Month: November 2018

A randomized trial of normothermic preservation in liver transplantation

Liver transplantation is a highly successful treatment, but is severely limited by the shortage in donor organs. However, many potential donor organs cannot be used; this is because sub-optimal livers do not tolerate conventional cold storage and there is no reliable way to assess organ viability preoperatively. Normothermic machine perfusion maintains the liver in a physiological state, avoids cooling and allows recovery and functional testing.

https://www.nature.com/articles/s41586-018-0047-9

 

Diabetic Foot Infection – An Indian scenario

The term diabetes includes several different metabolic disorders that all, if left untreated, result in abnormally high concentration of a sugar called glucose in the blood. Diabetes mellitus is assuming epidemic proportions and with that an increasing burden of diabetic foot complications. Diabetic foot infections (DFIs) contribute not only to morbidity, amputation, and increased health-care costs but also to mortality. There is a dearth of countrywide data for the prevalence of risk factors for DFU and DFIs among patients in India. Diabetes and its associated complications, including foot diseases, are increasing at an alarming pace in India and putting enormous burden on our limited health care resources.

Research Original Article

Evaluation and Treatment of Diabetic Foot Ulcers

Diabetic foot ulcer is a major complication of diabetes mellitus, and probably the major component of the diabetic foot. Wound healing is an innate mechanism of action that works reliably most of the time. Diabetic foot problems, such as ulcerations, infections and gangrene are the most common cause of hospitalization among diabetic patients. Routine ulcer care, treatment of infections, amputations, and hospitalizations cost billions of dollars every year and place a tremendous burden on the health care system. Successful treatment of diabetic foot ulcers consists of addressing these three basic issues; Debridement, offloading, and infection control.

ORIGINAL RESEARCH ARTICLE

Diabetic foot ulcer: a clinical study

Diabetic foot ulcer is one of the common presentations of diabetic foot. The objective of the present study was to evaluate the various presentations of diabetic foot ulcer like, resistant deep infections, ulcer with cellulitis, severe ischemia leading on to gangrene and to study percentage of surgical intervention like debridement, minor/major amputation.

Original Research Article