Excision of Diabetic Carbuncle upper back – 2 – Dr Narotam Dewan, Dewan Hospital, Ludhiana
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The patient was 53 yrs male weighing 104Kg and came with hyperglycemia and toxemia. He was started on titrated doses of human act rapid insulin and antibiotics. Pus was sent for culture and sensitivity. He was investigated and prepared for surgery. Excision of the carbuncle was under taken under intubation general anesthesia. Patient has been discharged now. His blood sugar level is under control and TLC has fallen to near normal. He is getting dressing once daily and is on insulin and antibiotics.
I got one back of my neck I have an operation on Friday wish me luck!
Excellent work Dr!. Your very precise and interesting to watch! Thanks!
Jesus that looks BRUTAL.
Try to see something positive also, anyone including you may need care of a surgeon sometimes.
Your very good att your job
Dr Narotam-Dewan-Hospital Ludhiana. CONGRATULATIONS.
I hope this patient had a good recovery. They must have been so unwell . Well done Dr. Dewan. A fascinating procedure to watch.Medicine and how our bodies work is so amazing.
Yes Lou, the healing in diabetic persons is always slow as they lack amino acids which are the building blocks of our tissue. In this case I kept patient on high protein diet, tight control of diabetes and this helped in timely healing.
What horrible things they are
I bet he felt soooo good after all this was removed!
I Dr Dewan acknowledged the sensitivity of people towards the suffering of the patient and towards me, this is a serious disease and patient had come for surgery when in spite of medical treatment his disease worsened. The cutting, taking out of pus and irreparable tissue harbouring lethal infection are done with intention to cure and return the patient to health.
Thank you for your encouraging comments.
respect for surgeon… it seems like a really hard operation.
I have watched a number of your videos, and I have always been impressed with your ethics, and demeanor. I think you are an excellent doctor, especially considering the types of conditions you have to operate in. Keep up the good work and videos.
Regular excercise, food by head not by tongue, high protein diet with lot of roughage esp green vegetables, keep clean and nip the evil if it starts in the bud.
FEED ME SEYMOUR! 5:31
Haaaaaaa
Soxxielou x suddenly Seymour! (Standing beside you.) Sweet understanding! *in unison* Seymours! Your~! Freind~!
Well some one has to do the challenging, risky and dirty job dear.
I like this surgeon.
Thank you, yes these carbuncles need to be dealt with aggressively and taken out and this tissue that has become soaked with pus like a sponge will never heal and will keep spreading infection locally and endotoxins systemically.
I had never seen so much infected tissue like that!
Yes, the infection is spread underneath the tissues
Extremely impressive and quite the learning tool. Thanks so much for sharing.
Yipes!!!! I WILL get my blood sugar under control after seeing this !!!.
Actually I have stated feeling through my scissors and scalpel, the feel of different tissues helps me to choose the plain of dissection also I do not like the collateral damage to the tissue adjoining the plain of dissection by the heat of cautery and also the smoke of human flesh burnt by the cauetry. I have to use it for coagulation of vessels which do not stop, most of bleeding stops and there is less bleeding in fat and if we get proper plain of dissection