logging in or signing up SALVAGING DIABETIC FOOT Gnanarajj Download Post to : URL : Related Presentations : Share Add to Flag Embed Email Send to Blogs and Networks Add to Channel Uploaded from authorPOINT lite Insert YouTube videos in PowerPont slides with aS Desktop Copy embed code: (To copy code, click on the text box) Embed: URL: Thumbnail: WordPress Embed Customize Embed The presentation is successfully added In Your Favorites. Views: 40 Category: Education License: All Rights Reserved Like it (0) Dislike it (0) Added: January 23, 2012 This Presentation is Public Favorites: 0 Presentation Description Locally devised topical vacuum therapy unit in a mission hospital Comments Posting comment... Premium member Presentation Transcript SALVAGING DIABETIC FOOT: SALVAGING DIABETIC FOOT A new cost - effective method Dr. J. Gnanaraj MS, MCh, FARSI, FICS , FIAGESDIABETIC FOOT: DIABETIC FOOT 15% of patients with Diabetes develop Foot ulcers {Harrisons p 2125 15 th Edition} After 25 years of Diabetes there is 11% risk of lower limb amputationPATHOPHYSIOLOGY: PATHOPHYSIOLOGY Peripheral neuropathies- motor, sensory & autonomic Macrovascular Arteriopathies - athersclerosis obliterans producing ischemiaPowerPoint Presentation: Microangiopathies - arterioles and basement membrane Tissue glycosylationPATHOGENESIS: PATHOGENESISControlled Negative Pressure therapy: Controlled Negative Pressure therapy Moist protected environment Reduces peripheral edema Stimulates circulation of the wound bed Decreases bacterial colonization Increases rate of granulationHistory: History Wake Forest University school of Medicine Salem NC (1990) While studying stress to tissues In 1997 3 articles by Morykwas and Argenta about VAC systemMechanisms: Mechanisms Basic cellular functions like oxygen transport, cellular transduction signaling are at the cellular level Chronic wounds have impaired circulation and dead tissueThe commercial ones: The commercial onesMr. Vellangiri: Mr. Vellangiri Came with severe sepsis, gangrene and very sick Was initially planned for BK amputationTopical vacuum therapy: Topical vacuum therapy Locally designed machine Longer cycles {from the recommended ones} Specially designed for placing the entire limbThe progress: The progress The sepsis settled down Sugars were well controlled Granulations appearedProgress: Progress The proximal would healed Grafting was carried outThe result: The result Was able to avoid amputation Less expensive as less of dressing materials were usedThe advantages: The advantages Less expensive Entire limb could be treated with vacuum therapy You do not have the permission to view this presentation. In order to view it, please contact the author of the presentation.
SALVAGING DIABETIC FOOT Gnanarajj Download Post to : URL : Related Presentations : Share Add to Flag Embed Email Send to Blogs and Networks Add to Channel Uploaded from authorPOINT lite Insert YouTube videos in PowerPont slides with aS Desktop Copy embed code: (To copy code, click on the text box) Embed: URL: Thumbnail: WordPress Embed Customize Embed The presentation is successfully added In Your Favorites. Views: 40 Category: Education License: All Rights Reserved Like it (0) Dislike it (0) Added: January 23, 2012 This Presentation is Public Favorites: 0 Presentation Description Locally devised topical vacuum therapy unit in a mission hospital Comments Posting comment... Premium member Presentation Transcript SALVAGING DIABETIC FOOT: SALVAGING DIABETIC FOOT A new cost - effective method Dr. J. Gnanaraj MS, MCh, FARSI, FICS , FIAGESDIABETIC FOOT: DIABETIC FOOT 15% of patients with Diabetes develop Foot ulcers {Harrisons p 2125 15 th Edition} After 25 years of Diabetes there is 11% risk of lower limb amputationPATHOPHYSIOLOGY: PATHOPHYSIOLOGY Peripheral neuropathies- motor, sensory & autonomic Macrovascular Arteriopathies - athersclerosis obliterans producing ischemiaPowerPoint Presentation: Microangiopathies - arterioles and basement membrane Tissue glycosylationPATHOGENESIS: PATHOGENESISControlled Negative Pressure therapy: Controlled Negative Pressure therapy Moist protected environment Reduces peripheral edema Stimulates circulation of the wound bed Decreases bacterial colonization Increases rate of granulationHistory: History Wake Forest University school of Medicine Salem NC (1990) While studying stress to tissues In 1997 3 articles by Morykwas and Argenta about VAC systemMechanisms: Mechanisms Basic cellular functions like oxygen transport, cellular transduction signaling are at the cellular level Chronic wounds have impaired circulation and dead tissueThe commercial ones: The commercial onesMr. Vellangiri: Mr. Vellangiri Came with severe sepsis, gangrene and very sick Was initially planned for BK amputationTopical vacuum therapy: Topical vacuum therapy Locally designed machine Longer cycles {from the recommended ones} Specially designed for placing the entire limbThe progress: The progress The sepsis settled down Sugars were well controlled Granulations appearedProgress: Progress The proximal would healed Grafting was carried outThe result: The result Was able to avoid amputation Less expensive as less of dressing materials were usedThe advantages: The advantages Less expensive Entire limb could be treated with vacuum therapy