Plastic closure of wounds in patients with ischemic form of diabetic foot syndrome.
DOI:
https://doi.org/10.26641/2307-0404.2018.4(part1).145669Keywords:
diabetic foot, diabetes, complex treatmentAbstract
In the work the analysis of the results of treatment of 48 patients with ischemic and neurotrophic forms of diabetic foot syndrome has been performed. All patients had diabetes mellitus and IV degree of ischemia by Fontaine. After carrying out revascularization operations, a complex treatment was used that included phototherapy, the phase closure of tissue defects with synthetic coating with the application of fibrin clot and plasma enriched with platelet growth factor, vacuum therapy of wounds, autodermoplastics by Tirsch, free autodermoplastics with split skin scar. The implementation of the developed tactics allowed to achieve complete wound healing in 91.7% of patients, partial healing – in 8.3% of patients and to avoid high amputations.
References
Korobov AM, Korobov VA, Lesnaya T. [Photobiotic devices of Korobov the :Barva” series]. Harkov, YPP «Kontrast». 2008;176. Russian.
Eltzschig HK, Collard CD. Vascular ischaemia and reperfusion injury. Br Med Bull. 2004;70:71-86.
Gibbons GW. Lower extremity bypass in patients with diabetic foot ulcers. Surg Clin North Am. 2003;83:659.
Eskelinen E, Luther M, Eskelinen A, Lepantalo M. Infrapopliteal bypass reduces amputation incidence in elderly patients: a population-based study. Eur J Vasc Endovasc Surg. 2003;26:65.
Norgren L, Hiatt WR. Dormandy JATASC II Working Group, et al: Inter-society consensus for the management of peripheral arterial disease (TASC II). J Vasc Surg. 2007;45.
Downloads
How to Cite
Issue
Section
License
Copyright (c) 2018 Medicni perspektivi (Medical perspectives)
This work is licensed under a Creative Commons Attribution 4.0 International License.
Submitting manuscript to the journal "Medicni perspektivi" the author(s) agree with transferring copyright from the author(s) to publisher (including photos, figures, tables, etc.) editor, reproducing materials of the manuscript in the journal, Internet, translation into other languages, export and import of the issue with the author’s article, spreading without limitation of their period of validity both on the territory of Ukraine and other countries. This and other mutual duties of the author and all co-authors separately and editorial board are secured by written agreement by special form to use the article, the sample of which is presented on the site.
Author signs a written agreement and sends it to Editorial Board simultaneously with submission of the manuscript.