Possibilities of combined surgical treatment of pyonecrotic lesions in the neuroischemic form of diabetic foot syndrome

Aim. To present results of combined surgical treatment of the ischemic form of diabetic foot syndrome complicated by pyonecrotic process. To show thatthe use of modern diagnostic tools and the choice of adequate treatment strategy permits to substantially reduce the number of above-the-knee amputat...

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Autores principales:	Valeriy Afanas'evich Mitish, I A Eroshkin, Gagik Radikovich Galstyan, Lyudmila Petrovna Doronina, Yu S Paskhalova, A V Eroshenko, Ivan Ivanovich Dedov
Formato:	article
Lenguaje:	EN RU
Publicado:	Endocrinology Research Centre 2009
Materias:	diabetic foot syndrome obliterating atherosclerosis angioplasty surgical treatment Nutritional diseases. Deficiency diseases RC620-627
Acceso en línea:	https://doaj.org/article/5c04251c897841978671d0d5790a6a57
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spelling	oai:doaj.org-article:5c04251c897841978671d0d5790a6a572021-11-14T09:00:13ZPossibilities of combined surgical treatment of pyonecrotic lesions in the neuroischemic form of diabetic foot syndrome2072-03512072-037810.14341/2072-0351-5412https://doaj.org/article/5c04251c897841978671d0d5790a6a572009-03-01T00:00:00Zhttps://www.dia-endojournals.ru/jour/article/view/5412https://doaj.org/toc/2072-0351https://doaj.org/toc/2072-0378Aim. To present results of combined surgical treatment of the ischemic form of diabetic foot syndrome complicated by pyonecrotic process. To show thatthe use of modern diagnostic tools and the choice of adequate treatment strategy permits to substantially reduce the number of above-the-knee amputations. Materials and methods. A total of 140 patients with diabetes mellitus and critical ischemia of lower extremities were under observation during 2004-2008.All of them had purulent and/or necrotic foot lesions. The patients were examined by X-ray, computed and magneto-resonance tomography of the feet,duplex scanning of lower leg vasculature, transcutaneous measurement of PO2, pelvic and lower leg arterial angiography. Results. A strategy of surgical treatment was developed to be used depending on the patients health status, clinical features and severity of pyonecroticprocesses in the foot, and the degree of involvement of the main blood vessels of lower extremities. Conclusion. Combination of endovascular surgery with various methods for plastic wound closure permits to extend the range of possibilities for the treatmentof high-risk patients, such as those with pyonecrotic lesions and neuroischemic form of diabetic foot syndrome. This approach opens up prospects fora significant decrease of percentage of above-the-knee amputations and improves the quality of life in these patients.Valeriy Afanas'evich MitishI A EroshkinGagik Radikovich GalstyanLyudmila Petrovna DoroninaYu S PaskhalovaA V EroshenkoIvan Ivanovich DedovEndocrinology Research Centrearticlediabetic foot syndromeobliterating atherosclerosisangioplastysurgical treatmentNutritional diseases. Deficiency diseasesRC620-627ENRUСахарный диабет, Vol 12, Iss 1, Pp 8-13 (2009)
institution	DOAJ
collection	DOAJ
language	EN RU
topic	diabetic foot syndrome obliterating atherosclerosis angioplasty surgical treatment Nutritional diseases. Deficiency diseases RC620-627
spellingShingle	diabetic foot syndrome obliterating atherosclerosis angioplasty surgical treatment Nutritional diseases. Deficiency diseases RC620-627 Valeriy Afanas'evich Mitish I A Eroshkin Gagik Radikovich Galstyan Lyudmila Petrovna Doronina Yu S Paskhalova A V Eroshenko Ivan Ivanovich Dedov Possibilities of combined surgical treatment of pyonecrotic lesions in the neuroischemic form of diabetic foot syndrome
description	Aim. To present results of combined surgical treatment of the ischemic form of diabetic foot syndrome complicated by pyonecrotic process. To show thatthe use of modern diagnostic tools and the choice of adequate treatment strategy permits to substantially reduce the number of above-the-knee amputations. Materials and methods. A total of 140 patients with diabetes mellitus and critical ischemia of lower extremities were under observation during 2004-2008.All of them had purulent and/or necrotic foot lesions. The patients were examined by X-ray, computed and magneto-resonance tomography of the feet,duplex scanning of lower leg vasculature, transcutaneous measurement of PO2, pelvic and lower leg arterial angiography. Results. A strategy of surgical treatment was developed to be used depending on the patients health status, clinical features and severity of pyonecroticprocesses in the foot, and the degree of involvement of the main blood vessels of lower extremities. Conclusion. Combination of endovascular surgery with various methods for plastic wound closure permits to extend the range of possibilities for the treatmentof high-risk patients, such as those with pyonecrotic lesions and neuroischemic form of diabetic foot syndrome. This approach opens up prospects fora significant decrease of percentage of above-the-knee amputations and improves the quality of life in these patients.
format	article
author	Valeriy Afanas'evich Mitish I A Eroshkin Gagik Radikovich Galstyan Lyudmila Petrovna Doronina Yu S Paskhalova A V Eroshenko Ivan Ivanovich Dedov
author_facet	Valeriy Afanas'evich Mitish I A Eroshkin Gagik Radikovich Galstyan Lyudmila Petrovna Doronina Yu S Paskhalova A V Eroshenko Ivan Ivanovich Dedov
author_sort	Valeriy Afanas'evich Mitish
title	Possibilities of combined surgical treatment of pyonecrotic lesions in the neuroischemic form of diabetic foot syndrome
title_short	Possibilities of combined surgical treatment of pyonecrotic lesions in the neuroischemic form of diabetic foot syndrome
title_full	Possibilities of combined surgical treatment of pyonecrotic lesions in the neuroischemic form of diabetic foot syndrome
title_fullStr	Possibilities of combined surgical treatment of pyonecrotic lesions in the neuroischemic form of diabetic foot syndrome
title_full_unstemmed	Possibilities of combined surgical treatment of pyonecrotic lesions in the neuroischemic form of diabetic foot syndrome
title_sort	possibilities of combined surgical treatment of pyonecrotic lesions in the neuroischemic form of diabetic foot syndrome
publisher	Endocrinology Research Centre
publishDate	2009
url	https://doaj.org/article/5c04251c897841978671d0d5790a6a57
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Possibilities of combined surgical treatment of pyonecrotic lesions in the neuroischemic form of diabetic foot syndrome

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