Current view on pathogenetic approach in surgical treatment of patients with diabetic foot syndrome

Cover Page

Abstract


Aim. To improve the immediate and long-term results of diabetic foot syndrome treatment, using modern surgical techniques.

Materials and methods. The results of treatment of 264 patients were analyzed. For these patients with purulo-necrotic affection of extremities against the background of diabetes mellitus, complex treatment, including the techniques of extremity revascularization as well as modern hydrocolloid bandage materials, depending on the stage of wound process, was used; different variants of foot unloading at the clinical and ambulatory stages were offered. The method of treatment of purulo-necrotic wounds against the background of diabetes mellitus, based on differentiated use of ozonotherapy combined with application of biomaterials for closing ulcerous defects, was developed and introduced by the authors.

Results. The systemic approach and criteria for choosing surgical strategy of diabetic foot syndrome treatment were worked out and presented. The immediate and long-term results of using the introduced scheme of the management of patients were studied.

Conclusions. The developed complex approach is aimed at preservation of the foot and supporting function of the lower extremity; its clinical use permits to decrease the percent of amputations and lethality, improving patients’ quality of life indices.


V. P. Okroyan

Bashkir State Medical University

Author for correspondence.
Email: galimovov@mail.ru

Russian Federation, Ufa

кандидат медицинских наук, доцент кафедры хирургических болезней и новых технологий с курсом ИДПО

T. R. Ibragimov

Bashkir State Medical University

Email: galimovov@mail.ru

Russian Federation, Ufa

ассистент кафедры хирургических болезней и новых технологий с курсом ИДПО

O. V. Galimov

Bashkir State Medical University

Email: galimovov@mail.ru

Russian Federation, Ufa

доктор медицинских наук, профессор, заведующий кафедрой хирургических болезней и новых технологий с курсом ИДПО

V. O. Khanov

Bashkir State Medical University

Email: galimovov@mail.ru

Russian Federation, Ufa

доктор медицинских наук, доцент, профессор кафедры хирургических болезней и новых технологий с курсом ИДПО

  • Бенсман В.М. Хирургия гнойно-некротических осложнений диабетической стопы М.: Медпрактика 2015; 495.
  • Брискин Б.С., Зайратьянц О.В., Лебедев В.В. Применение биопластического материала Коллост для лечения раневых дефектов у пациентов с осложненными формами синдрома диабетической стопы: учеб. пособие. М. 2009; 104.
  • Галимов О.В., Ханов В.О., Валиева Г.Р. Синдром диабетичеcкой стопы: принципы комплексного лечения. Вестник хирургии им. И.И. Грекова 2015; 174 (5): 61–65.
  • Галстян Г.Р., Токмакова А.Ю., Егорова Д.Н. Клинические рекомендации по диагностике и лечению синдрома диабетической стопы. Раны и раневые инфекции 2015; 2 (3): 63–83.
  • Дедов И.И. Диабетическая стопа. М.: Практическая медицина 2005; 48–57.
  • Пальцын А.А., Колокольчикова Е.Г., Земляной А.Б., Светухин А.М. Возбудители хирургической инфекции при поражениях нижних конечностей у больных сахарным диабетом. Анналы хирургии 2000; 5: 52–55.
  • Стряпухин В.В., Лищенко А.Н. Хирургическое лечение синдрома диабетической стопы. Хирургия 2011; 2; 73–78.
  • Aerden D., Haentjens К. The surgical history of the amputated limb according to the indication for revascularization: diabetic foot, acute ischaemia, aneurysmal disease, chronic arterial occlusive disease. Acta Chir Belg 2011; 111 (6): 384–388.
  • Cohen D., Carter P. How small changes led to big profits for insulin manufacturers. British Medical Journal 2010; 341: c7139.
  • Diabetic foot problems: inpatient management of diabetic foot problems. Centre for Clinical Practice at NICE (UK). London: National Institute for Health and Clinical Excellence (UK) 2011.
  • Lee J.S., Choi W.J. The impact of diabetes on the short- to mid-term outcome of total ankle replacement. Bone Joint J 2014; 96 (12): 1674–1680.

Supplementary files

There are no supplementary files to display.

Views

Abstract - 131

PDF (Russian) - 34

PlumX


Copyright (c) 2018 Okroyan V.P., Ibragimov T.R., Galimov O.V., Khanov V.O.

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.