Surgical Research
Open AccessThe Influence of Sudan Armed Conflict on the Presentation of Diabetic Patients and Subsequent Surgical Intervention
Authors: Amara Amer SE, Altayeb Massry E, Hassan Khalifa HM, Yousif Hamid Mahmoud, MuhamdElhafiz Ahmed Sahal, Mohamed Elmustafa AbdElrazag, Maged Elebeid Musa, Mohammedbabalrahma Bashier Koko, Jowaireia Gaber Al-Basheer Al-Hassan, Sara Abubaker Abdallbasit, Eldisugi Hassan Mohammed Humida, Hussain Gadelkarim Ahmed.
Abstract
Background: Surgical intervention for diabetic complications is typically performed when conservative therapies are ineffective or when significant health risks arise for the patient. This study assessed the influence of the armed conflict in Sudan on the clinical manifestations of diabetic patients and the consequent interventions.
Methodology: This study presents a prospective descriptive analysis conducted at El-Obeid Teaching Hospital in North Kordofan State, Sudan, over a period from May 2023 to May 2025, during a time characterized by conflict and considerable challenges in a hot zone region. Ninety-nine patients experiencing complicated diabetes due to war-related challenges were enrolled in this study.
Results: Most males experienced toe amputations, followed by below-knee and above-knee amputations, representing 29% and 19%, respectively. Most females underwent debridement, followed by below-knee amputation and toe amputation, accounting for 33.3%, 20%, and 16.7%, respectively. Amputation was performed on 15.2% of patients, including 17.4% of males and 10% of females.
Conclusion: The armed conflict in Sudan has adversely affected diabetic patients, leading to complications that require surgical intervention. The majority of surgical procedures were observed in the peri-knee and toes, mostly performed on older males.
Editor-in-Chief
View full editorial board →