Diabetic Foot Ulcer
Patient named Vishwanath, 57-years-old and a resident of Rajankunte, Yelahanka, Bangalore, reported with a swelling and puss formation on his right foot. He reported the same to a nearby doctor and was suggested for getting admitted in a hospital for minor surgery.
On inspection, the doctor detected gangrene and conducted a quick surgery for removal of puss and debris. On completion of minor surgery, it was noted that the second toe of the right foot may have to be removed. He was operated for removal of second toe but during the surgery, doctors had to remove all the 4 toes except the big toe/ thumb toe. The patient was discharged after the surgery by giving a vac therapy for removal of infection.
The patient was again admitted for a grafting operation and discharged on same day after the operation. The patient had to consult doctor for a period of about 20 days before undergoing flapping operation.
The blood sugar level during operations was 400 GRBS which was bought down to normal by insulin as per doctor suggestions. The sugar levels were maintained thorough proper diet as per the instructions of the doctors across the whole period of treatment.
The wound started drying up and the patient was suggested for regular diabetic control and to use special shoes for avoiding such problems in the future.
Photographs of various stages of treatment is provided as below
Swelling before operation Patient being taken to operation Wound after operation
vac therapy wound after vac therapy Various stages of healing