Online ISSN: 2515-8260

Keywords : chronic ulcers


An evaluation of the effectiveness of dermabrasion in the treatment of external ulcers using a randomized controlled trial

Dr. Pokala Praveen Kumar, Dr. Budida Sharada, Dr. Vangari Ravi, Dr. M. Rajanikanth

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 4, Pages 3189-3197

Background: Management of ulcers is a significant topic. Debridement of non-viable tissues, edema reduction, adequate dressing, and antibiotics if needed are fundamental ulcer management treatments. Disease control, Cover wounds with grafts or flaps. Bioburden is reduced via debridement to prepare the wound for healing. Without debridement, a wound is exposed to cytotoxic stimuli and competes for oxygen and nutrients with pathogens. Dermabrasion treats post-acne scars, naevi, sebaceous adenomas, and burns.
Aim & Objectives:

In this investigation, dermabrasion will be used to debride ulcers. Assess the usefulness and consequences of dermabrasion in ulcer care.
To compare dermabrasion to traditional treatment.
Assess wound healing.
Days in hospital Incision pain.

Materials and Methods: From the 120 patients presenting to outpatient clinic or admitted into the hospital with an ulcer on the extremity were recruited into the study.
Results: The mean VAS scores in this study were 5.11 ±1.31 in the conventional group and 2.52 1.089 in the trial group. The mean WOUND scores in this study were 13.97± 2.026 in the conventional group and 12.13 ±2.901 in the trial group. In terms of Wound scores, there was no statistically significant difference between the two groups (p=0.139). The mean ASEPSIS scores in this study were 47.89± 2.091 in the conventional group and 45.42 ±2.29 in the trial group. In terms of Wound scores, there was no statistically significant difference between the two groups (p=0.301).
Conclusion: Dermabrasion dramatically reduce discomfort during the surgery, enhances granulation and shortens healing time without injuring normal tissue or causing problems.

Efficacy of Dermabrasion in the Treatment of Externalulcers - A Randomised Controlled Trial

Velisala Madhuri,Dilip Vasant KA,Ambarapu Sowjanya Reddy, Nikhil Puduru

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 3, Pages 11083-11091

Background:Management of ulcers is a topic of great interest. Some of the basic methods of
managing ulcers can be listed as Debridement of non-viable tissues, reduction of edema,
appropriate dressing, Antibiotics if necessary, Control of co-morbidities, Close wounds
surgically with grafts or flaps. Debridement prepares the wound for healing by reducing the
bioburden. Without an adequate debridement, a wound is persistently exposed to cytotoxic
stressors and competes with bacteria for scarce resources such as oxygen and nutrients.
Dermabrasion 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 dermabrasion as a debridement tool in the management of ulcers shall be
evaluated.Aims and Objectives of the Study: To assess the usefulness and effects of
dermabrasion in the management of ulcers.To compare the outcome of dermabrasion with the
conventional method.Assessment of Wound healing.No of days of Hospital stay, Pain during
the procedure.
Materials and Methods: From the 100 patients presenting to outpatient clinic or admitted
into the hospital with an ulcer on the extremity were recruited into the study.
Results: In this study the mean VAS scores was 4.9± 1.110 in the conventional group and in
the trial it was 2.55 ± 1.227. In this study the mean WOUND scores was 13.22 ± 2.320 in the
conventional group and in the trial it was 12.28 ± 2.456. No statistically significant difference
was noted between the 2 groups in terms of Wound scores (p=0.139). In this study the mean
ASEPSIS scores was 48.38 ± 2.118 in the conventional group and in the trial it was 46.79 ±
2.310. No statistically significant difference was noted between the 2 groups in terms of
Wound scores (p=0.311).
Conclusion: Dermabrasion reduces the pain during the procedure significantly, promotes
granulation and decreases the healing time without damaging the normal tissue or producing
complications.