Efficacy of Dermabrasion in the Treatment of Lower Extremity Ulcers - A Prospective study.

Dileep Ramesh Hoysal; Vijayakumar HM

Volume : IX, Issue : IV, April - 2020

Efficacy of Dermabrasion in the Treatment of Lower Extremity Ulcers - A Prospective study.

Dileep Ramesh Hoysal, Vijayakumar Hm

Abstract :

BACKGROUND: Management of extremity ulcers is a topic of great interest. Some of the basic methods of managing ulcers can be listed as revascularization, deidement of non–viable tissues, reduction of edema, appropriate dressing, antibiotics when necessary, control of co–morbidities, close wounds surgically with grafts or flaps. Deidement prepares the wound for healing by reducing the bioburden. Without an adequate deidement, a wound is persistently exposed to cytotoxic stressors and competes with bacteria for scarce resources such as oxygen and nutrients. Dermaasion is a tool in the management of dermatological conditions like post–acne scarring, naevi, adenoma sebaceum and also in the management of burns. In this study the use of dermaasion as a deidement tool in the management of ulcers has been evaluated. OBJECTIVE: To compare the outcome of dermaasion with the conventional method in terms of Assessment of Wound healing, No of days of Hospital stay and pain during the procedure METHODOLOGY: From Oct 2012 to May 2017 patients presenting to outpatient clinic or admitted into the hospital (M S Ramaiah Hospitals) with an lower extremity ulcer were recruited into the study. RESULT: In this study, mean ASEPSIS scores was 47.78  2.208 in the conventional group (CG) and in the trial group (TG) 47.49  2.210. No statistically significant difference was noted between the groups in terms of Wound scores (p=0.331). In this study the mean VAS scores was 4.95 1.079 in the CG and in TG it was 2.60  1.047 (p<0.05). Mean duration of hospital stay was 13.33 4.397 days in TG and in the CG it was 12.22  4.837 days. CONCLUSION: Dermaasion reduces the pain during the procedure significantly, promotes granulation and decreases the healing time without damaging the normal tissue or producing complications.