Npwt usage in diabetic foot necrotic-purulent lesion treatment

Authors

  • S. E. Podpryatov Kyiv City Hospital No. 1
  • A. A. Shtaier Kyiv City Hospital No. 1
  • S. YE. Вondar Kyiv City Hospital No. 1
  • V. V. Lysovets Kyiv City Hospital No. 1
  • O. V. levitska Kyiv City Hospital No. 1
  • S. S. Podpriatov Kyiv City Hospital No. 1
  • I. V. Satsiuk Kyiv City Hospital No. 1
  • S. M. Korbut Kyiv City Hospital No. 1

DOI:

https://doi.org/10.11603/2414-4533.2021.2.12302

Keywords:

diabetic foot, NPWT

Abstract

The aim of the work: to specify indications and effectiveness of NPWT in treating diabetic patients with necrotic-purulent foot lesion.

Materials and Methods. NPWT was applied to treat a necrotic-purulent diabetic foot lesion of 15 patients. All of them had diabetes type 2 for 8–23 years long, median 12 years. Glycemia control with pills used 6 patients, by insulin injection – 9.

For NPWT Acelity (USA) utensil was used. Aspiration was conducted with 100–120 mm Hg pressure during 8–10 minutes alternating with 60–70 mm Hg pressure during 2–3 minutes.

We have no reason for looking for another mode of NPWT. Maybe such reason will appear with the greater amount of cases with different leg and patient characteristics.

There was a serious adverse event in 6 % of cases of NPWT observed by other physicians. We did not have any serious complication.

Just by the controlled blinded clinical study NPWT was not superior to standard moist wound care in the diabetic foot cases primarily in the rate of wound closure. Nevertheless, our experience to find out patients for whom NPWT was critical in foot saving while moist wound care was ineffective and with a high risk of high amputation. The accumulation of more such observations will help to more accurately determine the place of NPWT in the treatment of diabetic foot.

References

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Published

2021-08-27

How to Cite

Podpryatov, S. E., Shtaier, A. A., Вondar S. Y., Lysovets, V. V., levitska, O. V., Podpriatov, S. S., … Korbut, S. M. (2021). Npwt usage in diabetic foot necrotic-purulent lesion treatment. Hospital Surgery. Journal Named by L.Ya. Kovalchuk, (2), 76–80. https://doi.org/10.11603/2414-4533.2021.2.12302

Issue

No. 2 (2021)

Section

EXPERIENCE OF WORK

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