Study of Lower Extremity Amputation in Diabetic Patients
Journal Title: New Indian Journal of Surgery - Year 2018, Vol 9, Issue 6
Abstract
Lower limb amputation is one of the most feared complications of diabetes preceded by foot ulcers. Amputations among people with diabetes are more common than in non-diabetic patients. This retrospective study included 50 random cases of lower extremity amputation done in diabetic patients admitted and treated in department of surgery, M.P. Shah medical college, Jamnagar during period of November 2015 to October 2017.Their age ranged between 24-87 years with a mean age of 58.86 years. There were 34 males and 16 females. All 50 patients were admitted previously, out of them 27 patients had history of previous any amputation and 23 patients treated conservatively. The majority of patients presented with alone or combination with infected/non healing ulcer, cellulitis and gangrene. The primary healing occur in 18 patients, healing occur after refashioning in 10 patients, after split skin grafting in 4 patients, required proximal amputation in 12 patients and 6 patients expired. The mean duration of hospital stay was 42.18 days±27.48 with no significant difference in the hospital stay in relation to the level of the amputation. Transmetatarsal, Transtibial and Transfemoral amputations are the main types of lower extremity amputations in diabetic patients. Transtibial amputations are associated with higher rates of complications, reoperation, delayed healing and mortality.
Authors and Affiliations
Franal H. Shah
Keywords
Related Articles
- EP ID EP548248
- DOI 10.21088/nijs.0976.4747.9618.6
- Views 71
- Downloads 0
Observational Study of 30 Cases of Esophageal Stenting with or without Adjuvant Chemoradiotherapy in Patients of Carcinoma Esophagus
Introduction: Esophageal cancer had an estimated 482,300 new cases in 2014 worldwide. The incidence rates of esophageal cancer vary greatly based on region, with the highest rates found in Asia, including China and Centr...
Procalcitonin Levels in Septic Patients with Trauma in Road Accidents in Tertiary Care Hospital
Sepsis is a complication of severe infection. It is characterised by a systemic inflammatory response to severe trauma. It is a potent cause of systemic inflammatory response. It is on a rise due to increasing number of...
Extracorporeal Shock Wave Lithotripsy in Pediatric Urolithiasis: A Single Institution Experience
Purpose: This retrospective study evaluated the presentations of urolithiasis and effectiveness of ESWL for urolithiasis in pediatric population. Materials and Methods: We analyzed the records of 68 children treated with...
Approach in an Open Incisional Hernia Mesh Repair - Transverse or Vertical Incision: A Prospective Analysis
Background: Incisional hernia is a common surgical condition with a reported incidence of 2-11% of patients subjected to abdominal operations. Aim: This is a prospective study which was under taken to study the differenc...
A Prospective Clinical Study to Evaluate the Role of Prophylactic Antibiotics in Laparoscopic Cholecystectomy Patients
Objectives: Three groups were compared on basis of postoperative symptoms and complications and overall duration of hospital stay to assess the role and rationale of use of antibiotics in patients undergoing Laparoscopic...