Clinical study of the various patterns of skin and soft tissue infections of lower extremities in peripheral vascular disease-management and outcome

Abstract

Objective: - Peripheral   vascular   diseases   are   a   group   of   common degenerative and vasospastic disease processes that result in significant morbidity and are strong predictors of subsequent mortality. 

Material & Methods: -A prospective study was conducted in the surgical wards of MBHospital Udaipur in the year 2001-2002. Those patients suffering from peripheral vascular disease of lower limb, admitted in this hospital. The purpose of the present study is to observe various patterns of skin and soft tissue infection in peripheral vascular diseases and to study their management modalities.

Result: - This is study 100 patients included those suffering from PVD of lower limb. Out of 100 patients 91 (91%) patients were males and only 9 patients (9%) were females. Majority of patients chronic smoker (96%, including 5 females), 4% were non-smoker females. The various patterns of skin and soft tissue present at the time of admission. 49 cases had ulcer at the time of admission and most common site was great toes. The management of lower limb PVD cases was done according to the lesion at the time of admission. 46 cases were treated by Lumber Sympathectomy.

Conclusion:-Thepresent study suggests that Lumber Sympathectomy for severe lower limb ischaemia is still a valuable treatment option and amputation will be required if conservative management of sympathectomy fails to heal ulcer, and gangrene lesion of digits develop.