Differentiated treatment of patients with diabetic foot syndrome at the stage of specialized surgical care

Burleva, E. P.; Babushkina, Yu. V.; Galimzyanov, F. V.; Fominykh, A. N.

doi:10.17116/hirurgia201905142

Cited by 2 publications

(1 citation statement)

References 22 publications

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“…Diabetic foot syndrome (DFS) is the most dramatic complication of diabetes mellitus, as, in half of the cases, it ends in amputation and leads to disability, causing significant socio-economic damage. [1][2][3][4] Diabetic foot (DF) develops in 80% of diabetic patients with a disease duration of more than 20 years and does not tend to decrease. [5][6][7][8] Diabetic foot syndrome requires inpatient treatment in 25% of cases exceeding, thus, other complications of diabetes by this indicator.…”

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confidence: 99%

Mini-invasive revascularization operations in the complex treatment of neuroischemic and ischemic forms of diabetic foot syndrome

Zhakiyev¹,

Jakanov

Zhanabaev³

et al. 2021

Bangladesh J Med Sci

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Objective: Diabetic foot syndrome is the most dramatic complication of diabetes mellitus. The treatment success is impossible without improving blood circulation and the elimination of hemodynamic disorders in the affected limb.The study aim was to evaluate mini-invasive revascularization operations effectiveness on the lower limbs peripheral arteries in neuro-ischemic and ischemic diabetic foot syndrome forms. Materials and methods: The study enrolled 104 patients with purulent-necrotic complications of diabetic foot syndrome. 54 (51.9%) patients underwent stenting and balloon angioplasty (the main group). The comparison group included 50 (48.1%) patients, undergoing indirect revascularization surgeries in complex treatment. Results and discussion:After endovascular interventions, the API index increased by 47.6% (p<0.01) after 20 days compared to the admission index, the average blood flow rate increased by 1.8 times (p<0.01), and the tPo2 value improved by 67.8% (p<0.01). In the control group, the tPo2 value increased by 40.3% after 20 days, and API – by 34.4%. In the main group, the swelling disappearance in the foot wounds area was by 3.7±0.5 days faster (p<0.001), wounds purification by 4.1 days (p<0.001), granulation appearance by 3.5±0.4 days (p<0.001), wound margins infiltration disappearance happened 3.3±0.9 days earlier (p<0.001), and the wound epithelization was 2.9 days earlier (p<0.01) than in the control group patients. Conclusion: Foot support function at discharge from hospital was preserved in 94.4% of the main group and in 84% of the control group. Bangladesh Journal of Medical Science Vol.20(4) 2021 p.817-825

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Section: Introductionmentioning

confidence: 99%

Mini-invasive revascularization operations in the complex treatment of neuroischemic and ischemic forms of diabetic foot syndrome

Zhakiyev¹,

Jakanov

Zhanabaev³

et al. 2021

Bangladesh J Med Sci

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Angiographic Therapies for Diabetic Foot Syndrome

Галимов

Khanov

Ишметов

et al. 2021

Kreativnaâ hirurgiâ i onkologiâ

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Background. The study aimed to improve treatment outcomes in diabetic foot syndrome patients by use of invasive pressure monitoring during arterial radiological interventions.Materials and methods. A total of 36 patients with type 2 diabetes and purulent necrotic lesions of lower extremities have been treated at the surgery unit of Bashkir State Medical University Clinic during 2019—2020, with 12 persons forming the main cohort and receiving the measures complemented with the newly developed “X-ray endovascular intraoperative significance evaluation of lower limb arterial stenosis” technique (Patent RU 2737215 of 26.11.2020). The control cohort comprised 24 patients following pertinent standard treatment and recommendations in this pathology.Results and discussion. Immediate treatment outcomes were evaluated by person in the main and control cohorts. Longterm outcomes were observed at 6, 12 and 24 months since hospital discharge in 10 (83.3 %) patients of the main and 19 (79.2 %) — of the control cohort. In a 2-year run, the limb was kept in 8 (66.7 %) patients having the new revascularisation technique and in 10 (41.7 %) persons of the control cohort (p < 0.05).Conclusion. The use of endovascular radiology for limb revascularisation and intraoperative significance monitoring of lower limb arterial stenosis allow the volume determination of balloon angioplasty and statement of revascularisation completeness.

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Differentiated treatment of patients with diabetic foot syndrome at the stage of specialized surgical care

Cited by 2 publications

References 22 publications

Mini-invasive revascularization operations in the complex treatment of neuroischemic and ischemic forms of diabetic foot syndrome

Mini-invasive revascularization operations in the complex treatment of neuroischemic and ischemic forms of diabetic foot syndrome

Angiographic Therapies for Diabetic Foot Syndrome

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