Abstract:
Aim: To determine the type of surgeries done in diabetic foot, the solution used, frequency of dressing and offloading method employed. To also estimate the roles of other specialist like plastic surgery, orthopaedics, etc. in diabetic foot management.
Methods and Materials: A descriptive analysis was done in department of surgery of Rajarjaeswari medical college, Bengaluru, India. The study period was 6 months. SPSS 18 was used was analysis. An IEC approval was taken for this study.
Results: 37 patients were included in this study. 78.4% were males. Only 5.2% had diabetes of more than 20 years. Overall, majority of the patients had type 1 diabetic foot complications. Diabetic foot ulcer was the commonest entered diagnosis in the case sheets followed by wet gangrene. Toe amputation was the commonest surgical procedure and 16.2% ended up in major amputation. Most of the surgeries were done by postgraduate residents accounting for 40.5% of the cases. There was significant association with pathological diagnosis and amputation (P-0.025*). There was also significant association between operating surgeon and amputation (P-0.076).
Conclusion: Diabetic foot is a known neglected entity and this study shows that majority of cases were wet gangrene and most of the surgeries were done by junior faculty. An awareness of quality management of diabetic foot is needed as they are associated with amputation which affects the quality of life of the patients.
