ABSTRACT
Background: The application of controlled levels of negative pressure has been shown to accelerate debridement and promote healing in many different types of wounds. Vacuum assisted closure (VAC) has proved its efficacy for wound dressing leading to faster wound healing and shorter hospital stay. The aim of the study was to determinethe advantage of vacuum assisted closure over conventional dressing in SCBMCH hospital.Methods:The study was conducted at general surgery wards of SCB Medical College hospital. After debridement of the wound vacuum assisted dressing was applied. Control group was given conventional dressing.Results:In the study sample 10% patients were less than 40 years,76% belonged to 41-60 age group and 7% were more than 61 years of age, 60% male and 40% female. Wounds were located in the foot 27 (54%), leg 19 (38%), sole 2 (4%) and forearm 2 (4%). Patients with sterile pre (VAC), culture and sensitivity was not turning non sterile after VAC, but 90% non-sterile turns sterile after vacuum assisted dressing. In 5 days 25% of granulation tissue formed in VAC dressing whereas only 10% in case control. Similarly, in 10 days it was 40% for VAC and 25% in case of control. Finally, in 15 days it was 70% in case of VAC and 40% in case of control.Conclusions:VAC results in better healing, with few serious complications, and a promising alternative for the management of various wounds.
ABSTRACT
Colonic anastomosis is mostly due to to primary colonic diseases like volvulus, carcinoma, strangulation, injuries and stricture .As a result intestinal ischaemia and gangrene develops and finally the affected bowel is resected and end to end anastomosis is done .The aim of the study is to evaluate the effectiveness and outcome of colonic anastomosis by single layer or double layer. Methods: 134 cases were selected for this study.69 patients were taken up for single layer and 65 for double layer anastomosis. Single layer anastomosis has a better outcome in terms of healing, less time consuming and minimal complications. Results: Single layer takes less time, post. Operative complications are minimal, duration of hospital stay is less and mortality and morbidity is reduced. Conclusion: Single layer anastomosis should be a preferred technique and a procedure of choice for colonic anastomosis.