Analysis of treatment - Diabetic Leg Ulcers Essay

Analysis of treatment - Diabetic Leg Ulcers - Essay Example The literature review has provided information to be used in changing the present tools One of the more novel approaches to advanced treatment of the diabetic ulcer today is light therapy. In this therapy, there is a light emitting diode used (LED) and a super luminous diode (SLD) that will deliver low intensity laser light. This treatment is used in synchrony with conservative sharp debridement, offloading, bioburden management, and advanced dressings. According to Sutterfield (2008), the patients tested resulted in a healed wound in 8 weeks of treatment. During this same time period Blume, Walters, & Payne (2008) compared negative pressure wound therapy using vacuum-assisted closure with advanced moist wound therapy. This was a randomized multicenter controlled trial. There were 342 patients enrolled in this study and the mean age was 58. . Patients were randomly assigned to either the advanced moisture wound therapy or the negative pressure therapy. Evaluation of the ulcers occurred for 112 days and then they were followed for 3 to 9 months. The results showed that complete ulcer closure occurred with vacuum assisted closure 43.2% of the time and 28.9% of the time with dressing and topical. Lavery, Boulton, and Niezgoda et.al. (2007), also completed a study comparing diabetic foot ulcer outcomes from negative pressure wound therapy with historical standard ulcer care. They did this by analyzing Medicare claims data of 1,135 patients with diabetic foot ulcers that were treated with negative pressure and reviewed the results of a controlled wet to moist therapy meta-analysis that was a randomized study. Within 12 weeks, the negative pressure treatment showed significantly better results than the wet to moist dressings Further, Fernandez-Montequin, Betancourt, Leyva-Gonzalez et.al. (2009) studied the use of intralesional administration of epidermal growth factor-based formulation (Heberprot-P) in treatment of ulcers. They found that