND BED PREPARATION IN A TERTIARY CARE CENTER, CHENGALPATTU DISTRICT

Abstract

Background: Management of the wound is a challenging process. Many conventional techniques have been used so far for wound management yet desired results are not achieved. A newer technique which is cost effective and safer has come into the play that gives better results. The aim of this study is the evaluate the efficacy of Aim: the negative pressure wound therapy in wound management in low resource setting. To find out the effectiveness of vacuum Objective: assisted dressing on wound management by measuring graft uptake, wound healing time, need for re-grafting and hospital stay. In this prospective randomized comparative study, totally 52 cases were taken Materials and Method: and divided into two groups randomly by lottery method as control group with 26 cases for conventional papain-urea ointment in combination with amorphous hydrogel colloidal silver gel dressing and as interventional group of 26 cases with modified vacuum assisted dressing. All wounds were initially subjected to thorough debridement. Wound bed preparation for SSG was achieved within 3-4 sets of vacuum dressing. Until regular conventional dressing done in control group. All the patients subsequently treated with SSG. Outcome was measured and results are compared. Results: Vacuum assisted dressing found to have sterile wound ,reduced hospital stay, earlier decrease in wound size, good graft uptake, deceased complication and cost effective. Vacuum assisted dressing proven to be effective t Conclusion: han conventional method for wound bed preparation in SSG.