DOI: http://dx.doi.org/10.18203/2349-2902.isj20201385

A hospital based cross sectional study on surgical profile of patients with chronic leg ulcers

Archana L. Thakur, Meghraj J. Chawada, P. T. Jamdade

Abstract


Background: Treatment of chronic leg ulcer is not easy. Appropriate diagnosis and proper treatment are the cornerstone for successful outcome. To study the profile of patients with chronic leg ulcers.

Methods: Hospital based observational study was carried out in 108 cases. All patients coming to surgery OPD in our set up with chronic leg ulcers of duration of more than 6 weeks were advised admission if they were willing for the same. Then detailed history was recorded. Detailed examination of venous system was done for varicosities, incompetent perforators, sapheno-femoral or poplitio-femoral junction incompetence. In case of patient’s peripheral vascular diseases, detailed examination of arterial system was done. Descriptive statistics like frequencies and percentage for categorical data, mean and SD for numerical data has been depicted.

Results: Majority of study subjects were in age range of 60 to 70 years. percentage of male patient (76.9%) was higher than that of the female (23.1%). 43.5% of participants with ulcer on left side and 56.5% participants had ulcer on right side. 47% of participants had complaints between 7 to 8 weeks. main etiological factor was infective etiology in 38.9% patients. 54.1% ulcers were found in lower 1/3rd of the leg. About 88.9% cases had positive culture. The most common organism grown was of pseudomonas in 45.8% cases.

Conclusions: The most common etiology of chronic leg ulcer in this study is infective followed by traumatic ulcer. The most common associated condition found in chronic leg ulcer is diabetes mellitus.


Keywords


Ulcer, Etiology, Profile, Culture, Organism, Pseudomonas

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References


Jarbrink K, Ni G, Sonnergren H, Schmidtchen A, Pang C, Bajpai R, et al. The humanistic and economic burden of chronic wounds: a protocol for a systematic review. Syst Rev. 2017;6(1):15.

Herber OR, Schnepp W, Rieger MA. A systematic review on the impact of leg ulceration on patients quality of life. Health Qual Life Outcomes. 2007;5:44.

Vishwanath V. Quality of life: Venous leg ulcers. Indian Dermatol Online J. 2014;5(3):397-9.

Shukla VK, Ansari MA, Gupta SK. Wound healing research: a perspective from India. Int J Low Extrem Wound. 2005;4(1):7-8.

Kumar SA, Binitha MP, Sarita S. A Clinical and Aetiological Study of Chronic Leg Ulcers. Int J Contemporary Med Res. 2016;3(12):3438-40.

Rahman GA, Fadeyi A. Epidemiology, aetiology and treatment of chronic leg ulcer: Experience with sixty patients. Ann Afr Med. 2014;9(1):1-4.

Fadeyi A, Adigun I, Rahman G. Bacteriological Pattern of Wound Swab Isolates in Patients with Chronic Leg Ulcer. Int J Heal Res. 2008;1(4):183-8.

Gokhale Y, Raut A, Lala DK, Kothari R, Kalekar L. Etiology and Outcomes of Lower Limb Ulcers in Non-Diabetic Patients, An Experience from Government Hospital in Western India. J Assoc Physicians India. 2017;65:47-50.

Korber A, Klode J, Al-benna S, Wax C, Schadendorf D, Steinstraesser L et al. Etiology of chronic leg ulcers in 31, 619 patients in Germany analysed by an expert survey. J Dtsch Dermatol Ges. 2010;9(2):1-6.

Gajjam SA, Amol W, Shrinivas G, Res IJ, Sci M. Study of the pathogenesis and diagnosis of ulcer of lower extremity under various conditions. Int J Res Med Sci. 2016;4(2):621-7.

Edwards H, Finlayson K, Miaskowski C, Aouizerat B, Gibb M, Care MW. Identification of Symptom Clusters in Patients with Chronic Venous Leg Ulcers. J Pain Symptom Manage. 2014;47(5):867-75.

Fadeyi A, Adigun I, Rahman G. Bacteriological Pattern of Wound Swab Isolates in Patients with Chronic Leg Ulcer. Int J Heal Res. 2008;1(4):183-8.

Wu M, Ruan H, Huang Y, Liu C, Ni P, Ye J et al. Bacteriological Investigation of Chronic Wounds in a Specialized Wound Healing Department: A Retrospective Analysis of 107 Cases. Int J Low Extrem Wounds. 2015;14(2):178-82.

Moore K, Hall V, Paull A, Morris T, Brown S, Mcculloch D et al. Surface bacteriology of venous leg ulcers and healing outcome. Br Med J. 2010;63(9):830-5.