Early debridement and skin grafting in diabetic ulcer to reduce morbidity.

Kalpesh Kantilal Bora,Vinay Shahapurkar

doi:10.7439/ijbar.v5i1.540

Abstract

Aim: To study the role of early debridement and skin grafting in patients having diabetic ulcer to reduce morbidity. Method: Total 24 patients of diabetic ulcer foot and leg were studied prospectively. Patients with leg and foot ulcer more than 6 cm and less than 10 cm were taken in thae study. Study was prospective. All patients were subjected to test random blood sugar level for conforming diabetes and were subjected to early surgical debridement and skin grafting. Patients were followed after one month for results.

Highlights

Diabetic Foot and Leg ulcer is very common condition in surgical practice and wide in distribution
Surgical debridement reduces the risk of amputation and healing by secondary intention
Mahmoud et al and Wood et al had studied role of Split-skin graft in the management of foot ulcers and had showed Split-skin grafting was an effective method of managing diabetic foot ulcers as, compared with the conservative dressings, it reduced healing times a nd the length of hospital stay, while donor-site morbidity was minimal

Summary

Introduction

Diabetic Foot and Leg ulcer is very common condition in surgical practice and wide in distribution. For a proper treatment of patients with leg ulcers, it is important to have knowledge of the diabetic ulcer pathogenesis. During the past three decades considerable knowledge has been gained regarding the physiology, anatomy, pathology and management of diabetic leg ulcers. Despite all this the management of diabetic ulcers is a very competing field for experimentation and different local therapies. Leg ulcers form a good bulk of patients in our hospital, routine work. Treatment of these ulcers forms a challenging task as well

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