DOI: 10.36347/sjams.2017.v05i12.045

Pages: 5010-5018

Diabetes and its long term major complications include septic, vascular (either microvascular or macro vascular) and neuropathic lesions, which affect the various anatomical regions of the body. Majority of admissions to surgical wards is due to these surgical complications of diabetes. So this is a study of these surgical complications of diabetes, their outcome and management modalities. This is a study of a series of 144 patients, who were admitted to surgical wards of BASAVESHWAR TEACHING AND GENERAL HOSPITAL from December 2015 to June 2017. A proforma is filled up regarding the necessary details of the diagnosis, investigations and management. The compiled data is then analyzed and compared with the data available in the literature. It was found that the average incidence of these complications occurs in the age of 51-60 years and men who worked outdoors were commonly affected. These patients are usually known diabetics on irregular treatment. The common lesions are septic lesions of the foot in the form of ulcers, cellulitis and gangrene, followed by vascular and neuropathic lesions. Most of them were managed conservatively. Gangrenous lesions required surgical intervention in the form of either, minor or major amputations. It was concluded that trivial injuries in the known male diabetics on irregular treatment who work outdoors usually present with lesions requiring admission and intervention. Commonly affected site is lower limb followed by upper limb.