Background: Most diabetic wounds are slow healing and have a considerable area for which healing takes a long duration by conservative methods. Hence we wanted to check the effectiveness of methods of accelerating the healing process. Aim of the study was to analyse the effectiveness of split skin grafting as a curative procedure in these ulcers. Methods: A retrospective analysis of 100 cases of diabetic ulcer who had undergone split skin grafting between 2009 and 2012 was performed to check the effectiveness of the procedure in curing the ulcer. Results: Split skin graft cured about 88% of the patients (graft take more than 90%) with recurrence of about 5%. The rest had graft taken less than 90% but the ulcer had healed. Donor site infection was seen in 5% and all were treated conservatively. Conclusions: The major goal in diabetic foot management programmes is to reduce morbidity, early wound healing and early ambulation. This procedure of split skin grafting helps to achieve this. But the ideal way forward is to avoid the development of such diabetic ulcers by patient education and improving glycemic control. Follow up in diabetic clinics should include vascular and neuropathic assessment of the foot and education about foot care.
Background: Solitary thyroid nodule is considered a challenge by surgeons and pathologists alike. Prevalence increases with age and their occurrence is spontaneous.Methods: This is a prospective study conducted in our hospital conducted over period of 2 years. About 100 patients who were confirmed as solitary nodule by clinical examination and ultrasound were included in this study and all relevant data were collected.Results: The swelling was found to be more common in women and in the age group of 20 to 30 years. The lesion was found to be benign in 92% and malignant in 8%. Out of the 8%, 4% of cases were diagnosed as malignant by FNAC. About 90% patients had undergone hemithyroidectomy and 10% underwent total thyroidectomy. The most common complication was wound infection.Conclusions: The majority of solitary nodule of thyroid was found to be benign and this clearly illustrates that hemithyroidectomy is the preferred surgery unless malignancy is suspected by fine needle aspiration cytology.
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