The risk of complications in diabetes patients undergoing wound surgery is affected by how well blood glucose levels are controlled, according to US researchers
The study authors, from from Georgetown University, emphasised the need for “tight” HbA1c control in such patients.
They recorded complications – including dehiscence, infections and need for repeat surgery – in 79 diabetes patients undergoing procedures for chronic wound closure.
Those with high HbA1c levels before or after surgery showed a higher risk of complications – for example, wound dehiscence occurred in 44% of those with high HbA1c before surgery, compared to 19% of other patients.
The authors said: “In primary closure of surgical wounds in high-risk patients, poor glycemic control is significantly associated with worse outcomes.
“Every effort should be made to ensure tight control in both the chronic and subacute perioperative periods.”
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