Doctor insights on:
Does Gangrene Always Leads To Amputation
Many Reasons: Gangrene is just one of the many reasons amputations might be warranted. Other inidications are peripheral vascular disease that is resulting in poor limb perfusion (and ultimately gangrene). Infection to the bones or rapid progression of skin infection resulting in loss of the soft tissues. Trauma. Even a few nerve disorders can result in need for limb amputation. ...Read moreSee 1 more doctor answer
Multiple factors: The lifetime risk used to be 15% of diabetics would develop an ulcer and of those 15% would go on to amputation but that number has been steadily increasing to 20-25% of ulcers lead to amputation. Multiple factors include infection, circulation, kidney status, and ability to take pressure off the area, sugar control just to name a few. ...Read moreSee 2 more doctor answers
Serious problems: Serious conditions such as severe infections or very low blood flow to the leg can lead to amputation. Sometimes a serious infection can get into the bone causing osteomyelityis, and sometimes antibiotics do not always work. Low blood flow risks are increased in cigarette smokers and diabetics. Ischemic or infected tissues can sometimes cause serious troubles, negatively affecting other organs. ...Read moreSee 1 more doctor answer
Very little pain: Lasik is not a painful operation. Typically, there is some mild discomfort or feeling of something in your eye for a few hours after the procedure. Usually gone by the next morning. While every operation can have complications, the risk of blindness from lasik is very very small. ...Read moreSee 1 more doctor answer
There is no set time: ...& can vary from hours to never. Gangrenous tissue should be surgically removed as soon as it is medically safe to do so(i.e., when anesthesia, if needed, can be tolerated) and something can be done to protect the raw tissue that's left behind- unless infection has already started in which case it's even more urgent and no longer as important to worry about covering the raw tissue right away. ...Read moreSee 1 more doctor answer
Can occur quickly: Fournier gangrene is a soft tissue infection of the groin area, caused by mixed infection of both aerobic and anaerobic bacteria. Many patients are diabetic. It is considered a surgical emergency requiring IV antibiotics and surgery to remove dead and infected tissue. In spite of such measures, the mortality rate overall is 40%, but 78% if sepsis is already present at the time of presentation. ...Read moreSee 1 more doctor answer
If someone is diabetic and needs a toe amputation due to gangrene, is the doctor suppose to use general anesthesia?
Emergency: its an emmergency .Get a more detailed answer ›
Heart and kidneys: In the patient with congestive heart failure, the body senses that the heart is not working correctly. It sends a message the kidneys to hold onto salt and water that the patient eats and drinks. This excess salt and water builds up and becomes apparent in the legs, belly, and lungs. ...Read moreSee 1 more doctor answer
AV fistula: I think you mean: "arterial-venous fistula". It requires a particular type of trauma, usually penetrating, such that the wall of an artery and vein (which always are close to each other) are damaged so that their walls are embedded together and/or heal that way. Think of a knife or needle traversing both vessels and compression of tissue that holds the open open channels together. It's infrequent. ...Read more
How long can a brown recluse bite go untreated before it causes amputation ? does mild initial symptoms mean less chance of amputation ?
Not likely: most arteriovenous fistulas (AVF) in the limb are small and not life-threatening. The may be congenital, or a result of trauma, surgery or procedures, but, do not often result in amputation. They will usually enlarge if untreated, and this may involve surgery or catheter based procedures depending on the location of the AVF. ...Read more
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