Frequency and Risk Factors of Wound Complications in Type II Diabetic Patients Undergoing Abdominal Surgery

Abstract

Introduction: Poorly controlled type II diabetes is associated with an array of micro-vascular, macro-vascular, and neuropathic complications.
 Objectives: The main objective of the study is to analyse the frequency of wound complications in type II diabetic patients undergoing abdominal surgery.
 Material and methods: This cross sectional study was conducted in THQ haveli lakha, Okara with the collaboration of Sir Ganga Ram Hospital, Lahore during March 2021 to August 2021. The data was collected through non-probability consecutive sampling technique. There were 120 patients which were enrolled in this study according to the inclusion and exclusion criteria. A systematically designed questionnaire was made for the collection of data.
 Results: The data was collected from 120 patients. The mean age was 55.5± 2.57 years. Most of the particpants was male (51.1%), non-smokers (95.6%) and didn't have hypertension (67.8%). The mean time of diabetes mellitus was 6.1±5.6 a long time. The majority didn't have neuropathy (81.1%), peripheral strokes (90.0%), pre-ulcerous states (90.0%), insensitive (89.9%), crevices on feet (64.4%), nail pathology (97.1%), injury disfigurement (93.3%) or incapacity (94.4%).
 Conclusion: It is concluded that it is difficult to treat the wound complication in diabetic patients. Diabetic patients are at an increased risk of postoperative surgical site infection while undergoing open surgery, laparoscopic cholecystectomy has no increased morbidity in diabetic patients as compared to non-diabetic patients.