Volume : VII, Issue : VI, June - 2018

A COMPARATIVE STUDY OF IONIC SILVER GEL DRESSINGS VERSUS SALINE DRESSINGS IN ULCER MANAGEMENT.

Dr. Kota Pragathi, Dr M. Mallikarjuna Reddy

Abstract :

BACKGROUND:The trends in the management of ulcers have been changing over the years with the introduction of newer topical preparations and skin substitutes. One such novel preparation is ionic silver in hydrogel preparations.We propound our experience of ionic silver preparations in the management of various ulcers in our patients.

MATERIALS AND METHODS:The present case control prospective study was conducted at Department of General Surgery, NRI Medical College & Hospital, Guntur. All patients presented with ulcer between November 2015 & December 2016 were studied. Ionic silver gel dressings were done after thorough cleaning of the wound with normal saline.

RESULTS:Total number of cases studied were 70. Case and control groups were equally distributed, 35 in each. Mean time taken for the small ulcers to heal spontaneously was 7 days in the silver group (n=11) and 11.73 days in the control group (n=11). Mean time taken for medium ulcers to heal spontaneously was 9.12 days in the silver group (n=10) and 15.9 days in the control group (n=10). Mean time taken for medium sized ulcers to become fit for grafting was 10.4 days in the silver group (n=8) and 17.25 days in the control group (n=8). Mean time taken for the large ulcers to become fit for grafting was 10.75 days (n=6) and 19.87 days in the control group (n=6). 28 cases became fit for grafting and SSG was done.

CONCLUSION: Healing of ulcers is faster with ionic silver gel dressings when compared to saline dressings. Duration of hospital stay is less for patients on ionic silver dressings. More number of ulcers from the ionic silver group became fit for skin grafting much earlier.

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Article: Download PDF    DOI : https://www.doi.org/10.36106/gjra  

Cite This Article:

DR.KOTA PRAGATHI, DR M. MALLIKARJUNA REDDY, A COMPARATIVE STUDY OF IONIC SILVER GEL DRESSINGS VERSUS SALINE DRESSINGS IN ULCER MANAGEMENT., GLOBAL JOURNAL FOR RESEARCH ANALYSIS : Volume-7 | Issue-6 | June-2018


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