Wound bandage basing on lipidocolloid technology application experience in outpatient treatment of foot trophic ulcer

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Abstract


Foot trophic ulcer treatment in diabetic patients has significant value in amputation prophylactic. The aim of this study is to evaluate of comprehensive bandage materials employment in foot ulcer patients. Material and methods . Study includes 10 diabetic patients with neuropathic ulcers. Local treatment was conducted using bandages Urgosorb, Cellosorb MA, Urgotul SAG, Cellosorb Ag, Urgotul (Laboratories Urgo). Treatment protocol implied the extremity relief, ulcer defect processing with scalpel, antibacterial therapy in case of infection. There were estimated defect area dynamics, treatment duration, number of defects were healed during 8 weeks follo-up period. Results . Mean treatment duration before ulcer healing was 30.0 ± 9.1 days. Ulcer defects closed up in 6 of 9 patients who completed all treatment procedures. Three ulcers did not heal but defect area has shrunken up to 90,5% in compare to initial. Mean number of bandage changes during treatment was 15.4 ± 8.2. Defect surface median decreased from 113.2 (ranged 33,1 – 4013,1) mm2 to 38,4 (33,1–1351) mm2. There were no adverse effects regarding to bandages during treatment. Conclusion. In studied group of patients with foot trophic ulcer the application of bandages produced by Urgo Lab. revealed their atraumatics, good tolerance and satisfied efficiency in foot trophic ulcer treatment.

V B Bregovskyi

Email: podiatr@inbox.ru

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