Diabetic Wounds-A Clinico-pathological Correlative Study

This study comprised of 200 cases of diabetic with wound patients with emphasis on surgical management and its complications.Males are almost four times more affected than females.Males are more vulnerable to trauma.Duration of diabetes varied from 1 year to 22 years and many patients were diagnosed after the admission.Trivial trauma of some kind was the initiating factor in foot lesion in more than half of the cases.Most common causative organism were Staphylococcus aureus followed by Pseudomonas aeruginosa. Surgical complications of diabetes involved soft tissues in postoperative cases with majority of complications in foot.Conservative treatment consisting of control of diabetes with insulin was given along with appropriate oral / IV antibiotics. Patients also presented with neuropathy and were treated with methyl-cobalamine and some with pregabaline. Neuropathic foot was offloaded. Patients were managed by daily dressing followed by wound debridement & slough excision.Split skin grafts, disarticulation, below knee amputation and above knee amputations were the other modes of treatment given as per their merit in diabetic foot.