Main Article Content
Abstract
Objective :
This study was carried out to determine the epidemiological, clinical and evolutional aspects of lower extremity diabetic surgery in a surgical service in Yaoundé.
Patients and methods:
We carried out an analysis of the files of 62 patients admitted for surgery of diabetic surgical complications of the lower extremity between January 2000 and December 2008.
Results:
Most of the patients admitted 25 (40,32%) were of the 41 – 50 years age group, 38 patients (61.29%) were males. Clinically, 23 patients (37.09%) were admitted for myositis, 17 (27.42%) for diabetic foot, 13 (20.96%) for mal perforant, and 9 (14.52%) for necrotizing fasciitis. Five patients (7%) died. There were 7 leg amputations, and in one case, it was bilateral leg amputation.
Conclusion:
Health care providers to diabetics should take every opportunity to review the risk factors of diabetic surgical complications of the lower extremity of their patients and provide adequate education and measures when indicated to middle aged and older adults.
Keywords
Article Details
References
- Yassibanda S, Nadji-Adim F, Danai A, Boua N, Camengo Police S M, Waboulou Ph. Le pied diabétique à Bangui: Aspects épidémiologiques et evaluation de la prise en charge. Médicine d’Afrique noire. 49 : 879, 2002.
- Bieleu E. Facteurs de risque cardiovasculaire chez le diabétique de Kinshasa. Médecine d’Afrique Noire. 50(10) : 437 – 443, 2003.
- Lenteregger M, Bauduceau B, Brun JM ; Guillon Metz F, Martin C, Nicolino-Peltier C, Richard JL, Vannereay D. Added benflourex in obese insulin requiring type 2 diabetes. Diabetes and metabolism. 21(1): 1 – 8, 1998.
- Lester FT. Amputation in patients attending a diabetic clinic in Addis Ababa, Ethiopia. Ethiop Med J. 33:15 – 20, 1995.
- Steffen C, O’Rourke S. Surgical management of diabetic foot complications: the Far North Queensland Profile. Aust NZJ Surg. 68(4): 258 – 60, 1998.
- Sano D, Tieno H, Drabo Y, Sanou A. Management of the diabetic foot. A report of 42 cases at the Ouagadougou University Hospital Center. Dakar Med. 50:1793 – 1806, 1998.
- Schoenenweid. Conservation treatment of the diabetic ulcer: from the ulcerated foot to the foot at risk (Fr). Méd et Hyg 50:1793 – 1806, 1992.
- Armstrong DG, Lavery LA. Diabetic foot ulcers: Prevention, diagnosis and classification. Am Fam Physician 57(6): 1325-32, 1337-8, 1998.
- Akanji AO, Adentuyidi A. the pattern of presentation of foot lesions in Nigeria diabetic patients. West Afr. Med J. 9:1 – 5, 1990.
- Birke JA, Horswell R, Patout CA, Chen SL. The impact of a staged management approach to diabetes foot care in the Louisiana Public Hospital system. J La State Med. Soc. 155 (1): 37 – 42, 2003.
- Scovegler B, Boni T, Furrer J, Spanas GA, Lehmann R. Practical Management of Diabetic Foot. Ther Umsch 59 (8): 435 – 42, 2002.
- Rooh-Ul-Muqim, ahmed M, Griggin S. Evaluation and management of diabetic foot according to Wagner’s Classification. A study of 100 cases. J. Ayub Med. Coll Abbottabad. 15 (3): 39 – 42, 2003.
- Dagogo-Jack S. Pattern of diabetic ulcer in Port Harcourt, Nigeria. Practical Diabetes Digest. 2: 75 – 78, 1991.
References
Yassibanda S, Nadji-Adim F, Danai A, Boua N, Camengo Police S M, Waboulou Ph. Le pied diabétique à Bangui: Aspects épidémiologiques et evaluation de la prise en charge. Médicine d’Afrique noire. 49 : 879, 2002.
Bieleu E. Facteurs de risque cardiovasculaire chez le diabétique de Kinshasa. Médecine d’Afrique Noire. 50(10) : 437 – 443, 2003.
Lenteregger M, Bauduceau B, Brun JM ; Guillon Metz F, Martin C, Nicolino-Peltier C, Richard JL, Vannereay D. Added benflourex in obese insulin requiring type 2 diabetes. Diabetes and metabolism. 21(1): 1 – 8, 1998.
Lester FT. Amputation in patients attending a diabetic clinic in Addis Ababa, Ethiopia. Ethiop Med J. 33:15 – 20, 1995.
Steffen C, O’Rourke S. Surgical management of diabetic foot complications: the Far North Queensland Profile. Aust NZJ Surg. 68(4): 258 – 60, 1998.
Sano D, Tieno H, Drabo Y, Sanou A. Management of the diabetic foot. A report of 42 cases at the Ouagadougou University Hospital Center. Dakar Med. 50:1793 – 1806, 1998.
Schoenenweid. Conservation treatment of the diabetic ulcer: from the ulcerated foot to the foot at risk (Fr). Méd et Hyg 50:1793 – 1806, 1992.
Armstrong DG, Lavery LA. Diabetic foot ulcers: Prevention, diagnosis and classification. Am Fam Physician 57(6): 1325-32, 1337-8, 1998.
Akanji AO, Adentuyidi A. the pattern of presentation of foot lesions in Nigeria diabetic patients. West Afr. Med J. 9:1 – 5, 1990.
Birke JA, Horswell R, Patout CA, Chen SL. The impact of a staged management approach to diabetes foot care in the Louisiana Public Hospital system. J La State Med. Soc. 155 (1): 37 – 42, 2003.
Scovegler B, Boni T, Furrer J, Spanas GA, Lehmann R. Practical Management of Diabetic Foot. Ther Umsch 59 (8): 435 – 42, 2002.
Rooh-Ul-Muqim, ahmed M, Griggin S. Evaluation and management of diabetic foot according to Wagner’s Classification. A study of 100 cases. J. Ayub Med. Coll Abbottabad. 15 (3): 39 – 42, 2003.
Dagogo-Jack S. Pattern of diabetic ulcer in Port Harcourt, Nigeria. Practical Diabetes Digest. 2: 75 – 78, 1991.