Abstract

Aim: The aim of this study was to analyse the outcomes of peripheral vascular disease and the bypass procedure done in patients with diabetic foot problems. Methods and materials: A cross sectional descriptive retrospective analysis was carried in department of Surgery at St John’s medical college, Bangalore, India. The study period was for 3 years from February 2012 to Jan 2015. Results: A total of 17 patients had undergone open peripheral bypass surgery procedure for diabetic foot problems during this period. There were 13 males [76.5%] and 4 females [23.5%]. 11 patients [64.7%] had history of smoking. 6 patients [35.3%] had diabetes of less than 1 year duration. 7 patients [41.1%] had presented with dry gangrene. 5 patients [29.41%] had associated foot infection. 9 patients [52.9%] had undergone open bypass surgery only without any amputation done on them. The most common surgical procedure performed was femoro-popliteal bypass surgery [76.47%]. Conclusion: The recent trend shows an increase in endovascular procedure over bypass procedure which is decreasing over years. In fact, our series shows hardly one bypass being performed every 2 months in diabetic foot patients .Femoropopliteal bypass remains the commonest bypass procedure . Our limb salvage rate was 89.2%. Dry gangrene is the commonest pathological lesion seen. The inpatient mortality in our series was 11.76%.