Purpose: Last 20 years Ultrasound wound and skin treatment has been shown great interest in hospitals, clinics; wound care centers and doctors’ offices. The purpose of this presentation is to share of my about 50 years scientific/academic, industry and clinical experience on research (in vivo and in vitro, laboratory, bench, etc.), review, and evaluate the safety, validity and efficacy of ultrasound treatment of all types of acute and chronic wounds including diabetic foot ulcers and share the results with the existing and future users by enhancing their understanding of potential positive outcomes from using the different Ultrasound devices in wound management.
Methods: For wound treatment purposes, the low and high-frequency ultrasound devices have been used, which are been marketed worldwide. The ultrasonic parameters and design of instruments are very influential and critical for different aspects of wound treatment, such as ultrasonic energy delivery to target, tissue fractionation/ fragmentation/ debridement, liquefaction/ histotripsy, erosion, homogenization, liquation and wound therapy. Ultrasound treatment applies effective ways to prevent damage to surrounding healthy tissue and to succeed in therapeutic wound treatment. Treatment was both contact and non-contact modes, depending on the manufacturers, devices and wound conditions such as acute, infected, chronic, trauma, burn, gun shut, hard-to-heal, etc.
Results: All wounds have reacted well to ultrasound treatment; some of the wounds have exceeded expectations compared to standard-of-care treatment vectors. Even painful wounds have been aggressively debrided with some devices without local anesthetics and without patient complaints. Granulation process had started within two (2) days.
Discussion/Conclusion: Ultrasound wound treatment device and method recommended for use in the treatment of all types of wounds; depending on size, depth, infection, and other conditions, treatment time will vary. It kills the bacteria cells, increases blood flow in wound bed and peri-wound. Efficacy of the results correlates to numerous aspects of wave delivery and distribution of ultrasound energy to wound bed via multiple avenues of energy level, parameters, wave delivery concepts, e.g. contact and non-contact macro and micro-streaming.
Author: Eliaz Babaev, Arobella Medical LLC, USA
Conference: International Conference on Wound Care, Tissue Repair and Regenerative Medicine
Date & venue: June 14-15, 2018 | London, UK