This hospital serves as a general hospital, teaching hospital and a research centre, it is not considered as a diabetic foot care clinic, though patients with various diabetic complications are referred to this hospital to take care of. India has ranked first in the list of ten nations most affected with diabetes (1, 2). Around 15% of diabetic patients got affected with diabetic foot lesion during their lifetime (2), this can be associated with poor diabetic control, barefoot walking and lack of education which will complicate diabetes mellitus (3). Despite the efforts of conservative therapy, there will always be a percentage of foot lesions that necessitates hospitalization. In general, the development of diabetic foot lesion is mainly related to local trauma, neuropathy and deformity (4, 5). In India neuropathy (13%-78%), microangiopathy (16%-53%) and diabetic foot lesion are the common complications of diabetes mellitus (6, 7) leading to disability, morbidity and mortality in the patients. Thus the objective of this study was to evaluate the characteristics of diabetic foot lesion in patients of type-2 diabetes of north Karnataka. INTRODUCTION Sample Size: 50 MATERIAL & METHODS: Study Duration: 6 months Study Design: Prospective study, the data was collected from those patients admitted in the department of surgery and orthopedics Al Ameen Medical College & Hospital Bijapur with history of type II diabetes mellitus presenting with foot lesion during study period. Sample Population: 50 patients with history of type II diabetes mellitus presenting with foot lesion admitted India has the highest number of patients affected by diabetes mellitus. Patients with diabetes are at high risk of developing foot lesion that can develop into non-healing wound. Few studies have reported that type-2 diabetes mellitus patient have a lifetime risk of developing diabetic foot ulcer. Thus aim of this study was to evaluate the characteristics of diabetic foot lesion in patients of type-2 diabetes of north Karnataka. It is a prospective study conducted on patients admitted in department of surgery and orthopedics at Al Ameen Medical College & Hospital Bijapur for a period of 6 months. The demographic data, diabetic foot history, bacteriological pattern and associated risk factors, treatment and patient offloading were evaluated. Demographics and physical characteristics were: 68% patients with history of type II diabetes mellitus presenting with foot lesion were males, among them 36% patients had peripheral neuropathy and 30% had peripheral artery disease (PAD). Diabetic foot lesion characteristics are 30% of lesions were located on dorsum aspect and 24% on toes, 40% University of Texas (UT) wound Grade of 1B (wound involving tendon, capsule or bone), 30% with Grade 1C (ischemia) and 16% with Grade 3B (osteomylitis). Bacteriological pattern showed 42% of gram negative anaerobes with grade-2 (50%) and grade-3(44%) infection under PEDIS system of classification. Majority underwent conservative (22%) management; few underwent disarti...

Perforated Peptic ulcer is a complication of peptic ulcer disease (PUD) and is a surgical emergency with high morbidity and mortality. This study was undertaken to compare the outcome in patients treated with Cellan-Jones repair and Grahams patch for the perforation of peptic ulcer (PPU). It is a retrospective study done on 50 patients operated for perforated peptic ulcer in the District Hospital at Al Ameen Medical College Hospital Bijapur Karnataka from 2002 to 2005. Patients with acute and chronic peptic ulcer perforation selected for surgery, out of 50 patients 38 patients selected for Cellan-Jones repair and 12 patients selected for Graham's patch. Statistical analysis using Chi-square test was used to study the outcome in patients treated with two different surgical procedures for that particular age, sex, and occupation. Age related morbidity and mortality was also compared in the given study. A total of 50 patients with perforated peptic ulcer 38 patient treated with Cellan-Jones repair and 12 patients applied with Graham's patch. The overall mortality rate is 6% with p-value ˂0/05; 95% C.I. This study shows that the patients treated with Cellan-Jones repair and Graham's patch for the perforated peptic ulcer is having almost same result. This indicates that both the surgical methods have better survival outcome.