International Clinical and Medical Case Reports Journal (ISSN: 2832-5788) | Volume 3, Issue 10 | Research Article | Open Access DOI
Zaheer Ud Din Babar Malik Sajjad*
Zaheer Ud Din Babar Malik Sajjad1*, Fatima Babar2, Abdulmohsen Ali AlEssa3, Ahmad Al Shehab4, Hussain Jawad Al Saad5
1FRCS, FCPS Surgery, HOD Surgery and Medical Director Oyun City Hospital, MOH, KSA
2MRCS Surgery, Trainee Registrar Pediatric Surgery, Children Hospital, Lahore
3Consultant GS, Prince Saud Bin Jalavi Hospital, MOH KSA
4Trainee Resident, Oyun City Hospital
*Correspondence to: Zaheer Ud Din Babar Malik Sajjad
Fulltext PDFIntroduction: Obesity and diabetes are very common in the world. Diabetic foot is becoming increasingly common. The lifetime risk of developing a diabetic foot ulcer is between 19% and 34%. Recurrence is common after initial healing; approximately 40% of patients have a recurrence within 1 year after ulcer healing, almost 60% within 3 years, and 65% within 5 years.[1] It is a major burden on health resources. The objective of this study was to analyze the causative factors contributing to the development of diabetic foot and to find the role of early surgical intervention in the form of drainage, decompression, debridement and aseptic dressings in the reduction of morbidity and mortality of this disease.
Method: 100 patients of diabetic foot were included in this study. Superficial wound infections and ulcers which were healed within 2 weeks were excluded from this study. All patients underwent some sort of surgical procedures like debridement, drainage of pus and decompression of closed compartments, toe amputation, BKA or AKA, TCC and RCW in minor OR. Repeated debridement of dead and gangrenous tissue was accomplished. Povidone iodine as an antiseptic and saline soaked or dry gauze dressing was opted according to the condition of the wound and close monitoring continued untill complete wound healing.
Result: Repeated debridement and dressings of the wound with povidone soaked gauze in infected wounds and saline soaked gauze dressing when healthy granulation tissue develops are very effective in rapid healing. Tight dressings aggravate already existing foot ischemia and should be avoided. Antibiotics have no place until and unless local infected gangrenous tissue is dealt with surgically. Systemic complications of DM like CKD, hypertension, IHD are associated with increased morbidity and mortality. Mortality was 3 percent in this study.
Zaheer Ud Din Babar Malik Sajjad, Fatima Babar, Abdulmohsen Ali AlEssa, Ahmad Al Shehab, Hussain Jawad Al Saad. The Role of Surgical Drainage, Decompression, Debridement and Dressings in the Reduction of Disability and Death as a Result of Diabetic Foot. Int Clinc Med Case Rep Jour. 2024;3(10):1-18.