A New Classification (Grading System) of Debridement in Diabetic Lower Limbs – an Improvization and Standardization in Practice of Diabetic Lower Limb Salvage Around the World
A New Classification (Grading System) of Debridement in Diabetic Lower Limbs – an Improvization and Standardization in Practice of Diabetic Lower Limb Salvage Around the World
Debridement is one of the most common and also a most underestimated surgical procedure performed by surgeons. For specialist like Podiatric surgeons and qualified wound care nurses, debridement of diabetic foot wounds has been an essential day to day common surgical practice. Inspite of being such a common procedure, there is no classification of debridement when it comes to diabetic limb salvage practice till date. The word debridement is used loosely and equally for all diabetic foot lesions without specification. The author, being one of the few handful specialist podiatric surgeons in India, proposes a new simple classification [grading system] for surgical debridement of diabetic lower limb wounds which could be used in day to day practice and which will help in standardizing the practice of diabetic lower limb salvage in developed, developing and underdeveloped countries and thus can form a language of medical communication in field of diabetic limb salvage. There is currently an urgent need for newer concepts, standardization and recent advances in diabetic foot practice in developing countries where this speciality is neglected. This new grading system is one such novel step by the author towards improvisation of diabetic foot practice.
___
- Espensen EH. Assessing debridement options for diabetic wounds. Podiatry today. 2007;20(3):101-6.
- Harris RJ. The nursing practice of conservative sharp wound debridement: Promotion, education and proficiency. Wound Care Canada. 2009;7(1):22-6.
- Leaper D. Sharp technique for wound debridement. World Wide Wounds. 2002:1-7. www.hcpro.com/Jim-283163-8160/Differentiate-between-types-of-wounddebridement.html.
- Granick MS,Gamelli RL. In: Surgical wound healing and management. Informa health care, USA, 2007.
- Boulton AJM, Cavanagh PR, Rayman G. In: The Foot in Diabetes. 4th ed. Wiley, UK, 2006.
- Townsend CM, Beauchamp RD, Evers BM, Mattok KL. In: Sabiston’s Textbook of Surgery- The molecular basis of modern surgical practice. 18th ed. Elsevier, USA, 200 Williams NS, Bulstrode CJK, Coneel PR. In: Bailey and Love’s Short practice of surgery. 25th ed. Arnold, UK, 2008.
- Brunicardi FC, Andersen DK, Billiar TF, Dunn DL, Hunter JG, Pollock RE. In: Schwartz’s Principle of Surgery. 8th ed. Mc Graw-Hill, USA, 2005.
- Morris PJ, Wood WC. In: Oxford textbook of Surgery. 2nd ed. Oxford University Press, USA, 2000.
- Suzuki K, Cowan L. Current concepts in wound debridement. Podiatry today. 2009;22(7):40-8.
- Madan M, Naveen TK, Balachander M. A study of surgical management of diabetic limb complications among rural population. Indian J Surg. 2012;74(2):131-5.
- Solanki K, Parmar H, Shah Samir. Surgical management of diabetic foot. NJIRM. 2012;1(4):40-2.
- Bowker JH, Pfeifer MA. In: Levin and O’Neals The diabetic foot. 7th ed. Mosby, USA, 2008.
- Veves A, Giurini JM, Logerfo FW. In: The diabetic foot- medical and surgical management. Humana Press, USA, 2002.
- Chalya PL, Mabula JB, Dass RM, Kabangila R, Jaka H, McHembe MD, Kataraihya JB, Mbelenge N, Gilyoma JM. Surgical management of Diabetic foot ulcers: A Tanzanian university teaching hospital experience. BMC Res Notes. 2011;4:365.
- Jain AKC. A new classification of Diabetic foot classification: A simple and effective teaching tool. J Diab Foot Complications. 2012;4(1):1-5.
- Poggio A. A guide to coding for outpatient and inhospital debridement. Podiatry today. 2011;24(8):66-9.
- ISSN: 2147-0634
- Yayın Aralığı: Yılda 4 Sayı
- Başlangıç: 2012
- Yayıncı: Effect Publishing Agency ( EPA )