Clinical efficacy of Kaolin-impregnated dressing for hemostatic control in diabetic foot ulcer with anticoagulant therapy undergoing surgical debridement in Outpatient clinic: A prospective, randomized, clinical trial Yeok Gu Hwang, MD; Eun Ae Won, RN; Jin Woo Lee, MD, PhD; Seung Hwan Han, MD, PhD Department of Orthopaedic Surgery Yonsei University College of Medicine, Seoul, Korea
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Clinical efficacy of Kaolin-impregnated dressing for ... - HWANG...Agreed the written consent form Inclusion criteria Exclusion criteria 1. Pregnancy 2. Immunosuppressant therapy,
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Clinical efficacy of Kaolin-impregnated dressing for hemostatic control in diabetic
foot ulcer with anticoagulant therapy undergoing surgical debridement in Outpatient clinic: A prospective, randomized, clinical trial
• Total 20 patients (15 men and 5 women) who surgical debridement
• Conventional manual compression methods using
Dry gauze VS Kaolin-impregnated gauze
• Hemostatic measures at 5 and 10 minute
Patients and Methods
1. Over 20 years old 2. Type I or II diabetes mellitus(DM) 3. Ulcer Wagner grade I or II ulcer 4. Above 2 cm diameter 5. Without infection or inflammation (local tenderness, erythema,
generalized fever, and leukocytosis) 6. Good extremity circulation status 7. Received anticoagulation therapy 8. Agreed the written consent form
Inclusion criteria
Exclusion criteria
1. Pregnancy 2. Immunosuppressant therapy, systemic cardiopulmonary disease 3. Not agree to this study
• Hemostatic dressing
– Flexible, non-woven coated gauze impregnated with kaolin construction
• No evidence of the bleeding in study group within 10 minutes
• Eight of 10 diabetic foot ulcer treated with a Kaolin-impregnated dressing observed complete hemostasis within 5 minutes
• Five of 10 patients in control group, fail to achieve hemostasis in 10 minutes
• Adverse effects were not noted in all patients.
Results
Conclusion
The use of Kaolin-impregnated dressing appears to be a safe and feasible option in the management of diabetic foot ulcers who had a bleeding tendency is high
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