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Robert E. Weiss - One of the best experts on this subject based on the ideXlab platform.

G Schreiber - One of the best experts on this subject based on the ideXlab platform.

Allan J. Pantuck - One of the best experts on this subject based on the ideXlab platform.

U Wollina - One of the best experts on this subject based on the ideXlab platform.

Abdullah Al Wahbi - One of the best experts on this subject based on the ideXlab platform.

  • Operative versus non-operative treatment in diabetic dry toe gangrene.
    Diabetes & metabolic syndrome, 2018
    Co-Authors: Abdullah Al Wahbi
    Abstract:

    Abstract Background and aim Diabetic foot is a major comorbidity of diabetes, with 15–25% of diabetic patients developing diabetic foot ulcer during their lifetime. Other major diabetic foot complications include cellulitis, abscess, wet gangrene, dry gangrene, and necrotizing fasciitis. Dry gangrene involves tissue necrosis due to chronic ischemia whereby the tissue becomes numb, dry, wrinkled, and dead. Although diabetic foot complications have been extensively studied in literature, there is limited data on the management of dry gangrene. Methods We report a case series of 12 patients with diabetes-related dry gangrene in the toes, initially planned to be managed conservatively with Autoamputation. Results One patient had an Autoamputation, while eight patients underwent surgical amputations (six major amputations, two minor amputations) for better clinical outcomes. Two patients died, while no change was observed in one patient even after 12 months of follow-up. Conclusion Managing diabetic dry toe gangrene by waiting for Autoamputation may lead to worse clinical outcomes and should be practiced cautiously on a case-by-case basis. Early surgical intervention should be opted to improve patients’ quality of life.

  • Autoamputation of diabetic toe with dry gangrene: a myth or a fact?
    Diabetes metabolic syndrome and obesity : targets and therapy, 2018
    Co-Authors: Abdullah Al Wahbi
    Abstract:

    Diabetes is associated with various complications and reduced quality of life. Of the many complications, some are life-threatening. Among these, foot complications remain an important concern. The major foot complications include foot ulceration, cellulitis, abscess, wet gangrene, dry gangrene, and necrotizing fasciitis, with different pathophysiological concepts behind each of them. Gangrene occurs due to reduced blood supply in the body tissues that leads to necrosis. This condition may arise because of an injury, infection, or other health conditions, majorly diabetes. Gangrene is classified as dry, wet, and gas gangrene. In case of wet and gas gangrene, surgical amputation is usually performed to prevent the spread of infection to other tissues. In dry gangrene, due to the presence of clear demarcation, Autoamputation is preferred in certain parts of the globe. The present review aims to analyze the mode of dry gangrene management in diabetic patients based on previous evidence and plans to highlight various management strategies available for dry gangrene and the advantages/disadvantages of different treatments with special consideration to Autoamputation.