Health Condition 1: 8- Other Procedures Health Condition 2: 8- Other Procedures
Conditions
Interventions
Intervention1: scooped curette used for daily wound debridement: Daily wound debridement was performed using a scooped curette under aseptic precautions to remove devitalized tissue while preserving h
Sponsors
Saveetha medical college and hospital
Eligibility
Inclusion criteria
Inclusion criteria: Adults aged 18 years and above. Patients with chronic non healing wounds of more than four weeks duration. Wounds requiring regular mechanical debridement as part of standard wound care. Wound etiologies including diabetic foot ulcers venous leg ulcers pressure ulcers post traumatic or post surgical wounds. Wound size within a manageable range suitable for bedside debridement. Patients who are willing to undergo daily wound debridement using a scooped curette. Patients who are able to comply with daily wound care and follow up. Patients who provide written informed consent.
Exclusion criteria
Exclusion criteria: Critical limb ischemia, uncontrolled infection or sepsis, bleeding disorders or anticoagulation, malignant wounds, exposed bone/tendon/vessels, stable dry gangrene, severe pain intolerance, poor general condition, immunocompromised state, pregnancy, and inability to comply with follow-up
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Effectiveness of wound debridement Time to achieve a clean wound bed Change in wound sizeTimepoint: Percentage reduction in wound area assessed at 2, 4, and 6 weeks Time to complete wound bed granulation within 4 weeks Time to readiness for definitive closure (grafting/secondary healing) within 6 weeks Incidence of procedure-related complications (bleeding, infection, pain) monitored throughout the study period (up to 6 weeks) | — |
Secondary
| Measure | Time frame |
|---|---|
| Bleeding during debridement (minimal / moderate / significant). Pain during procedure, assessed using Visual Analog Scale (VAS). Ease of debridement, as perceived by the operating surgeon. Need for definitive wound coverage (SSG, flap, secondary closure). Complications, if any (infection, excessive bleeding).Timepoint: Baseline (Day 0) Wound size, wound bed characteristics (slough, necrosis, granulation). Daily assessment Post-debridement wound bed status Bleeding and pain during procedure Day 7 Percentage of granulation tissue Change in wound area Day 14 Clean wound bed status Readiness for definitive coverage End of intervention When wound becomes suitable for closure or grafting Final wound measurements | — |
Countries
India
Contacts
Public ContactGuna Sahithi lebaka
Saveetha medical college and hospital
Outcome results
None listed