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Introducation: In the years between 1958 and 1993, the number of people diagnosed with Diabetes multiplied five - fold.1 In 1994, 135 million patients world - wide were living with Diabetes Mellitus. By the year 2025, it is estimated that this figure would increase to more than 300 million .2 Currently 25 million Indians have diabetes. The loss of a limb or foot is one of the most feared complications of diabetes and yet foot problems remain the commonest reason for diabetic patients to be hospitalized. Diabetic foot ulcers precede almost 85% of amputations. ⮚ Objectives To predict the risk of amputation. ⮚ Prognosticate diabetic foot ulcer healing & complications ⮚ Average length of Hospital stay(ALOS) Material and Methods: This Is Prospective Study Conducted In Belgavi Institute Of Medical Sciences Belgavi From 2018 Till 2020. Total of 90 Diabetic patients with diabetic foot ulcers irrespective of their duration, attending surgical outpatient clinic or admitted into the BELGAVI INSTITUTE OF MEDICAL SCIENCES BELGAVI were recruited into the study based on the inclusion and exclusion criteria. ulcers were followed up for a minimum period of 6 months. Once a patient's ulcer had healed completely either by primary healing or skin grafting or a lower-limb amputation performed, the outcome was noted and the patient was deemed to have completed the study Results AND Interpretation: Most Of The Patients Were Male In Thr 5 N 6 Decade, Scoring Done Using Duss Score 11% Requiring Major Ampuatation And 44 % Minor Ampuatation. With Increases In Duss Score Ampuatation Chances Are More. Conclusion: DUSS scoring system provides an easy diagnostic tool for predicting probability of healing or amputation by combining four clinically assessable wound based Parameters. [ABSTRACT FROM AUTHOR]

Background and objectives: Inguinal hernia repair is the most frequently performed operation in any general surgical unit. Reports on the outcome of inguinal hernia surgery show that recurrence rate 5 years after operation can vary from 0.1 to over 20%. The aim of the present study is to compare Lichtenstein’s tension free hernia repair with the Modified Bassini’s herniorraphy in terms of immediate complications like technical difficulty, seroma formation, wound infection rate, recurrence rate at one year and chronic pain. Methods:100 cases admitted to BELAGAVI INSTITUTE OF MEDICAL SCIENCES BELGAVI DISTRICT HOSPITAL from June 2021 to May 2022 with primary unilateral inguinal hernia were randomly subjected either to Modified Bassini’s herniorraphy or Lichtenstein hernioplasty. All the hernia repairs were performed under spinal anaesthesia. In case, of any associated conditions like hypertension, diabetes mellitus were present, treatment was first given for these associated conditions. A note was taken of any technical difficulty during surgery.The patients were followed in the surgical OPD at 1 month, 6 months and 1 year for time taken to return to normal activities, chronic groin pain, patient’s satisfaction and recurrence. Results:Technical difficulty was encountered in 4 patients (i.e. 8%) undergoing Modified Bassini’s herniorraphy. No technical difficulty was encountered in any of the patients in Lichtenstein group. At 1 month follow up, 20 patients (i.e. 40%) of Modified Bassini’s herniorraphy group patients had mild pain whereas 14 patients (i.e. 28%) had mild pain in the Lichtenstein group. However, none of the patients in X any of the two groups had any degree of pain at 6 months and 1 year. There was one recurrence (i.e. 2%) in Modified Bassini’s herniorraphy. However, no recurrence was seen in Lichtenstein group. Time to return to work was relatively shorter in Lichtenstein group. Interpretation and Conclusion: Lichtenstein is a easy, straightforward technique for inguinal hernia repair with fewer recurrences, less hospital stay and less duration of surgery. However, amongst the pure tissue repairs Modified Bassini’s herniorraphy still remains relevant. [ABSTRACT FROM AUTHOR]