scholarly journals Definitive surgical treatment for diabetic forefoot ulcer

2018 ◽  
Vol 5 (12) ◽  
pp. 3982
Author(s):  
M. K. Rajendran
Keyword(s):  
Surgical Treatment ◽  
Head And Neck ◽  
Diabetic Foot ◽  
Major Amputation ◽  
Diabetic Patients ◽  
Foot Pressure ◽  
College Hospital ◽  
Medical College ◽  
Diabetic Population ◽  
Short Time

Background: Diabetic foot ulcers are common among 15% of the diabetic population, at one stage of life that may progress to minor or major amputation, because of not healing with all modalities of the treatment. Since recurrent rate is >90%. But the surgical treatment of the forefoot ulcer so-called surgery offloading will heal the ulcer within a short time and prevent minor of major amputation. The purpose of this study was to compare different outcome measures in the audit of the management of diabetic foot ulcers.Methods: Totally 20 diabetic patients were included in the study. The study was conducted in the department of plastic surgery, Government Mohan Kumaramangalam Medical College Hospital, from 2016-2018. Followed 20 patients with a surgical procedure called surgical offloading is by removing pressure element in head and neck of metatarsal bone involved.Results: Among the 20 patients wound healed, in about 12 patients within 4 to 5 week and its remaining 5 patients wound healed in 5 to 6 weeks are in other 2 patients it takes. More than 6 weeks to heal. We followed the patients for the past 1 year, out of 20 patients, 2 patients have developed an ulcer in another site, not the same site. In all other patients wound healed completely without any recurrence.Conclusions: In our study reducing the foot pressure by doing an excision of head and neck metatarsal surgically will completely remove the foot pressure over the ulcer site that helps to heal the ulcer without recurrence.

“A STUDY ON FACTORS INFLUENCING THE CLINICAL OUTCOMES OF RAY AMPUTATION IN DIABETIC FOOT PATIENTS’’

2021 ◽  
pp. 25-27
Author(s):  
Rajamoorthi P ◽  
Balaji V ◽  
Shanmugam S ◽  
Kiran kumar
Keyword(s):  
Diabetic Foot ◽  
Ulcer Patient ◽  
Diabetic Patients ◽  
Preventative Care ◽  
Foot Care ◽  
Male Population ◽  
College Hospital ◽  
Diabetic Ulcer ◽  
Regular Treatment ◽  
Medical College

The study was conducted on 50 diabetic foot patients who underwent Rays amputation in the Department of General Surgery, Chengalpattu Medical College Hospital from April 2021 to July 2021. The aim of our study was to “evaluate the factors for re-ulceration, re-amputation in diabetic foot patient following rays amputation”. The study was conducted after performing Rays amputation in diabetic patients after satisfying the inclusion and exclusion criteria In this study, Diabetic foot patients with Rays amputation was more common among the male population with mean age group being 60 – 69 years of age. Long duration of diabetes mellitus, diabetic ulcer patient with co morbidities had poor outcome. Early identication of diabetic ulcer patients with co- morbidities could assist clinicians in determining which patient mostly require reamputation. These patients should undergo aggressive and frequent preventative care including regular foot care visits, blood sugar control, regular treatment and follow up for comorbidities, diabetic foot education, specialized footwear, and evaluation for other complications

Management and Outcome of Diabetic Foot-A Study of Hundred Case

2020 ◽  
Vol 23 (1) ◽  
pp. 25-28
Author(s):  
Mohammad Ali ◽  
Md Jamal E Rabby ◽  
Md Masud Zaman ◽  
Md Abdus Salam ◽  
Md Kabirul Hassan ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Diabetic Foot ◽  
Foot Ulcer ◽  
Treatment Modalities ◽  
Diabetic Patients ◽  
Minor Trauma ◽  
College Hospital ◽  
Medical College ◽  
Foot Complications ◽  
Foot Problems

Background: Diabetes mellitus is a complex metabolic disorder that affect 1-2 percent of the population. It can give rise to many tissue complications among which foot is particularly vulnerable to circulatory and neurological disorder, so that even minor trauma can lead to ulceration and infection. Methods: Between September 2008 and August 2009, 100 patients were undergone treatment for diabetic foot at department of Surgery, Shaheed Ziaur Rahman Medical College Hospital, Bogra. This study included all the cases of diabetic foot irrespective of age, sex and diabetic status. Results: After 12 weeks treatment 84% of patient were completely recovered, 2% developed abscess, 8% developed ulceration and 6% developed gangrene. Mean age of diabetic patients with foot ulcer is 50-60 years. Out of 100 cases 64% male and 36% female. Maximum number of patient (64%) had foot problems after suffering from diabetes mellitus for a period of 6-10 years. Conclusion: The modalities of treatment of diabetic foot should be selected for each type of pathology depending on the pattern of presentations of diabetic foot. Careful selection of treatment modalities can reduce the rate of diabetic foot complications and improve the quality of life of diabetic patients. Journal of Surgical Sciences (2019) Vol. 23 (1) : 25-28

scholarly journals Analysing Diabetic Foot Amputations through Amit Jain’s Extended SCC Classification

2021 ◽  
Vol 8 (8) ◽  
pp. 435-439
Author(s):  
Amit Kumar C. Jain ◽  
Vishakha M ◽  
Pratheek K.C
Keyword(s):  
Diabetic Foot ◽  
Financial Burden ◽  
Tertiary Care ◽  
Major Amputation ◽  
Diabetic Patients ◽  
Medical College ◽  
Institutional Ethics ◽  
Minor Amputation ◽  
Type 3

BACKGROUND Foot amputations are common in diabetic patients and they are either minor or major. We conducted this study to analyse minor amputations done in diabetic patients through this new Amit Jain’s extended “SCC” classification for foot amputations. METHODS A descriptive retrospective study was conducted in Department of Surgery of Raja Rajeswari Medical College, Bengaluru, Karnataka, India, which is a tertiary care teaching hospital. The study period was from January 2018 to December 2019. This study was approved by institutional ethics committee. RESULTS 32 patients were included in this study with majority of patients being above 40 years. 78.1 % of them were males. Infected ulcers in the foot accounted for 34.4 % of the cases and were the commonest cause for amputation. 96.9 % of the patients who underwent minor amputation were of type 1-foot amputation. 6.3 % ended up in major amputation in the same hospitalisation. There was no in-patient mortality in this study. CONCLUSIONS Diabetic foot amputations are common in clinical practice and they often cause increased morbidity and add financial burden to patients and their family. Toe amputations, which are type 1-foot amputations, are the commonest amputations performed. Type 3-foot amputations are rarely done as they are complicated and require expertise. Amit Jain’s extended SCC classification for foot amputation is a simple, easy to understand and practical classification that categorises the minor amputation into 3 simple types. This is the first such classification exclusive for foot amputation. KEYWORDS Diabetes, Amputation, Foot, Amit Jain, Osteomyelitis, Gangrene, Ulcer

scholarly journals Result of using a minimally invasive method of surgical treatment of purulent-necrotic complications in a patient with diabetic foot syndrome

2020 ◽  
Vol 39 (3) ◽  
pp. 60-64
Author(s):  
Sergey Y. Ivanusa ◽  
Boris V. Risman ◽  
Andrey V. Yanishevskiy
Keyword(s):  
Surgical Treatment ◽  
Minimally Invasive ◽  
Diabetic Foot ◽  
Pain Syndrome ◽  
Diabetic Foot Syndrome ◽  
Military Medical Academy ◽  
Results Of Treatment ◽  
Medical Academy ◽  
Invasive Method ◽  
Short Time

The article presents an analysis of the results of treatment of a patient with purulent-necrotic complications of diabetic foot syndrome, who, in the framework of surgical treatment, used a minimally invasive method of treatment of purulent-necrotic complications of diabetic foot syndrome, developed at the departments of general surgery and normal anatomy of the S.M. Kirov Military Medical Academy. The effectiveness of the developed method has been demonstrated, which makes it possible to sanitize the purulent cavity in a short time, stop pain syndrome and restore the support ability of the foot (4 figs, 1 table, bibliography: 7 refs).

STUDY OF OUTCOME OF CHRONIC KIDNEY DISEASE IN DIABETIC PATIENTS IN THANJAVUR MEDICAL COLLEGE HOSPITAL

2021 ◽  
pp. 17-20
Author(s):  
S.Hema Akilandeswari ◽  
K. Rajkanth ◽  
S. Janani
Keyword(s):  
Diabetes Mellitus ◽  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Glycemic Control ◽  
Medical College Hospital ◽  
Diabetic Patients ◽  
Type I ◽  
Strong Positive Correlation ◽  
College Hospital ◽  
Medical College

Background: Diabetes Mellitus is one of the common causes of Chronic Kidney Disease which usually leads to end-stage kidney disease. Thus this study was planned to nd out the outcome of CKD in DM, disease progression, appropriate management and the complications. Methods: A cross sectional study among Diabetes Mellitus patients with Chronic Kidney Disease attending the Department of Nephrology and Department of Medicine in Thanjavur Medical College Hospital during the period of July and August 2018. The duration of study period was 2 months. All patients who attended the outpatient department (OPD) and in-patients departments with Type I and Type II diabetes mellitus associated with chronic kidney disease, on any line of management were included in this study. A total of 101 patients were included. Statistical Package for Social Sciences (SPSS for Windows V20) was used for data analysis. Results: Poor glycemic control, albuminuria, hypertriglyceridemia (greater than 150), increase in LDLlevels (greater than 100), BMI (greater than or equal to 25), poor BP control and a longer duration of diabetes mellitus had a strong positive correlation with decrease in eGFR less than 60 ml/min. Glycemic control, weight reduction and adequate BPcontrol retard the progression of CKD. Conclusion: Albuminuria and decline in eGFR both are independent risk factors for diabetic CKD and are strong predictors of morbidity and mortality from a major vascular event, especially cardiovascular complications and stroke.

The diabetic foot

2011 ◽  
pp. 1976-1989
Author(s):  
Michael Edmonds ◽  
Alethea. Foster
Keyword(s):  
Diabetic Foot ◽  
Early Recognition ◽  
Treatment Plan ◽  
Staging System ◽  
Major Amputation ◽  
Foot Ulcers ◽  
Diabetic Patients ◽  
Tissue Destruction ◽  
National Guidelines ◽  
International Consensus

At some time in their life, 15% of people with diabetes develop foot ulcers, which are highly susceptible to infection. This may spread rapidly leading to overwhelming tissue destruction and amputation: indeed, 85% of amputations are preceded by an ulcer and there is an amputation in a person with diabetes every 30 seconds throughout the world (1). Evidence-based protocols for diabetic foot ulcers have been developed (2), and diabetic foot programmes that have promoted a multidisciplinary approach to heal foot ulcers with aggressive management of infection and ischaemia have achieved a substantial decrease in amputation rates (3, 4). Furthermore, a reduction in amputations has been reported nationwide in diabetic patients throughout the Netherlands (5). Recently, a decrease in major amputation incidence has been reported in diabetic as well as in nondiabetic patients in Helsinki (6). These reports have stressed the importance of early recognition of the ‘at-risk’ foot, the prompt institution of preventive measures, and the provision of rapid and intensive treatment of foot infection and also evascularization in multidisciplinary foot clinics. Such measures can reduce the number of amputations in diabetic patients. Systematic reviews on prevention and treatment have been carried out, e.g. see Eldor et al. (7), and national guidelines have recently been formulated (8, 9). An International Consensus developed in 1999 was re-launched in revised form as an interactive DVD (10, 11) in 2007. This chapter outlines a simple classification of the diabetic foot into the neuropathic and neuroischaemic foot. It then describes a simple staging system of the natural history of the diabetic foot and a treatment plan for each stage. Successful management of the diabetic foot needs the expertise of a multidisciplinary team which should include physician, podiatrist, nurse, orthotist, radiologist, and surgeon working closely together, within the focus of a diabetic foot clinic.

scholarly journals Management of congential muscular toticollis under one year of age

2012 ◽  
Vol 1 (2) ◽  
pp. 2-5
Author(s):  
Abdul Matin ◽  
Md Rafiqul Islam ◽  
Ranjit Ranjan Roy ◽  
Bijoy Krishna Das ◽  
Sudesh Chandra Rakshit ◽  
...  
Keyword(s):  
Head And Neck ◽  
Sternocleidomastoid Muscle ◽  
Medical College Hospital ◽  
College Hospital ◽  
Congenital Muscular Torticollis ◽  
Medical College ◽  
One Year ◽  
Neonates And Infants ◽  
Muscular Torticollis ◽  
Postural Deformity

Background and study aim: Torticollis is the postural deformity of head and neck. Congenital Muscular Torticollis (CMT) is a postural deformity of head and neck detected at birth or shortly after birth, primarily resulting from unilateral shortening of Sternocleidomastoid muscle (SCM), In neonates and infants, patient may cure conservatively by physiotherapy but surgery is the treatment of choice for children and adolescents. Here we show our experience regarding management of congenital muscular torticollis with physiotherapy. Patients and Methods: This is an observational descriptive study. Verbal consent from parents was taken. Patients of congenital muscular torticollis with other disease or other congenital anomaly were excluded from study. Twenty patients of congenital muscular torticollis were treated. The cases were enrolled between Nov' 2005 to Oct' 2008 in Bangabandhu Sheikh Mujib Medical University, Gonosasthaya Somaj Vittik Medical College Hospital, ZH Sikder Women's Medical College Hospital, Shaheed Shurawardy Medical College Hospital. Neonates and infants were treated conservatively with physiotherapy and non responsive cases were referred for surgery. Results: Patients age range from 5 days to 1 year of which eleven were females and nine were males. Sternocleidomastoid muscle (SCM) was shortened in all cases (12 on right side and 8 on left side). Of 20 patients 6 neonates, rest 14 infants within 1 year age. Out of 20 neonates and infants 17 were cured conservatively with physiotherapy and rest 3 were referred for surgery. Conclusion: Most of the patient of congenital muscular torticollis can be treated conservatively during infancy. DOI: http://dx.doi.org/10.3329/jssmc.v1i2.12157 Journal of Shaheed Suhrawardy Medical College Vol.1, No.2, December 2009 p.2-5

Incidence of Duodenal Ulcer and its Surgical Management in a Teaching Hospital in Bangladesh

1995 ◽  
Vol 25 (2) ◽  
pp. 67-68 ◽  
Author(s):  
Meer Mahbubul Alam
Keyword(s):  
Duodenal Ulcer ◽  
Surgical Treatment ◽  
Surgical Management ◽  
Teaching Hospital ◽  
Pyloric Stenosis ◽  
Medical College Hospital ◽  
College Hospital ◽  
Medical College ◽  
High Incidence

Duodenal ulcer patients with or without complications admitted in the surgical departments of Rajshahi Medical College Hospital (RMCH) during the period of 13 years from 1980–1992 were studied retrospectively. Duodenal ulcer accounted for 10/1000 admission and five operations per week. Of the 1623 patients with uncomplicated ulcer, only 623 needed surgical treatment. However, all of the 1599 who presented with pyloric stenosis, 1047 with peritonitis due to perforation, and 13 with hematemesis were operated upon. This study confirms previously published reports of high incidence of duodenal ulcer admissions in the hospital but shows a diminishing number in the uncomplicated cases requiring surgery.

scholarly journals Study of glycemic status and lipid profile in type 2 diabetic patients attending the Community Based Medical College Hospital

2014 ◽  
Vol 3 (1) ◽  
pp. 20-24
Author(s):  
Md Muzibar Rahman ◽  
Zahid Hassan ◽  
Bina Sen ◽  
ASM Shahidullah ◽  
Arup Ratan Paul ◽  
...  
Keyword(s):  
Total Cholesterol ◽  
Diabetic Patients ◽  
Male Counterpart ◽  
Type 2 Diabetic Patients ◽  
Community Based ◽  
College Hospital ◽  
Medical College ◽  
Type 2 Diabetic ◽  
Female Subjects

A cross sectional study of 129 type 2 diabetic patients attending out patient department of Community Based Medical College Hospital was done with an aim to evaluate their metabolic control. Of the total cases, 88 (68.2%) were male and 41 (31.8%) were female. Blood glucose and lipid levels were measured by following the standard laboratory methods. The study subjects had relatively poor glycemic control. Fasting serum glucose was 7.45±2.71 (mmol/l, mean±SD); Male-7.04±2.36 and Female 8.33±3.20, p=ns'. Mean (±SD) of total cholesterol and triglyceride of the female subjects were significantly higher compared to the male counterpart (p=0.01 for both). About 71% and 78.0% female subjects had triglyceride and HDLc abnormality compared to 63.3% and 61.4% respectively in their male counterpart. Fasting glucose level showed significant positive correlation with triglyceride among total and male study subjects (p=0.003 for both). In case of total cholesterol significant positive association was among total and female subjects (p=0.005 and 0.007 respectively).  The data concluded that (i) relatively large number of diabetic patients were having dyslipidemia of either component or in combination; and (ii) attention needs to be paid to address this issue of dyslipidemia and to avoid or at least delay the coronary artery and atherosclerotic complications of these subjects. CBMJ 2014 January: Vol. 03 No. 01 P: 20-24

scholarly journals Prevalence of fatty liver in type 2 Diabetic patients: Experience from northern Bangladesh

2018 ◽  
Vol 27 (2) ◽  
pp. 11-13
Author(s):  
M Akhtarul Islam ◽  
PM Basak ◽  
BC Sarkar ◽  
MMR Khan ◽  
MM Khanam ◽  
...  
Keyword(s):  
Fatty Liver ◽  
Diabetic Patients ◽  
Fatty Change ◽  
Type 2 Diabetic Patients ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Study Population ◽  
Patients Experience

This study was done to find out the prevalence of fatty liver in type2 Diabetic patients. This was a descriptive cross-sectional comparative study carried out in Department of Medicine, Rajshahi Medical College Hospital and Rajshahi Diabetic Association Hospital from July 2008 to June 2010. 100 (one hundred) diagnosed type2 diabetic patients were included. All of those study population were free from taking any hepatoxic drugs and free from any preexisting liver disease. This exclusion was done by history, through clinical examination and relevant investigations. Among 100 type2 diabetic patients, 66 (66%) had normal, 25 (25%) had mild fatty change, 6 (6%) had moderate fatty change in liver; 2 (2%) had mild hepatomegally and 1 (1%) had congested liver. Non had cirrhosis or hepatocellular carcinoma.TAJ 2014; 27(2): 11-13

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