BIABHIG PATIENTS;

PRESENTATION AND OUTCOME IN SURGICAL WARD

Abstract

Objective: Diabetics develop complications as a result of
infection, microangiopathic and neuropathic changes. All these complication can be anticipated and
prevented with good glycemic control and maintaining good podiatric care. This study was conducted to
determine the presentation and out come of diabetics in general surgical ward. Design: Observational cross
sectional study Setting: Emergency and out patient department of South Surgical Ward, Mayo Hospital
Lahore. Period: Six months (1st June to 30th November 2004), Material and methods: 51 patients with
diabetes mellitus presenting, it included all the patients with diagnosed diabetes mellitus presenting with
surgical complications relating to their diabetes. All other patients who were normoglycemic or known
diabetics without any surgical complications were excluded. Patients presenting with ulcerations on foot and
legs were classified on the basis of Wegners classification. Results: Out of 51 patients, 43.1%( 22) had a
diagnosis of diabetic foot, 33.3%( 17) had an abscess and 23.5%( 12) had an abscess. According to the
Wagener's classification*. Class 2 was most common at presentation 34.8% and 23.5% of the patients
presenting with diabetic foot had to undergo an amputation thus suffering from a permanent disability.
Conclusion: Good surgical debridement and proper use of antibiotics is required as well as good glycemic
control for early and safe recovery.