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    1Magdy Salah El-Din Hussain, 1Hisham Wefky Anwar, 2Mostafa Mahmoud El Nakib, 1Amr Essam Mosaad*
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    • Evaluation of the Effect of Pulsed Electromagnetic Field Therapy in the Treatment of Chronic Wounds

    1Magdy Salah El-Din Hussain, 1Hisham Wefky Anwar, 2Mostafa Mahmoud El Nakib, 1Amr Essam Mosaad*
    1Department of General Surgery, Faculty of Medicine - Al-Azhar University 2Department of Medical Microbiology and Immunology, Military Medical Academy, Head of Quality Assurance and Accreditation, Armed forces College of Medicine

    Background: Recent innovations, such as hydrosurgery (Versajet), ultrasound therapy (the MIST therapy device), and plasma-mediated bipolar radio-frequency ablation therapy (Coblation) could represent an alternative to conventional debridement in many cases, especially for chronic non-healing wounds. Pulsed electromagnetic field (PEMF) has been used clinically as an intervention to enhance healing of chronic ulcers. Objective: To evaluate the effect of pulsed electromagnetic field therapy on healing of chronic wounds, as regard timing and quality of healing. Patients and Methods: Prospective study of the results 50 cases with different types of chronic wounds, according to inclusion and exclusion criteria, the patients’ age ranged from 20 -70 years. Selected from outpatient clinic of military hospital, or transferred through civilian outpatient's clinic in different hospitals and specific diabetic foot centers. They are diagnosed as infected resistant chronic wounds depending on clinical, laboratory and radiological investigations due to various reasons from August 2018 until March 2019, and managed by pulsed EMF therapy. Results: The analysis showed that there were statistically significant associations between treatment outcomes and pain (p =0.018), edema (p =0.005), number of sessions (p <0.001), microbial eradication (p =0.008). On the other hand, we found that there were statistically significant associations between complication rates and treatment outcome (p =0.008), microbial eradication (p <0.001), and hospital stay (p =0.002). (Table 5- 15). Conclusion: the PEMF therapy is safe and effective treatment option for patients with chronic, resistant wounds. The current study shows that the PEFM achieved high success rate with few complications. In addition, our analysis showed that achieving complete closure of the wound can be associated significant symptomatic relief and few incidence of complications. Nevertheless, further studies are still needed to confirm our findings. Keywords: Chronic, Pulsed, healing, ulcer.

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