Challenges of dealing diabetic foot and step wise surgical management

DOI: https://doi.org/10.47648/zhswmcj.2020.v0202.02

Afrina Sharmin1 , Mostafa Amin Khan2 , Zaman Ummay Humayra3 , Rezwan Shah4 , Md. Ashraful Alam5 , Md. Ataur Rahman6

Abstract

Soft tissue reconstruction of the diabetic foot is a challenge for the perioperative team. This study aims to describe a group of methods for the management of diabetic foot ulcers in order to reduce deformity and salvage the lower limb. This study emphasizes the appropriate timing and staging of surgery, discusses the most common plastic surgery techniques, and underscores the importance of a team approach in the management of diabetic foot wounds. A group of different advanced methods for the management of Diabetic foot such as sharp debridement of ulcers, application of vacuum therapy, and other forms of reconstructive plastic surgical procedures were used. Data collection was done in Z. H. Sikder Womens Medical College Hospital where the treatments were given. The study period was Jan 2018 to July 2019. Thirty-four patients with type 2 and type 1 diabetes mellitus were enrolled in the current study. Females (61.05%) and males (38.95%) with different stages of diabetic ulcer and related problem underwent treatment within this time frame. They underwent different methods of surgical management: debridement (12%), vacuum therapy (24.06%), amputation (4.04%), skin grafting (38.00%) and flap reconstruction (21%). The outcome is satisfactory and offer less hospital stay. Using advanced surgical wound management including reconstructive plastic surgical procedures; it was possible to reduce the hospital stay, the rate of high amputations of the lower limb and the deformity.

Keywords: Diabetes, Diabetic foot, skin graft


  1. Assistant Professor, Department of Surgery

    Z H Sikder Women’s Medical College, Dhaka

  2. Assistant Professor, Plastic Surgery Dept

    National Medical College Hospital, Dhaka

  3. Assistant Professor, Department of Surgery

    East West Medical College Hospital, Dhaka

  4. Assistant Professor, Department of Surgery

    Z H Sikder Women’s Medical College, Dhaka

  5. Registrar, Department of Surgery

    Z H Sikder Women’s Medical College, Dhaka

  6. Registrar, Department of Surgery

    Z H Sikder Women’s Medical College, Dhaka


Volume 2, Number 2, July 2020
Page: 7-12