Epidemiological Study of Ulcers of the Lower Limb in a Tertiary Care Teaching Institute
Lower limb ulcers are common in old age group there are several causes which includes venous valve insufficiency, diabetes mellitus, skin malignancies. We in the present study tried to evaluate the epidemiology of population affected with lower limb ulcers and treatment and outcome of such cond...
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| Format: | Article |
| Language: | English |
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Prathima Institute of Medical Sciences
2020-08-01
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| Series: | Perspectives In Medical Research |
| Subjects: | |
| Online Access: | https://www.pimr.org.in/2020-vol8-issue-2/originalarticle11_v1.pdf |
| Summary: | Lower limb ulcers are common in old age group there are
several causes which includes venous valve insufficiency,
diabetes mellitus, skin malignancies. We in the present study
tried to evaluate the epidemiology of population affected with
lower limb ulcers and treatment and outcome of such
conditions.
Methods: This cross-sectional study was conducted in the
Department of General Surgery, Prathima Institute of Medical
Sciences, Nagnur, Karimnagar. All cases of leg ulcers reporting
to this institute except those which occur due to trauma and
in children < 12 years of age were included in the study.
Result: In the study n=50 cases of both sexes with leg ulcers
were included. The most commonly involved age group was >
70 years. Diabetic ulcers were detected in 44% of cases in males
and 18% of cases in females. In the cases right limb was involved
in n=24(48%) cases and left limb was involved in n=23(46%) of
cases and bilateral involvement was found in n=3(6%) of cases.
The predominating organism found was Staphylococcus
aureusfollowed by Klebsiellaand streptococcus.
Conclusion: The study found that found to be ulcer of the leg
associated with diabetes mellitus, ulcer due to venous valve
incompetence. The diabetic ulcer was more common in males,
more prevalent in patients above the age of 51 years. Venous
ulcers are commonly seen are saphenofemoral junction
incompetence and perforator incompetence. As far as the
treatment of these cases is concerned the use of antibiotics
and dressings helps to a great deal in management. Skin
grafting may be considered with wide defects where healing is
difficult without grafts |
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| ISSN: | 2348-1447 2348-229X |