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About 15% of patients with diabetes develop a diabetic foot. After 25 years of Diabetes there is an 11% chance of lower limb amputation. 85% of trivial foot lesions can ultimately result in foot amputation.. Many of these amputations could be prevented. However, the treatment is lengthy, expensive and often not feasible in rural areas. We describe the methods that we have used in rural areas to salvage diabetic feet from amputation and present our experience gathered from working in many rural mission hospitals. Five factors identified as significant to predict the development of diabetic...

Minimally invasive surgeries are becoming common all over the world and are more relevant to the rural patients because of the shorter hospital stay, less pain and quicker recovery. However the problem is the high cost of the equipment and disposables and the steep learning curve. In India 30% or the rural patients do not get surgeries due to financial constraints and 16% of those who do have surgical procedures are pushed below poverty line. We describe our 25 years of experience in making laparoscopic and other minimally invasive surgeries available to the rural population in India....