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Year : 2015 | Volume : 3 | Issue : 2 | Page : 130 - 133  


Original Articles
Analytical study of leg ulcers and surgical management

Lakshmi Narayana1, Shiv Rama Krishna Rao M2

1Professor of Surgery, Malla Reddy Medical College for Women, Hyderabad

2Associate Professor of Surgery, Malla Reddy Medical College for Women, Hyderabad

Corresponding Author:

Dr. G. Lakshmi Narayana

Email: gorityalaln@yahoo.com

Abstract:

Due to recent advances in diagnostic studies such as Doppler, Plethysmography there has been considerable gain in the knowledge about anatomy, pathophysiology of chronic leg ulcers. Even though there are various techniques and procedures in the management of chronic leg ulcers since the recent past, but the management of leg ulcers still remains a study. The objective was to study leg ulcers and their surgical management. All Patients visiting the surgical outpatient department with lower limb ulcers were included in this study. These cases were examined in detail and investigated thoroughly. This study included patients with venous ulcers, arterial ulcers, diabetic ulcers, non-healing ulcers and other rare types. In our study of 81 patients with leg ulcers, diabetic ulcers were the most common accounting for 38.27% of the cases, whereas venous ulcers accounted for 24.69% and arterial accounted for 13.58% cases. In our study amputations were mostly done in diabetic patients accounting for 57.89% cases. The risk of lower extremity amputation is 15 to 46 times higher in diabetics than in persons who do not have diabetes mellitus. Early detection and appropriate treatment of these ulcers may prevent up to 85 percent of amputations.

Key words: Doppler, chronic leg ulcers, venous ulcers





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