AN OBSERVATIONAL STUDY OF VAC THERAPY (NEGATIVE PRESSURE) --A NEW ERA FOR THE FAST HEALING OF ULCERS IN NEUROPATHIC PATIENTS.

Introduction: VAC (VACUUM ASSISTED CLOSURE) is a potential treatment option for skin wounds that requires ideal negative pressure of 50-125mm/Hg which hastens the production of granulation tissue and encourage angiogenesis. Aim: To assess the efficacy of vacuum-assisted dressings in the management of nonhealing ulcers among neuropathic patients attending Dr.Pinnamaneni Siddhartha Institute of Medical Sciences & Research foundation ,Gannavaram, Krishna District, Andhra Pradesh. To Study That Negat Objectives: ive Pressure Wound Therapy (npwt) 1. Accelerates granulation tissue formation. 2. Rate of wound healing and mean duration of therapy. 3. Decreases the time of wound healing and bacterial burden of the wound bed. : Retrospective Cross-sectional study for Methodology a period of 24 months conducted in the Department of General Surgery, Dr. PSIMS & RF, Gannavaram, Krishna District A total of 44 Patients with nonhealing ulcers during the time period between Nov 2019 to Oct 2021. Inclusion Criteria: 1.Neuropathic Patients with non-healing ulcers 2.Pressure ulcers 1.Non-healing venous leg ulcers Exclusion Criteria: 2.Malignant Ulcers 3.Necrotic ulcer with eschar or slough before debridement 4.Actively bleeding wounds / wounds with visible blood vessels. 5.Wounds with untreated osteomyelitis 6.Arterial ulcers V.A.C dressing Conclusion: decreases Hospital stay, improves pus culture sensitivity and improves outcome and more Split skin graft uptake.