Evaluation of Pre and Post Hypertension and Diabetes in Patients Undergoing Toe Amputation Due To Gangrene: An Original Research

Abstract

Aim: Purpose of our research was to measure specific co-morbidities in patients before and after amputation in a patient suffering from gangrene.
Methodology: 25 patients aged between 40-65 years of age, who were undergoing below knee amputation due to gangrene and suffering from hypertension as well as diabetes mellitus were included in the study. Pre and post surgical level were noted in them in relation to blood pressure level, random blood glucose, serum cholesterol, HbA 1c, CRP levels. Student t-test was carried on these continuous variables and statistical analysis was carried out with the help of SPSS 25.0.
Results: We observed that glycemic control improved with sugar levels returning to near normal which could be medically managed with 68% having RBS level below 200 mg/dl post surgically. (0.61±0.33) Around 38.5% of cases had reduction in their blood pressure level from high to moderate level immediately post-surgery and rest in 2-3 days after surgery. (0.56±0.34)
Conclusion: It was evident that after amputation of gangrenous part, not only the inflammatory damage but the vitals improved under controlled medical management.