A Clinical Study on Diabetic Foot Ulcer
Journal Title: New Indian Journal of Surgery - Year 2018, Vol 9, Issue 5
Abstract
Background: Diabetic foot ulcer is one of the common presentation of diabetic foot. The number of people with diabetes worldwide was estimated at 131 million in 2000; it is projected to increase to 366 million by 2030. It is estimated that approximately 20% of hospital admissions among patients with DM are the result of diabetic foot ulcer. The aim of this study is to evaluate the clinical scenario of diabetic foot ulcer patients in our hospital and study the percentage of surgical intervention like debridement, amputation. Materials and Methods: 50 patients of diabetic foot ulcer admitted in the Department of General surgery at NRI Institute of Medical Sciences and Hospital, Visakhapatnam, Andhrapradesh, India during the period of April 2017 to March 2018. Results: The male to female ratio was approximately 1.7 Maximum number of patients was found in the age group of 56-65 years. Most of the patients had history of diabetes in between 5 to 10 years. Surgical complications was more common in male patients than female patients. Staphylococcus aureus was the most common organism found in culture report.The mainstay of treatment was conservative approach by controlling diabetes with human insulin along with antibiotics and wound debridement. The surgical procedure opted were split skin grafting, disarticulation and below knee amputation in few cases.In our study there was no mortality. Conclusion: The success of diabetic foot ulcer management depends on prevention, early assessment and treatment by multidisciplinary approach.
Authors and Affiliations
Raghunath Mohapatra
Keywords
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- DOI 10.21088/nijs.0976.4747.9518.14
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