Stage-4 Sacral Pressure Ulcer Managed with Low Cost Vacuum Foam Dressing
Abstract
Introduction : Pressure sores or decubitus ulcers a multifactorial iatrogenic complication occurs in 5 to 10% of hospitalised patients. Management of stage 3 and stage 4 fatal pressure sores is often
challenging and prevention is the best strategy. They require repeated debridements, long term hospital stay and surgical interventions in the form of flap coverge and/or vacuum assisted closure.
Flap coverage is associated with complications of surgery. Vacuum suction devices are not available in most parts of developing countries and the cost is beyond the reach of the common man.
Study : Here we have assessed the efficacy of a low cost negative pressure wound therapy technique on stage 4 sacral bed sore.
Aim: The aim of this case report was to test the effectiveness of this technique in the generation of granulation tissue, control of infection and preparation of wound bed for further procedures.
Results of case were convincing and encouraging enough for considering this method for further studies.
Key Messages : The advent of vacuum assisted closure devices has dramatically improved the outcomes of difficult wounds. The only disadvantage associated is high cost of therapy. Here we
present a successful simple, low cost method of negative pressure wound therapy which can benefit many patients of developing countries.
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