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2 . 2016

Application of modern technologies in treatment of purulonecrotic complications of diabetic foot syndrome

Abstract

One of the most serious complications of diabetes mellitus (MD) is the damage of the lower extremities leading to development of purulonecrotic processes on foot at 6–15% of patients. According to various data, from 20 to 50% of all hospitalization of patients with DM are connected with feet damage. The risk of lower-extremities amputations is also higher at this category of patients – from 50 to 80% of all not traumatic amputations fall to their share. Therefore today development of modern methods of an integrated approach in treatment of the patients with this pathology directed to performance of organ-preserving operations and the prevention of development of postoperative complications is actual.

Keywords:diabetes mellitus, diabetic foot syndrome, ultrasonic cavitation, "Collost", bioplastic material

Clin. Experiment. Surg. Petrovsky J. 2016. № 2. Р. 60–70.

References

1. Grekovа N.M., Bordunovsky V.N. Diabetic Foot Surgery Moscow: Medpraktika М, 2009: 142. (in Russian)

2. Svetuкhin A.M., Zemlyanoy A.B., Istratov V.G., et al. Questions pathogenesis and tactics of complex surgical treatment of necrotic forms of diabetic foot syndrome. Khirurghia. [Surgery]. 2003; Vol. 3: 85–9. (in Russian)

3. Zemlyanoy A.B., Zhukov S.A., Koltunov V.A., Bondareva N.V. Immediate and long-term results of treatment of patients with neuroischemic form of diabetic foot syndrome. Outstanding issues of Vascular Surgery: Proceedings of the 22nd (XXVI) of the international conference of Russian Society of Angiology and Vascular Surgery, 22–24 November 2010. Moscow, 2010: 133–5. (in Russian)

4. Grekovа N.M., Bordunovsky V.N. Diabetic Foot Surgery Moscow: Medpraktika М, 2009:: 188. (in Russian)

5. Briskin B.S., Dibirov M.D., Khamitov F.F., Proshin A.V., et al. Necrotic complications of diabetic foot syndrome and their reflection in the ICD-10 standards and health insurance. Khirurghia. [Sur- gery]. 2007; Vol. 1: 49–54. (in Russian)

6. Anikin A.I., Stupin V.A., Goryunov S.V., Miкhalsky V.V. et al.

7. Complex surgical treatment of patients with purulent necrotic lesions on the background of the diabetic foot syndrome. Russkiy meditsinskiy zhurnal [Russian Medical Journal]. 2010; Vol. 17: 1055–60. (in Russian)

8. Risman B.V., Rybal'chenko O.V., Chmyrev I.V. The role of ultrasonic cavitation in the suppression of bacterial biofilms in patients with pyo-necrotic complications of diabetic foot syndrome.Vestnik Rossiyskoy voenno-meditsinskoy akademii [Herald of the Russian Military Medical Academy]. 2011. Vol. 2: 18–22. (in Russian)

9. Svetuкhin A.M., Zemlyanoy A.B., Koltunov V.A. Long-term results of treatment of patients with purulent-necrotic forms of diabetic foot syndrome Khirurghia. [Surgery]. 2008; Vol. 7: 8–10. (in Russian)

10. Andersen C.A. Diabetic limb preservation: defining terms and goals. J Foot Ankle Surg. 2010; Vol. 1–2: 106–7.

11. Lipsky B.A., Berendt A.R., Deery H.G., Embil J.M., et al. Diagnosis and treatment of diabetic foot infections. Plast Reconstr Surg. 2006; Vol. 117 (suppl. 7): 212S–238S.

12. Nather A., Bee C.S., Huak C.Y., Chew J.L., et al. Epidemiol- ogy of diabetic foot problems and predictive factors for limb loss. J Diabetes Complications. 2008; Vol. 22: 77–82.

13. Jeffcoate W.J., Van Houtum W.H. Amputation as a marker of the quality of foot care in diabetes. Diabetologia. 2004; Vol. 47 (N 12): 2051–8.

14. Karel Bakker. The development of global consensus guide- lines on the management of the diabetic foot. Diabetes Metabolism Res. Rev. 2008; Vol. 44. Issue 1: 116–8.

15. Konstantikaki V. The role of primary care in the prevention of diabetic foot amputations. Int J Caring Sci. 2008; Vol. 1 (N 1): 26–33.

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CHIEF EDITOR
CHIEF EDITOR
Sergey L. Dzemeshkevich
MD, Professor (Moscow, Russia)

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