Eficacia del uso de la terapia de cierre asistido al vacío con instilación V.A.C. VeraFlo en el tratamiento de heridas en pie diabético en el Hospital General del Norte de Guayaquil Los Ceibos - Periodo julio 2017 a junio 2018.

Abstract

Introduction: The diabetic foot is triggered from a previous trauma, the same one that produces an injury and/or ulceration of the foot; in addition to the existence of sustained hyperglycemia, which leads to a series of neuropathic alterations where ischemia, neuroischemia, infection or deformity coexist; making these patients more predisponent to amputations. Therefore, the pathophysiological processes of the diabetic foot must be evaluated in an integral way, because all the phenomena occur simultaneously. In this project we will discuss the use of the Vacuum Assisted Closure system with instillation V.A.C. VeraFlo, as an effective therapy for the management and treatment of diabetic foot injuries, where its main objective is the cleaning of the surgical wound, protection of the wound from external contaminants and acceleration in the process and quality of healing. This negative pressure system reduces the frequency of the number of cures and debridement procedures, with better results compared to conventional treatment, offering better wound management, a better granulation process and even lower morbidity and mortality. Objective: To determine the efficacy of V.A.C. VeraFlo in patients with diabetic foot with the demonstration of reduced hospital stay and better results in the granulation process. Materials and methods: During an observational, analytical and prospective study that included 202 patients hospitalized in the General Hospital of the North of Guayaquil "Los Ceibos" from July 2017 to June 2018, whom the inclusion and exclusion criteria was applied, a total of 54 patient registered obtained and underwent negative pressure therapy with instillation. Results: Our study showed that patients with diabetic foot who underwent V.A.C. VeraFlo, had a significant clinical improvement in the closure of the wound, as well as a marked decrease in the time of hospitalization after the start of treatment. Although the clinical improvement was notorious, a statistically significant relationship could not be demonstrated, with a P = 0.6 value, due to a heterogeneous study group.