Evaluation and management of diabetic foot according to wagner’s classification at RGGGH.

Anand Prasath, J (2016) Evaluation and management of diabetic foot according to wagner’s classification at RGGGH. Masters thesis, Madras Medical College, Chennai.

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Abstract

Diabetes is one of the most common co-morbid illness in our community. One of its complication in long course is diabetic foot. Morbidity and mortality due to this complication is a major health issue. This study is aimed to evaluate and manage the different lesions of diabetic foot according to Wagner classification. To describe the lesions we treat study and compare outcomes and to identify measures to decrease morbidity and mortality due to diabetic foot disease METHODS Between July 2015 and September 2015, 50 patients with diabetic foot who got admitted to Institute of General Surgery,Rajiv Gandhi Government General Hospital,Chennaiwere subjected to surgical treatment depending upon the Wagner’s classification. Data was collected and analyzed. RESULTS Majority of the patients presented with higher grade and with poor glycemic control at the time of presentation. Conservative 7 management with antibiotics was useful in a small subset of the patients. Majority of the patients needed surgical treatment in the form of debridement to amputations. INTERPRETATION AND CONCLUSION Patient education and strict glycemic control can reduce the burden of diabetic foot. Early diagnosis and hospitalization, appropriate treatment including medical and surgical treatment according to the grade can reduce the morbidity mortality and improve the outcome of the disease.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Antibiotics ; Amputation ; Wagner classification ; Complications ; Glycemic control.
Subjects: MEDICAL > General Surgery
Depositing User: Punitha K
Date Deposited: 28 Jul 2017 12:01
Last Modified: 18 Oct 2017 05:09
URI: http://repository-tnmgrmu.ac.in/id/eprint/2352

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