Comparative study in newer techniques for management of diabetic foot

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dc.contributor.authorDesai, Aen_US
dc.contributor.authorPanchal, Aen_US
dc.contributor.authorParmar, H.en_US
dc.date.accessioned2019-12-02T09:51:01Z
dc.date.available2019-12-02T09:51:01Z
dc.date.issued2016
dc.description.abstractBackground: Diabetic foot is the commonest complication of Diabetes Mellitus. It is not totally curable or preventable but with positive approach mortality and morbidity due to diabetic foot can be reduced. Aim and objectives: To find out which type of treatment modality is better in terms of costeffectiveness and number of dressings in patients of diabetic foot, to salvage the limb in diabetic patient with help of various modalities of treatment available to our hospitals, to prevent the recurrence of such lesion by careful follow up, by educating the patient about foot care and prescribing pressure distributing footwear, and rehabilitation of patient once the ulcer has healed. Materials and methods: A total of 60 patients having diabetic foot were included. Clinical assessment was done of all patients after admitting them. History and clinical findings were written as per preformed proforma. All patients were sent to foot wear specialist. All this patients initially underwent debridement or removal of necrotic patch, according to the presenting feature. Depending on the condition of the ulcer (size or slough) they were dressed with newer techniques. Newer techniques used were Vac (Vacuum assisted closure) and Non-Vac (Hydrocolloid, Hydrogel, collagen, Platelet derived growth factor). Results: Majority of diabetic patients were having neuropathic and traumatic type of lesions. 30 patients were dressed with V ac (Vacuum assisted closure) and remaining 30 patients were dressed with Non-V ac. In which 5 patients were dressed with Hydrocolloid, 3 patients were dressed with Hydrogel, 12 patients were dressed with collagen and 10 patients were dressed with platelet derived growth factor. Comparison between V ac and Non-V ac types of dressing in terms of number of dressings, duration of stay, cost effectiveness is done by applying Z-Test. It was significant. Desai A, Panchal A, Parmar H. Comparative study in newer techniques for management of diabetic foot. IAIM, 2016; 3(8): 79-82. Page 80 Conclusion: Newer techniques for dressing- VAC or NON-VAC decreases the morbidity of the patient and also better in terms of cost-effectiveness and duration of stay as compared to conventional dressings.en_US
dc.identifier.affiliationsAssociate Professor, Department of Surgery, GMERS Medical College, Sola, Ahmedabad, Gujarat, Indiaen_US
dc.identifier.affiliationsResident Doctor, GMERS Medical College, Sola, Ahmedabad, Gujarat, Indiaen_US
dc.identifier.affiliationsAssociate Professor, GMERS Medical College, Gandhinagar, Gujarat, India, drhirenparmar@gmail.comen_US
dc.identifier.citationDesai A, Panchal A, Parmar H. Comparative study in newer techniques for management of diabetic foot. International Archives of Integrated Medicine. 2016 Aug; 3(8): 79-82en_US
dc.identifier.issn2394-0026
dc.identifier.issn2394-0034
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/186183
dc.languageenen_US
dc.publisherEducational Society for Excellenceen_US
dc.relation.issuenumber8en_US
dc.relation.volume3en_US
dc.subjectDiabetic footen_US
dc.subjectVac dressingen_US
dc.subjectNon-vac dressing (Hydrocolloiden_US
dc.subjectHydrogelen_US
dc.subjectcollagenen_US
dc.subjectPlatelet derived growth factor)en_US
dc.titleComparative study in newer techniques for management of diabetic footen_US
dc.typeJournal Articleen_US
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