Generalized purulent necrotic lesions in diabetic foot syndrome

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Abstract

Objective. To analyze the scheme of complex treatment of patients with diabetic foot syndrome (DFS) developed by the authors, which includes three-stage surgical treatment, as well as infusion and conservative therapy.

Material and methods. The study involved 606 patients with DFS, of which 54.1% had purulent-necrotic lesions of lower limbs tissues against the background of diabetes mellitus, and 2% had complicated syndrome of systemic inflammatory reaction (sepsis).

Results. The treatment results were evaluated in the form of three outcomes: favorable (preservation of the lower limb support function + cessation of clinical manifestations of generalized infection) – in 44.4% of cases, unfavorable (lower limb amputation without preservation of the support function + cessation of clinical manifestations of generalized infection) – in 22.3%, lethal – in 33.3%.

Conclusion. The proposed stage and sequence of treatment of patients with generalized forms of pathology on the background of DFS allow to reduce the frequency of high amputations of lower limbs and improve the quality of life of patients of this category.

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About the authors

K. A. Koreiba

Kazan State Medical University

Email: walker02@mail.ru
ORCID iD: 0000-0002-0821-2249
SPIN-code: 3576-6591

Candidate of Medical Sciences

Russian Federation, Kazan

E. P. Krivoshchekov

Samara State Medical University

Author for correspondence.
Email: walker02@mail.ru
ORCID iD: 0000-0001-9780-7748
SPIN-code: 6114-5014

MD, Professor

Russian Federation, Samara

P. S. Lukin

Academician Wagner Perm State Medical University

Email: walker02@mail.ru
SPIN-code: 3348-3850

Candidate of Medical Sciences

Russian Federation, Perm

A. R. Minabutdinov

Russian Railways-Medicine Clinical Hospital

Email: walker02@mail.ru
ORCID iD: 0000-0002-7176-197X
Russian Federation, Kazan

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2. Fig. 1. Patient F.S.A.: a – wound before treatment; б – wound after the 2nd stage of treatment

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3. Fig. 2. Patient Z.D.D.: a – wound before treatment; б – wound after the 2nd stage of treatment

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