DOI: 10.36347/sjams.2023.v11i09.001

Pages: 1594-1599

Diabetic foot disease can be defined as infection, ulceration, or destruction of tissues of the foot of a person who is diagnosed with diabetes mellitus (DM) and which is usually associated with neuropathy and/or peripheral arterial disease in the lower extremity. To determine the risk factors for multiple surgical debridements in patients with diabetic foot ulcer, in comparison to one or no surgical debridement. This study is carried out in the Department of General & Laparoscopic Surgeon, International Medical College & Hospital, Tongi, Gazipur Dhaka, Bangladesh from February 2021 to June 2022. This is an observational study and data was collected retrospectively. A total of 100 patients were included in the study. 78% were elderly (> 50 years), 68% were men, and 33% were over-weight/obese. In this clinical study of diabetic foot ulcers, diabetic foot ulcer patients were evaluated and also assessed for risk factors for multiple repeated debridements, by comparing with patients who had one or none debridements. The risk factors identified among the patients who underwent multiple debridements were higher grade of Wagner diabetic foot ulcer classification, infections and poor nutrition (hypoalbuminemia). A thorough evaluation of diabetic foot ulcer utilizing a multidisciplinary team is recommended to achieve optimal outcomes.