Minimal invasive surgery in infected diabetic foot ulcer, a case study

Minimal invasive surgery (MIS) procedures are increasing in popularity because of its known reduced complications and faster recovery. The objective of this case study was to determine the outcome of infected diabetic foot ulcer (DFI) with MIS technique. A 65years old women with multiple comorbid presented with left great toe ulcer, Wagner stage 4 for three weeks. Examination revealed there was a necrotic patch at left great toe and lateral mid-plantar subcutaneous infection with foul-smelling pus noted. Advance neuropathy with feeble distal pulses was palpable.

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Blood investigation revealed high white blood cell and pus culture showed pseudomonas pathogen. X-ray of the left foot showed resorption at distal phalanx. Minimal opening via mid-plantar of left foot was done for sinus tract exploration removal of flexor hallucis Longus tendon. The patient was initially on intravenous antibiotics and the subsequently switched to oral for four weeks. Additionally, a patient was advised for total offloading of the left foot for a month. Serial tissue repair was done within the subcutaneous level until the wound closed assisted by MediAsia Home Offloading device. Subsequently, she made full recovery within 2 months of follow up and discharged. This case demonstrates a classical presentation of infected diabetic foot ulcer which resolved quickly with minimally invasive surgery and supportive therapy.

Author: Mogan Naidu, MediAsia, Advanced Wound Care & Tissue Repair Center, Malaysia

International Conference on Wound Care, Tissue Repair and Regenerative MedicineDate & venue: June 14-15, 2018 | London, UKWebsite: https://goo.gl/eLcFyZ

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