الانتقال الى المحتوى الأساسي

جامعة الملك عبدالعزيز

KING ABDULAZIZ UNIVERSITY

كلية الطب

تفاصيل الوثيقة

نوع الوثيقة : مقال في مجلة دورية 
عنوان الوثيقة :
Diabetic foot infection - two years experience
Diabetic foot infection - two years experience
 
الموضوع : جراحة الأوعية الدموية 
لغة الوثيقة : الانجليزية 
المستخلص : I read with interest the article by Dr. M. R. Khammash, et all entitled, "Diabetic Foot Infection, two years experience," (Saudi Med J 1994: 15(3): 227-229. Certainly, their recommendation regarding a team approach consisting of general surgeon, diabetologist, orthopedic surgeon, radiologist as well as vascular surgeon is accepted in most of the advanced centers. However, I found there was little emphasis on the role of vascular surgeon in achieving the aim of producing a functioning limb, as they concluded in the last line of their article. I noticed that three of their patients had impalpable pedal pulse and according to the author two ended up having a below knee amputation. Unfortunately, there was no mention as to whether they had studied them carefully prior to amputation, particularly with regard to the possibility of performing a peripheral reconstructive vascular procedure. Furthermore, the author mentioned that the third patient did well after the amputation. Most surgeons do not embark on amputating a gangrenous toe in the presence of ischemia unless it is proved beyond doubt with arteriography that the patient's vascular disease is inoperable. The simple assumption that diabetic patients have microvascular disease affecting foot vessels is not valid. This misconception was already criticized heavily in the literature.2 In a recent study,3 we found that the commonest indication for lower limb amputation was diabetic foot ulcer. It accounted for about 50% of the indications for limb amputation in a series of 123 amputated limbs.3 Undoubtedly, a detailed vascular assessment is an essential step in the management of all diabetic patients. This approach should be followed by liberal use of the various reconstructive vascular procedures where applicable.4 As there was no mention of any vascular procedure performed on their 50 patients, I thought that I must remind the readers of the Saudi Medical Journal about our approach in dealing with this fairly uncommon complication of a very common disease in elderly Saudis 
ردمد : 0379-5284 
اسم الدورية : المجلة الطبية السعودية 
المجلد : 17 
العدد : 4 
سنة النشر : 1416 هـ
1996 م
 
نوع المقالة : تعليق 
تاريخ الاضافة على الموقع : Monday, August 24, 2009 

الباحثون

اسم الباحث (عربي)اسم الباحث (انجليزي)نوع الباحثالمرتبة العلميةالبريد الالكتروني
حسن الزهرانيAl-Zahrani, Hasan باحثدكتوراه 

الملفات

اسم الملفالنوعالوصف
 20318.pdf pdfDiabetic foot infection

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