SURGICAL COMPLICATIONS OF DIABETES MELLITUS IN AND AROUND KALABURAGI
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 80
Abstract
BACKGROUND Diabetes is an ancient disease, epidemic and an economic burden for the present era. Diabetes and its longterm major complications include septic, vascular (either microvascular or macrovascular) and neuropathic lesions which affect the various anatomical regions of the body. Majority of admissions to surgical wards are due to these surgical complications of diabetes. The objectives are to study the surgical complications of diabetes, their outcome and management modalities aimed at studying age, sex, regional pattern, socioeconomic pattern, mode of presentation, type of lesions, various modalities of treatment available in the hospital, and outcome of each modalities practised in the hospital. MATERIALS AND METHODS This is a descriptive study of 72 cases of diabetes mellitus with surgical complications like carbuncles, foot ulcers, neuropathy, etc. admitted in surgical wards of Basaveshwar Teaching and General Hospital, during the period extending from June 2015- May 2016. RESULTS It was found that these complications usually occur in the age of 51-60 years. The ratio of male: female is 2.13:1. And men who worked outdoors like agriculturists were commonly affected with these complications. Nearly 58 patients in this series of 72 had past history of trauma and subsequently lesions developed. The common lesions are septic lesions of the foot in the form of ulcers, cellulitis and gangrene, followed by vascular and neuropathic lesions. Most of them were managed conservatively. 13 cases underwent incision & drainage and came for regular followup, 10 cases underwent disarticulation of toes. 4 patients underwent below-knee amputations, whereas 8 patients underwent above-knee amputations and 7 patients needed split skin grafting for covering of raw area. Mortality rate of this series of 72 patients was 4.16% (n=3). CONCLUSION It was concluded that the known male diabetics with trivial injuries, on irregular treatment, who work outdoors usually present with lesions requiring admission and intervention. Commonly affected site is lower limb followed by upper limb.
Authors and Affiliations
Karbhari S. S, Puneeth Thalasta, Vamsi Krishna C, Ravi Dhaded
Keywords
Related Articles
- EP ID EP268161
- DOI 10.14260/Jemds/2017/1225
- Views 95
- Downloads 0
STUDY ON AWARENESS OF SYMPTOMS OF HYPOGLYCAEMIA & EARLY MANAGEMENT AMONG PATIENTS WITH DIABETES AND THEIR CAREGIVERS
BACKGROUND Drug induced hypoglycaemia is common among diabetics on medications. Lack of awareness on hypoglycaemic symptoms among patients and caregivers could pose delay in its identification and treatment. We wanted to...
INTESTINAL OBSTRUCTION IN PAEDIATRIC AGE GROUP DUE TO FOREIGN BODY INGESTION
PRESENTATION OF CASE An eight-year-old girl presented with chief complaints of abdominal pain associated with abdominal distension and paucity of faeces and flatus for four days. Pain was colicky in nature, mostly involv...
ASSOCIATION OF OBESITY WITH OSTEOARTHRITIS OF KNEE JOINT IN FEMALES
[b] Introduction[/b]: Osteoarthritis is a common degenerative disease of knee joints 1. Knee osteoarthritis is the most common type. Obesity is the main preventive risk factor that has been identified in large j...
CONVENTIONAL OPEN EARLY APPENDECTOMY IN MANAGEMENT OF APPENDIX LUMP
BACKGROUND Acute appendicitis is one of the most common causes for abdominal emergency worldwide. Its causes vary from the ones requiring medical management to those necessitating surgical intervention. Even though clini...
ROUTINE HISTOPATHOLOGICAL EXAMINATION OF TWO COMMON SURGICAL SPECIMENSAPPENDIX AND GALL BLADDER, ITS USEFULNESS AND IMPACT ON PATIENT MANAGEMENT
BACKGROUND Appendicectomy and cholecystectomy specimens removed from patients with suspected acute/ chronic appendicitis or cholecystitis often appear normal, but histopathological analysis of these cases may reveal a mo...