IP International Journal of Aesthetic and Health Rejuvenation

Comparative study of low pressure VAC versus high pressure VAC in the management of pressure sore

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Article Type : Original Article

Author Details: Anirudh Mene,Sibajyoti Satapathy*

Volume : 4

Issue : 2

Online ISSN : XXXX

Print ISSN : XXXX

Article First Page : 31

Article End Page : 36

Abstract

A pressure ulcer is defined as any lesion caused by unrelieved pressure, resulting in damage to underlying tissue, and is acknowledged to be a clinical challenge for both the clinician and the patient.¹ Negative Pressure Wound Therapy (NPWT) uses negative pressure to assist wound healing. It not only drains fluid from the wound, thus removing the substrate for growth of microorganism but also accelerates granulation tissue formation and angiogenesis. The mechanical stimulation of cells by tensile forces also plays a role by increasing cellular proliferation and protein synthesis and promotes the formation of granulation tissue. Various studies have found NPWT more beneficial in wound healing in bedsores as compared to conventional wound therapy. But to the best of our knowledge, there is no study in the literature yet comparing low versus high pressure VAC therapy in management of pressure sore. This study was done to compare the efficacy of low NPWT versus high NPWT in the management of pressure ulcers and to observe wound disinfection, decrease in wound size, appearance of granulation tissue and duration of hospital stay in both groups. We also intend to compare the impact of the device on daily living and satisfaction quotient to device therapy. 50 patients having chronic pressure sore were studied. 25 cases were randomly chosen for study with low negative pressure WT and 25 cases were subjected to high NPWT.

Keywords: Negative Pressure Wound Therapy (NPWT), Bed sore, Chronic wounds, Suction device.

Doi No:-10.18231