Health Condition 1: I00-I99- Diseases of the circulatory system
Conditions
Interventions
Intervention1: negative wound pressure therapy: negative wound pressure therapy or vacuum assisted closure device will applied over the amputated stumps for 5 days postoperatively, only once
Control I
Sponsors
VADDAVALLI VENKATA VINEETH
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patients with gangrene due to peripheral artery disease in lower limbs and would require major amputation (Below knee and above knee amputations). 2. Patients with below knee amputation should have at least one tibial artery outflow after revascularization or patent to have adequate supply for stump healing. 3. Patients with above knee amputation should have profunda femoris patent for adequate healing (confirmed by imaging arterial duplex or computed tomography)
Exclusion criteria
Exclusion criteria: 1. patient with inadequate lower extremity perfusion were not enrolled 2. patients with uncontrolled hyperglycemia ( A1c > 12) 3. Amputation in patients with collagen vascular disease, ulcer malignancy, and untreated osteomyelitis 4. Patients who were not able walk due to previous stroke will be excluded 5. Patients who has developed contracture and will require surgery for it will be excluded. 6. Patients underwent guillotine amputation will be excluded
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Wound infection, Stump dehiscence, Seroma/hematoma formation,Need for re-amputation Timepoint: 2 months | — |
Secondary
| Measure | Time frame |
|---|---|
| Complete healing of the stump,Eligibility for prosthesis placement or rehabilitation Timepoint: 2 months | — |
Countries
India
Contacts
Public ContactDr Ajay Savlania
POST GRADUATE INSTITUTE OF MEDICAL EDUCATION AND RESEARCH, CHANDIGARH
Outcome results
None listed