Individualized surgical tactics for diabetic foot syndrome

Authors

  • V. P. Polyovyy Bukovinian State Medical University, Chernivtsi
  • Bilel Khorshani Bukovinian State Medical University, Chernivtsi
  • O. V. Rotar Bukovinian State Medical University, Chernivtsi
  • O. M. Plehutsa Bukovinian State Medical University, Chernivtsi
  • P. M. Volianiuk Bukovinian State Medical University, Chernivtsi
  • О. Y. Khomko Bukovinian State Medical University, Chernivtsi
  • P. V. Kyfyak Bukovinian State Medical University, Chernivtsi
  • І. М. Plehutsa Bukovinian State Medical University, Chernivtsi
  • R. I. Sydorchuk Bukovinian State Medical University, Chernivtsi

DOI:

https://doi.org/10.11603/2414-4533.2020.4.11782

Keywords:

diabetic foot syndrome, treatment, surgery, algorithm

Abstract

The aim of the work: to develop an individualized algorithm for surgical treatment of patients with diabetic foot syndrome (DFS).

Materials and Methods. The comprehensive clinical study covers 123 cases of surgical treatment of DFS (patients of various degrees according to the PEDIS classification, I–V stages according to F. Wagner, with mild, moderate, severe infection according to IDSA). The development of the algorithm of surgical activity in DFS was carried out according to the recommendations of the Institute for Algorithmic Medicine (Houston, USA), using software (HTML/XML/GMT) package Document Exploration and Linking Tool/ ddons (DELTA) developed by Vienna University of Technology, Institute of Software Technology and Interactive Systems, Information Angi­neering Group, Vienna, Austria.

Results and Discussion. Angiographic or technical success of endovascular interventions, which leads to a significant increase in the lumen of the vessel in the area of ​​stenosis or occlusion, was obtained in 94.3 % of cases. The technical success of balloon angioplasty was observed in almost all cases; the slightly worse angiographic results were obtained with interventions on several arteries of the shin – 55.0–94.1 % of successful angioplasties. In ischemic and mixed neuroischemic forms, most patients were able to compensate for critical ischemia by performing vascular interventions. The proposed algorithm of surgical interventions for DFS requires further study under conditions of greater randomization and expansion of the cohort of patients.

References

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Published

2021-02-15

How to Cite

Polyovyy, V. P., Khorshani, B., Rotar, O. V., Plehutsa, O. M., Volianiuk, P. M., Khomko О. Y., … Sydorchuk, R. I. (2021). Individualized surgical tactics for diabetic foot syndrome. Hospital Surgery. Journal Named by L.Ya. Kovalchuk, (4), 47–51. https://doi.org/10.11603/2414-4533.2020.4.11782

Issue

No. 4 (2020)

Section

EXPERIENCE OF WORK

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