Résumé
Background: Delayed wound healing is a significant health problem, particularly in older adults. In addition to the pain and suffering, failure of the wound to heal also imposes social and financial burdens. Vacuum-assisted closure (VAC) therapy has been developed as an alternative to the standard forms of wound management, which incorporates the use of negative pressure to optimize conditions for wound healing and requires fewer painful dressing changes. Aim: To assess whether the management of non-healing wounds using VAC therapy will result in improved efficacy and safety outcomes compared with conventional methods. Materials and methods: Present prospective, time bound study was done for 1 year from January 2016 to December 2016 over 50 subjects (25 cases and 25 controls). Details of cases were recorded including history and wound characteristics. Routine investigations were done. Follow up with size of wound, appearance of granulation tissue after day 0, 3, 6, 9, 12 and so on dressings were done. Results: Patients managed with VAC had increased rate of r epithelialization and fewer patients required repeat split thickness skin graft to the same site. VAC was more effective at treating various chronic and complex wounds, as there was a significantly greater reduction in wound volume, depth and treatment duration. Conclusion: VAC results in better healing than standard methods, with few serious complications. More rigorous studies with larger sample sizes assessing the use of VAC therapy on different wound types are required
Résumé
Background: Antibiotics are used both pre and post operatively in acute appendicitis for preventing wound infection. It has been observed that the routine use of postoperative antibiotics is not necessary in cases of non-perforated appendicitis as only prophylactic antibiotics are sufficient to prevent wound infection. Aim: The aim of this study was to see the frequency of wound infection with the single dose preoperative antibiotics. Materials and methods: Present observational study was conducted at Department of General Surgery, Govt. Stanley Medical College and Hospital for period of one year. A total of 100 patients with non-perforated appendicitis were followed for wound infection till 8th postoperative day. Results: 100 patients, 64 male and 36 female were included in this study. In entire series, 6 patients were developed wound infection. The infection was minor which settled with conservative therapy. Prophylactic single dose antibiotic is efficacious in 94% patients. Conclusion: Single dose pre-operative antibiotics were found to be effective in controlling postoperative wound infection without the need of extending antibiotics to post-operative period in cases of non-perforated appendicitis.