Open AccessBIABHIG PATIENTS;
Author(s) -
Muhammad Ahmad Ghazi,
Yasir Akram,
Muhammad Arshad Cheema
Publication year - 2007
Publication title -
the professional medical journal/the professional medical journal
Language(s) - English
Resource type - Journals
eISSN - 2071-7733
pISSN - 1024-8919
DOI - 10.29309/tpmj/2007.14.01.3621
Subject(s) - medicine , diabetes mellitus , surgery , amputation , diabetic foot , presentation (obstetrics) , foot (prosody) , complication , abscess , glycemic , debridement (dental) , linguistics , philosophy , endocrinology
Objective: Diabetics develop complications as a result ofinfection, microangiopathic and neuropathic changes. All these complication can be anticipated andprevented with good glycemic control and maintaining good podiatric care. This study was conducted todetermine the presentation and out come of diabetics in general surgical ward. Design: Observational crosssectional study Setting: Emergency and out patient department of South Surgical Ward, Mayo HospitalLahore. Period: Six months (1st June to 30th November 2004), Material and methods: 51 patients withdiabetes mellitus presenting, it included all the patients with diagnosed diabetes mellitus presenting withsurgical complications relating to their diabetes. All other patients who were normoglycemic or knowndiabetics without any surgical complications were excluded. Patients presenting with ulcerations on foot andlegs were classified on the basis of Wegners classification. Results: Out of 51 patients, 43.1%( 22) had adiagnosis of diabetic foot, 33.3%( 17) had an abscess and 23.5%( 12) had an abscess. According to theWagener's classification*. Class 2 was most common at presentation 34.8% and 23.5% of the patientspresenting with diabetic foot had to undergo an amputation thus suffering from a permanent disability.Conclusion: Good surgical debridement and proper use of antibiotics is required as well as good glycemiccontrol for early and safe recovery.