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 Hernia Surgery Clinik

Center for Advanced Hernia Repairs and General Surgery

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Diabetic Wound Management

Diabetic wound management

Diabetic foot is an umbrella term for foot problems in patients with diabetes mellitus. Due to arterial abnormalities and diabetic neuropathy, as well as a tendency to delayed wound healing, infectionor gangrene of the foot is relatively common. Ten to fifteen percent of diabetic patients develop foot ulcers at some point in their lives and foot related problems are responsible for up to 50% of diabetes related hospital admissions. Diabetic foot ulcer is one of the major complications of Diabetes mellitus. It occurs in 15% of all patients with diabetes and precedes 84% of all lower leg amputations.. Major increase in mortality among diabetic patients, observed over the past 20 years is considered to be due to the development of macro and micro vascular complications, including failure of the wound healing process.

·         With damage to the nervous system, a person with diabetes may not be able to feel his or her feet properly. Normal sweat secretion and oil production that lubricates the skin of the foot is impaired. These factors together can lead to abnormal pressure on the skin, bones, and joints of the foot during walking and can lead to breakdown of the skin of the foot. Sores may develop. 

·         Damage to blood vessels and impairment of the immune system from diabetes make it difficult to heal these wounds. Bacterial infection of the skin, connective tissues, muscles, and bones can then occur. These infections can develop into gangrene. Because of the poor blood flow, antibiotics cannot get to the site of the infection easily. Often, the only treatment for this isamputation of the foot or leg. If the infection spreads to the bloodstream, this process can be life-threatening.

Self care at home

  1. A person with diabetes should check his feet at home and other thing which you should do
  2. Foot examination
  3. Avoid getting injury
  4. Exercise
  5. Proper cushioned shoes
  6. Avoid smoking
  7. Diabetic diet and control
  8. Trimming of the nails properly.

When should you contact Surgeon?

If you develop following signs and symptoms , you should see a surgeon.