Plastic closure of wounds in patients with ischemic form of diabetic foot syndrome.

Authors

  • Yu. V. Ivanova
  • O. M. Klimova
  • V. O. Prasol
  • A. M. Korobov
  • Ye. V. Mushenko
  • D. O. Kiriienko
  • S. М. Didenko

DOI:

https://doi.org/10.26641/2307-0404.2018.4(part1).145669

Keywords:

diabetic foot, diabetes, complex treatment

Abstract

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.

Author Biographies

Yu. V. Ivanova

SE «V.T. Zaitsev Institute of General and Emergency Surgery NAMS of Ukraine» 
Balakiriev driveway, 1, Kharkov, 61103, Ukraine

O. M. Klimova

SE «V.T. Zaitsev Institute of General and Emergency Surgery NAMS of Ukraine» 
Balakiriev driveway, 1, Kharkov, 61103, Ukraine

V. O. Prasol

SE «V.T. Zaitsev Institute of General and Emergency Surgery NAMS of Ukraine» 
Balakiriev driveway, 1, Kharkov, 61103, Ukraine

A. M. Korobov

V.N. Karazin Kharkiv National University
Svoboda sq., 4, Kharkiv, 61022, Ukraine 

Ye. V. Mushenko

SE «V.T. Zaitsev Institute of General and Emergency Surgery NAMS of Ukraine»
Balakiriev driveway, 1, Kharkov, 61103, Ukraine

D. O. Kiriienko

Kharkiv national medical university
Nauka av., 4, Kharkiv, 61022, Ukraine

S. М. Didenko

Clinical Hospital "Feofaniya"
str. Academic Zabolotny, 21, Kyiv, 03143, Ukraine 

References

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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.

How to Cite

1.
Ivanova YV, Klimova OM, Prasol VO, Korobov AM, Mushenko YV, Kiriienko DO, Didenko SМ. Plastic closure of wounds in patients with ischemic form of diabetic foot syndrome. Med. perspekt. [Internet]. 2018Dec.3 [cited 2024Nov.7];23(4(part1):71-5. Available from: https://journals.uran.ua/index.php/2307-0404/article/view/145669

Issue

Section

CLINICAL MEDICINE