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.

ULCER PIERCING:CLEANSING OF COMPLICATED DIABETIC NEUROPATIC FOOT ULCERS BY POSITIVE PRESSURE IRRIGATION / Cavallini, Marco. - In: JOURNAL OF WOUND CARE. - ISSN 0969-0700. - STAMPA. - 23:2(2014), pp. 60-65. [10.12968/jowc.2014.23.2.60]

ULCER PIERCING:CLEANSING OF COMPLICATED DIABETIC NEUROPATIC FOOT ULCERS BY POSITIVE PRESSURE IRRIGATION

CAVALLINI, Marco
2014

Abstract

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.
2014
DIABETIC FOOT; TIUSSUE INFECTION; SURGICAL DRAINAGE
01 Pubblicazione su rivista::01a Articolo in rivista
ULCER PIERCING:CLEANSING OF COMPLICATED DIABETIC NEUROPATIC FOOT ULCERS BY POSITIVE PRESSURE IRRIGATION / Cavallini, Marco. - In: JOURNAL OF WOUND CARE. - ISSN 0969-0700. - STAMPA. - 23:2(2014), pp. 60-65. [10.12968/jowc.2014.23.2.60]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/549677
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