Volume : 6, Issue : 2, February - 2017

CLINICOPATHOLOGICAL EVALUATION AND MANAGEMENT OF DIABETIC WOUNDS

Dr. Pardeep Yadav, Dr. Ashish Bhadana, Dr. Sanjay Chatterji

Abstract :

<p>&nbsp;<span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 12pt; text-align: justify;">To study the bacteriology, pathophysiology of diabetic wound, various wound salvage procedures and outcome, different treatment modalities and newer techniques wherever applicable to prevent complications and to minimize the progression of occurred complications. 50 patients admitted with wound with diabetes presenting with lesions selected for the present study with detailed history taking, clinical examination, investigations, relevant special investigations and with conservative management and if needed surgical interventions and its outcome by prospective cohort study which follows over the time a group of similar individuals who differ with respect to certain factors under study to determine how these factors affect rates in certain outcome. Males are almost four times more affected than females, duration of diabetes from 1 year to 22 years and many patients were diagnosed after admission. Trivial trauma of some kind was the initiating factor in more than half of the cases, commonest presenting lesion was Ulcer in 10%of cases. Conservative management in these patients comprises of control of diabetes, treatment of neuropathy with methyl cobalamine, and wound care with appropriate dressings. Surgical management of patients comprises of secondary suturing, split skin graft, disarticulation of joints and below and above knee amputations.</span></p> <p class="MsoNormal" style="text-align:justify"><span style="font-size:12.0pt;&#10;line-height:115%;font-family:&quot;Times New Roman&quot;,serif"><o:p></o:p></span></p>