DİYABETİK AYAK YARALARINDA NEGATİF BASINÇLI YARA KAPAMA SİSTEMİ ETKİLİ MİDİR ? RETROSPEKTİF KARŞILAŞTIRMALI ÇALIŞMA

AMAÇ: Travmaya bağlı olmayan ayak ampütasyonlarının yarısından fazlası diyabetik hastalarda görülmektedir. Bu çalışmadaki amacımız, son yıllarda kullanımı artan nega-tif basınçlı yara kapama cihazı (NBYT) uygulamasının di-yabetik ayaklı hastaların tedavisinde kullanım sonuçlarını değerlendirmektir.

Anahtar Kelimeler:

Diyabetik Ayak, Negatif-Basınçlı Yara Terapisi, Antibiotik

IS NEGATIVE PRESSURE WOUND CLOSURE SYSTEM EFFECTIVE IN DIABETIC FOOT INFECTION? A COMPARATIVE RETROSPECTIVE STUDY

OBJECTIVE: More than half percent of nontraumatic foot amputation seen on diabetic patients. Our aim in this study is to evaluate the use of negative pressure wound closure device (NBYT), which has been used in recent years, in the treatment of patients with diabetic foot.MATERIAL AND METHODS: 40 patients who were followed for diabetic foot wound was divided into two group. 20 patients were followed-up with debridement and dressing (NBYT-) and 20 patients with vacuum assisted closure system and debridement (NBYT +).RESULTS: According to the Wagner classification of patients with NBYT; 2 were in stage 2, 8 were stage 3, 9 were stage 4 and 1 was stage 5. According to Pedis classification 10 were stage 3, 1 were stage 4. In the NBYT (-) group according to Wagner classification 4 patients were stage 2, 7 were stage 3, 8 were stage 4 and 1was stage 5. Debridement was performed on 16 of NBYT + patients, amputation was performed on 3, and epidermal growth factor (EGF) was applied on 3. Fourteen of NBYT (-) patients were debrided and 7 were amputated. There was a statistically significant difference in terms of hospitalization duration and wound size according to the patients who were applied NBYT (p <0.05).CONCLUSIONS: NBYT has been shown to reduce the length of hospitalization and amputation rate. More extensive prospective, randomized, multidisciplinary studies are needed on this topic.

Keywords:

Diabetic Foot, Negative-Pressure Wound Therapy, Antibiotic,

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