ANALYSIS OF SURGICAL COMPLICATIONS OF DIABETES MELLITUS
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Abstract
Objectives: To analyze various surgical complications in diabetic patients.
Material & Methods: This analytic study was conducted in Surgical B ward Lady Reading Hospital, Peshawar from January 2007 to December 2007. A total of 100 patients were enrolled in the study. Patients below 14 years of age, having medical complications of diabetes mellitus and patients already having done limb amputation due to diabetes mellitus were excluded from the study. Data included age, sex, duration of diabetes mellitus, type of diabetes mellitus, type of surgical complication, status of glycemic control and type of therapy, insulin, oral hypoglycemic drugs or both. All the data were analyzed by using computer program SPSS version 10.
Results: The number of male was 60 (60%) while females were 40 (40%). Ages of the patients were in the range of 21-80 years. Mean age was 51.22 ± 11.03 years. Abscesses were the most common complication observed in 40% cases. The next most common complication was diabetic foot observed in 30% cases. It was followed by cellulitis in 9% cases, diabetic hand in 8% cases, carbuncle in 7% cases and fournier’s gangrene in 5% cases. There was a single patient of gangrenous gallbladder.
Conclusion: Surgical complications in diabetic patients are common. Most of these complications are infective in origin. Most common surgical complications are abscesses, diabetic foot and soft tissue infection. Type II diabetic patients are more prone to these surgical complications.
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