Comparative study in newer techniques for management of diabetic foot
Journal Title: International Archives of Integrated Medicine - Year 2016, Vol 3, Issue 8
Abstract
Background: Diabetic foot is the commonest complication of Diabetes Mellitus. It is not totally curable or preventable but with positive approach mortality and morbidity due to diabetic foot can be reduced. Aim and objectives: To find out which type of treatment modality is better in terms of cost-effectiveness and number of dressings in patients of diabetic foot, to salvage the limb in diabetic patient with help of various modalities of treatment available to our hospitals, to prevent the recurrence of such lesion by careful follow up, by educating the patient about foot care and prescribing pressure distributing footwear, and rehabilitation of patient once the ulcer has healed. Materials and methods: A total of 60 patients having diabetic foot were included. Clinical assessment was done of all patients after admitting them. History and clinical findings were written as per preformed proforma. All patients were sent to foot wear specialist. All this patients initially underwent debridement or removal of necrotic patch, according to the presenting feature. Depending on the condition of the ulcer (size or slough) they were dressed with newer techniques. Newer techniques used were Vac (Vacuum assisted closure) and Non-Vac (Hydrocolloid, Hydrogel, collagen, Platelet derived growth factor). Results: Majority of diabetic patients were having neuropathic and traumatic type of lesions. 30 patients were dressed with V ac (Vacuum assisted closure) and remaining 30 patients were dressed with Non-V ac. In which 5 patients were dressed with Hydrocolloid, 3 patients were dressed with Hydrogel, 12 patients were dressed with collagen and 10 patients were dressed with platelet derived growth factor. Comparison between V ac and Non-V ac types of dressing in terms of number of dressings, duration of stay, cost effectiveness is done by applying Z-Test. It was significant. Conclusion: Newer techniques for dressing- VAC or NON-VAC decreases the morbidity of the patient and also better in terms of cost-effectiveness and duration of stay as compared to conventional dressings.
Authors and Affiliations
Ashish Desai, Arpit Panchal, Hiren Parmar
Keywords
Related Articles
- EP ID EP487600
- DOI -
- Views 108
- Downloads 0
Epidemiological study of syndromic diagnosis cases of HIV positive in Government General Hospital, Nizamabad
Sexually transmitted diseases (STD) consist of different group of endemic diseases of varying clinical presentation, characterized epidemiologically as sexually transmitted infections. Sexually transmitted diseases in in...
A comparative study of Longo’s procedure without stapler versus open hemorrhoidectomy in 2nd and 3rd degree hemorrhoids
Introduction: Hemorrhoids are one of the commonest anal disorders that affect mankind from the down of the history. Traditional open hemorrhoidectomy has an evil reputation due to post operative severe pain. So to reduce...
Thrombolysis for stroke in a tertiary care center from Hyderabad
Background: Intravenous thrombolysis with recombinant tissue plasminogen activator (rtPA) within 4.5 hours of symptom onset is currently approved for treatment of acute ischemic stroke. It improves the rate of favourable...
New onset diabetes after renal transplantation: An experience from a developing country – India
New onset diabetes after transplantation (NODAT) is one of the serious side effects of immunosuppressive medications used in renal transplant recipients. Diabetes in transplantation increases the risk of cardiovascular d...
Comparative study on hypocalcemia and maternal serum calcium level in tertiary care hospital in Chennai
Background: Hypocalcemia occurs as a manifestation of nutritional deficiency of calcium and vitamin D. Deficiency of calcium in the diet has been identified as a leading cause of nutritional rickets. Infants less than 6...