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Chirurgia 2021 February;34(1):25-9

DOI: 10.23736/S0394-9508.20.05105-0

Copyright © 2020 EDIZIONI MINERVA MEDICA

lingua: Inglese

Effect of cryotherapy on infected diabetic foot wounds after surgical debridement

Zeinab M. ASKARY 1 , Mahmoud ELSHAZLY 2

1 Department of Vascular Surgery, Qena University Hospital, South Valley University, Qena, Egypt; 2 Department of Physical Therapy for Surgery, Faculty of Physical Therapy, South Valley University, Qena, Egypt



BACKGROUND: Diabetic foot infection may require surgical debridement. Proper wound care is essential to ensure optimal healing. In our study we aimed to evaluate the effect of cryotherapy on wound healing and bacterial growth.
METHODS: Between April 2018 and April 2019 and after obtaining written consent from all patients, surgical debridement was done for 60 patients with infected diabetic foot who presented to the Department of Vascular Surgery, South Valley University Hospitals, Qena. Later on, patients were divided into two equal groups. Group A (referred to Faculty of Physical Therapy for cryotherapy cessions). Group B treated with traditional wound care. The outcomes compared the wound surface area and the wound culture pre-treatment and after one month of wound care alone or wound care plus cryotherapy.
RESULTS: Post treatment there was a high statistically significant difference in the wound surface area between the two groups (P<0.05). Also, the comparison between the two groups post treatment revealed a significant decrease in positive wound culture of the study group compared with that of the control group (P<0.05).
CONCLUSIONS: Cryotherapy has a positive effect on promoting wound healing and decreasing bacterial growth in diabetic patients.


KEY WORDS: Diabetes mellitus; Cryotherapy; Wound healing

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