Surgical Club of South West England
نویسندگان
چکیده
All partial amputations of the foot for diabetic gangrene were reviewed from April 1981 to March 1986. There were 68 patients with a mean age of 69 years. 40 (59%) were male, 28 (41 %) were female; 37 (54%) were insulindependent, and 31 (46%) were non-insulin-dependent. There were 103 primary operations which included 6 debridements, 35 raquet, 52 ray, 4 transmetatarsal, and 6 heel amputations. 68/103 (66%) healed with no further surgery. 5/68 (7%) patients underwent 7 femoropopliteal bypass operations, 18/68 (26%) healed after further surgery, 12/68 (18%) underwent leg amputation, and 5/68 (7%) died. Analysis of the patients requiring re-operation showed that 90% of the original operations had been performed by a surgeon in training. Healing took from 1-30 months and ray amputations took longer (mean 7 months) than raquet amputations (mean 4 months). Primary healing was more frequent when foot pulses were present and no patient with foot pulses came to leg amputation. There was no difference in outcome between insulin-dependent and non-insulindependent diabetics. Overall limb salvage was achieved in 79% of cases.
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The Surgical Club of South West England
s of Papers given at the Autumn Meeting 1982 at Bath, October 22-23 INTERVENTIONAL RADIOLOGY IN A DISTRICT
متن کاملMr. R. G. Paul
was a graduate of Edinburgh University in 1927. He became a Fellow of the Royal College of Surgeons in Edinburgh, and was very proud when he was elected Fellow of the Royal College of Surgeons of England (ad eundem) in 1959. In addition, Mr. Paul became a Fellow of the Association of Surgeons of Great Britain, and a member of the council. He was a member and past president of the Moynihan Chiru...
متن کاملHydration Monitoring in the Long-Term Prophylaxis of Nephrocalcinosis *Paper presented at a meeting of the South West Urologists Club
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South West Surgeons Club
South West Surgical Club were the guests of Professor Michael Brady and the Department of Surgery at Cork Regional Hospital, Wilton, Cork on 1st-2nd May 1981. The following are abstracts of papers read to the meeting. THE FROME EXPERIMENT VALUE OF SCREENING FOR COLORECTAL CANCER
متن کاملEditorial Board of the West of England Medical Journal AGM
at the Forte Posthouse Hotel in Deane Gate Avenue, Taunton. Twelve members of the Editorial Board were at the meeting. Readers will know from previous editorial material of the parlous financial plight of the Journal and that only one more issue of the Journal will be possible with our current finances. Many attempts have been made to obtain financial stability and viability for the future. Thi...
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