Salvaging Diabetic Foot: Cost Effective Methods for Rural Hospitals - Jesudian, Gnanaraj
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About 15% of patients with diabetes develop a diabetic foot. After 25 years of Diabetes there is an 11% chance of lower limb amputation. 85% of trivial foot lesions can ultimately result in foot amputation.. Many of these amputations could be prevented. However, the treatment is lengthy, expensive and often not feasible in rural areas. We describe the methods that we have used in rural areas to salvage diabetic feet from amputation and present our experience gathered from working in many rural mission hospitals. Five factors identified as significant to predict the development of diabetic…mehr

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Produktbeschreibung
About 15% of patients with diabetes develop a diabetic foot. After 25 years of Diabetes there is an 11% chance of lower limb amputation. 85% of trivial foot lesions can ultimately result in foot amputation.. Many of these amputations could be prevented. However, the treatment is lengthy, expensive and often not feasible in rural areas. We describe the methods that we have used in rural areas to salvage diabetic feet from amputation and present our experience gathered from working in many rural mission hospitals. Five factors identified as significant to predict the development of diabetic ulcers were Peripheral neuropathy, absent pedal pulses, Foot deformity, Pre ulceration, Disability. When one of the factors are present then the risk is 77% and when more than one risk factor is present then the chance of having an ulcer is over 91%. The locally developed vacuum therapy unit is simple to use and cost effective.
Autorenporträt
Dr. J. Gnanaraj is an Urologist & Laparoscopic surgeon from CMC Vellore. He has been working with many mission hospitals in rural and remote areas of India. He is a fellow of the Association of rural surgeons of India, ICS and IAGES. He served as the Editor for the Rural Surgery bulletin. He has over 50 publications of the innovative methods.