Study of Effect of Four Layer Compression Bandage versus Four Layer Compression Bandage with Negative Pressure Wound Therapy in Treatment of Chronic Venous Ulcer | ||||
| Ain Shams Journal of Surgery | ||||
| Volume 18, Issue 1, January 2025, Page 40-49 PDF (601.35 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/asjs.2024.343556.1170 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
Ahmed E. Abouelhassan; Ehab S. Abd-elazim; Mahmoud S. Eldesouky; Yahia Alkhateep 
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| Department of General Surgery, Faculty of Medicine, Menoufia University, Egypt | ||||
| Abstract | ||||
| Introduction: In order to improve wound healing conditions, negative pressure wound therapy (NPWT) was introduced as an alternative to conventional. Aim of work: Assessing effectiveness of adjuvant Negative Pressure Wound Therapy (NPWT) in conjunction with compression bandages in accelerating chronic venous ulcers healing. Patients and methods: Patients with venous leg ulcers for at least three months were enrolled in this study. A four-layer compression bandage was used to treat the first group (compression-only group). The second group (NPWT group) was treated with adjuvant Negative Pressure Wound Therapy (NPWT) in conjunction with a fourlayer compression bandage. Dressings were done twice a week, with ulcer size evaluation every two weeks. Results: The NPWT group showed a significant reduction in ulcer size compared to the compression-only group: 6.18±2.91 cm² vs. 7.55±3.12 cm² after two weeks, and 3.37±1.45 cm² vs. 5.74±2.09 cm² after four weeks. A significant difference was observed in the reduction in cumulative ulcer surface area between NPWT group and compression-only group: 29% vs. 17% after two weeks, and 61.3% vs. 37.9% after four weeks. After six weeks, 90% healing of index ulcer was achieved in 37 ulcers (74%) in the NPWT group versus 20 ulcers (40%) in the compression-only group, with statistically significant differences between the two groups. The mean duration needed for healing in the NPWT group was significantly lower (31.5±4.18 days) compared to the compression-only group (38.14±3.53 days). Conclusion: The combination of adjuvant NPWT and compression bandages significantly enhanced the healing of chronic venous ulcers, resulting in a shorter healing time and a higher number of healed ulcers compared to using compression bandages alone. | ||||
| Keywords | ||||
| Chronic Venous Ulcer; Compression Bandage; NPWT | ||||
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