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Ulcer piercing: Cleansing of complicated diabetic neuropathic foot ulcers by positive pressure irrigation

Cavallini, M

Journal of wound care, 2014-02, Vol.23 (2), p.60-65 [Periódico revisado por pares]

London: MA Healthcare

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  • Título:
    Ulcer piercing: Cleansing of complicated diabetic neuropathic foot ulcers by positive pressure irrigation
  • Autor: Cavallini, M
  • Assuntos: Diabetic Foot - therapy ; Female ; Humans ; Male ; Middle Aged ; Nursing ; Practice ; Punctures ; Therapeutic Irrigation - methods ; Treatment Outcome ; Wound Healing
  • É parte de: Journal of wound care, 2014-02, Vol.23 (2), p.60-65
  • Notas: ObjectType-Article-1
    SourceType-Scholarly Journals-1
    ObjectType-Feature-2
    content type line 23
    ObjectType-Article-2
    ObjectType-Feature-1
  • Descrição: Objective: To demonstrate the efficacy of the ulcer piercing procedure, which allows constant cleansing of the ulcer and facilitates a positive pressure irrigation of any pierced hidden tracts, in order to reduce the negative impact of stasis on wound healing. Method: We designed a surgical procedure of ulcer piercing and drainage with a silastic tube, which allows positive pressure irrigation of any pierced tracts. This procedure was performed in a continuous series of 25 selected diabetic patients affected by a Wagner stage 3 ulcer of the toe (n=16), metatarsal midfoot (n=5) and plantar Charcot foot (n=4), and with adequate foot arterial blood supply. Results: Within 6 months of the ulcer piercing procedure, 23/25 of ulcers had completely healed. In two further cases, the ulcer piercing ring was still in place after 3 and 5 months, progressively healing with no active signs of infection. Conclusion: Taking into consideration the advantages and the lack of side effects afforded by this procedure, ulcer piercing represents a small but effective step towards an easier and safer approach to treating complicated diabetic neuropathic foot ulcers with adequate arterial blood supply. Declaration of interest: There were no external sources of funding for this study. The author has no conflicts of interest to declare with regard to the manuscript or its content.
  • Editor: London: MA Healthcare
  • Idioma: Inglês
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