Volver consulta
|
| TITLE: | Unna's boot vs polyurethane foam dressings for the treatment of venous ulceration. A randomized prospective study. | ||||||
|---|---|---|---|---|---|---|---|
| AUTHORS: | Rubin JR; Alexander J; Plecha EJ; Marman C | ||||||
| AUTHOR AFFILIATION: | Department of Surgery, Cleveland, Veteran's Administration Medical Center, OH. | ||||||
| SOURCE: | Arch Surg 1990 Apr;125(4):489-90 | ||||||
| CITATION IDS: | PMID: 2181975 UI: 90210896 | ||||||
| ABSTRACT: | Recent reports have suggested that polyurethane foam dressings provide a more rapid and comfortable healing of venous stasis cutaneous ulcerations than standard semirigid impregnated gauze dressings. This multi-institutional study consists of a randomized, prospective comparison of 36 consecutive patients who were treated with either polyurethane foam dressings (group 1, n = 17) or Unna's boot (group 2, n = 19) for venous ulceration of the lower extremities. Ulcer size ranged from 6.0 to 270 cm2 (mean, 32.2 cm2) for group 1 and 0.2 to 600 cm2 (mean, 76.0 cm2) for group 2. Nine (52.9%) of 17 group 1 patients withdrew from the study due to wound odor, while there was 100% compliance in group 2. Overall wound healing was superior in group 2 (18 [94.7%] of 19) as compared with group 1 (7 [41.2%] of 17) (chi 2 = 8.2). The rate of healing was also better in group 2 (0.5 cm2/d) than in group 1 (0.07 cm2/d). Contrary to published European trials, impregnated gauze dressings exhibited superior treatment results when compared with polyurethane foam dressings in the current study. | ||||||
| MAIN MESH HEADINGS: |
*Bandages *Polyurethanes Varicose Ulcer/*therapy | ||||||
| ADDITIONAL MESH HEADINGS: |
Comparative Study Human Multicenter Studies Prospective Studies Randomized Controlled Trials Wound Healing | ||||||
| PUBLICATION TYPES: |
CLINICAL TRIAL JOURNAL ARTICLE MULTICENTER STUDY RANDOMIZED CONTROLLED TRIAL | ||||||
| CAS REGISTRY NUMBERS: |
0 (Polyurethanes) 91094-15-4 (Synthaderm) | ||||||
| LANGUAGES: | Eng | ||||||
|
Volver consulta
|