Aim: To analyze diabetic foot patients treated in surgical ward of tertiary care teaching hospital and evaluate the surgical outcomes
Methods & Materials: A descriptive retrospective analysis was carried out in Department of Surgery of St John’s Medical College, Bangalore, India. The study period was from July 2014 to December 2014. Statistical analysis was done using SPSS 18.0. The study was approved by the institution ethics committee.
Results: A total of 30 male patients were studied. Right foot was most commonly affected in 63.5% of the cases. Type 1 diabetic foot complications were the most common complications in this study accounting for 76.7% followed by type 3 diabetic foot complication (20%). The most common lesion seen was Wet gangrene (40%) followed by abscess (20%) both of which accounted for 60% of the cases and belonged to type 1 diabetic foot complication (P<0.001). Toe amputation was the commonest surgical procedure done. Wet gangrene accounted for 50% of amputation (P=0.017, statistically significant). Most cases were operated by junior team members of the surgical units. There was one mortality in this study
Conclusion: Diabetic foot is a serious complication of diabetes mellitus and is often a neglected entity. Our study showed that Amit Jain’s type 1 diabetic foot complication, which are acute in nature and infective complication, are the most common cause of hospitalization in teaching hospital. Majority surgeries are performed on them in late evening as emergencies.