About 66 Brazilians undergo lower limb amputations daily.

Posted 06/23/2022 21:55

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Between 2012 and 2021, more than 245,000 Brazilians suffered from lower limb amputations – legs and feet. The survey, conducted by the Brazilian Society of Angiology and Vascular Surgery (SBACV), indicates a sharp increase in the incidence of coronary heart disease. -19. The survey also found that more than half of the deductible cases are due to diabetes and pre-diabetes.

The study was compiled from information from the Ministries of Health, and shows that, on average, 66 patients undergo surgery daily, and at least three per hour. Dr. Sergio Belzac, head of cardiovascular and endocrine vascular surgeons and SBACV, explains that based on backward countries, Brazil’s rates are the same, but the number of procedures in Brazil is higher than in countries with more purchasing power.

In addition to diabetes, research indicates that there are other risk factors for dementia, such as smoking, hypertension, dyslipidemia, old age, kidney failure, hypercoagulable states and family history. However, Belczak reiterates that lack of care for diabetes is the biggest reason for the harvest. “As a general rule, the leading causes of cuts are diabetics who have a small sore on their feet and who suffer from a lack of proper circulation, a lack of sensitivity, a weakened immune system, these small with large infections. There are wounds. And necrosis results in amputation of fingers, toes and even legs. “

The doctor added that most of the cuts could have been avoided if the patients had controlled their illnesses more strictly. “Diabetics follow more guidelines for diabetic foot care, such as having their feet examined or self-examined by a family member, or through a health professional, often such cases can be avoided. “You have a patient who has less sequelae due to diabetes and there are definitely fewer changes in the eyes, kidneys and feet.”

In many cases of amputation, one of them is 66-year-old Marilyn Nuance Lemonica, who amputated her right big toe. “I’m diabetic and I had a sore on my foot caused by a sandal that became infected, until it reached the bone, causing osteomyelitis,” he says.

During an epidemic

Research data shows that the number of cuts gradually increased between 2019 and 2021, as opposed to the declining trend in hospital procedures during epidemics. Researchers link it to the suspension of clinical follow-ups during a crisis.

SBACV believes that the increase in procedures is due to the difficulty in monitoring the health complications of patients who have dropped out of treatment or avoided hospitalization due to Code-19. “As a result of the epidemic, diabetics and consequently pre-diabetic patients sought less medical help. So they allowed these wounds, their wounds to heal more. “Because of the lack of demand for medical care and the people who decided to stay at home during the epidemic,” the doctor said.

The survey found that the daily average of deductions reached 75.64 in 2020, rising to 79.19 in 2021, and that the results could be due to the cessation of patient follow-up. That’s about 2,354 cuts per month in 2020 and 2021.

* Intern under the supervision of Pedro Gregory


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