THE COMPLEX SURGICAL TREATMENT OF PURULENT COMPLICATIONS ON THE BASIS OF DIABETIC FOOT SYNDROME

Authors

  • I. Ya. Dzyubanovskiy Ternopil State Medical University, Ternopil
  • R. YA. Antoshchuk Volyn Regional Hospital for War Veterans

DOI:

https://doi.org/10.11603/2415-8798.2016.4.7146

Keywords:

purulent-necrotic complications, diabetic foot syndrome, prostaglandins, amputations.

Abstract

Results of treatment of 269 patients who were hospitalized in the surgical department of osteomiyelitnym center in the Volyn Regional Hospital for War Veterans in the period from 2010 to 2015, about purulent complications of diabetic foot syndrome. In the study group included 115 patients who underwent catheterization inferior epigastric artery under aseptic conditions. For correction of ischemia in the study group used drugs from the group of prostaglandin E1 (alprostadil). In the control group included 154 patients who present correction method ischemia was not used. In the analysis of the results revealed that the number of  high amputations in the study group compared with the control group decreased from 13.7 to 11.4 %, the number of amputations at the foot increased from 18.1 to 26.4 %. The structure of the high number of amputations amputations increased at lower leg from 28.5 to 69.3 %.

Author Biography

I. Ya. Dzyubanovskiy, Ternopil State Medical University, Ternopil

MD, PhD, DSc in Medicine, professor

References

KHírurgíchne líkuvannya khvorikh z privodu sindromu díabetichnoí̈ stopi / S. M. Vasilyuk, M. D. Vasilyuk, A. G. Shevchuk [ta ín.] : materíali naukovo-praktichnoí̈ konferentsíí̈ z mízhnarodnoyu uchastyu // Klíníchna khírurgíya. – 2009. – № 11–12. – S. 22–23.

Gerasimchuk P. O. Analíz kompleksnogo diferentsíyovanogo líkuvannya khvorikh na sindrom díabetichnoí̈ stopi / P. O. Gerasimchuk, P. V. Kísíl' // Shpital'na khírurgíya. – 2012. – № 2. – S. 10–14.

Sindrom díabetichnoí̈ stopi: osteomíêlítichní urazhennya / Í. D. Gerich, R. V. Yaremkevich, D. L. Romanchak, O. M. Kozíy // KHírurgíya Ukraí̈ni. – 2009. – № 3. – S. 27–33.

Suchasní pídkhodi do viboru metodu líkuvannya uskladnen' sindromu stopi díabetika / Í. YA. Dzyubanovs'kiy, Í. Í. Chonka, YU. M. Futuyma, M. YU. Krítsak // Ukraí̈ns'kiy zhurnal khírurgíí̈. – 2014. – № 2 (25). – S. 72–75.

Lyapís M. O. Sindrom stopi díabetika / M. O. Lyapís, P. O. Gerasimchuk. – T. : Ukrmedkniga, 2001. – 275 c.

Pol'oviy V. P. Líkuval'na taktika pri gníynikh protsesakh m’yakikh tkanin u khvorikh na tsukroviy díabet / V. P. Pol'oviy, F. G. Kulachek, S. YU. Karatêêva : materíali naukovo-praktichnoí̈ konferentsíí̈ z mízhnarodnoyu uchastyu // Klíníchna khírurgíya. – 2009. – № 11–12. – S. 70–71.

SHídlovs'kiy V. O. Mediko-sotsíal'na adaptatsíya ta yakíst' zhittya khvorikh na sindrom stopi díabetika / V. O. SHídlovs'kiy, P. O. Gerasimchuk, Í. B. Romanív // Líkars'ka sprava. – 2004. – № 7. – S. 21–25.

Critical leg ischaemia: its pathophysiology and management // Eds J. A. Dormandy, G. Stock. – Berlin ; Heidelberg : Springer-Verlag. – 2010. – 172 p.

Rooke T. TcPO2 in non-invasive vascular medicine / T. Rooke // Blood Gas News. – 1998. – № 7. – R. 21–23.

Zimny S. Early detection of microcirculatory impairment in diabetic patients with foot at risk / S. Zimny, F. Dessel, M. Ehren // Diabetes Care. – 2011. – Vol. 24. – P. 1810–1814.

Published

2017-02-09

How to Cite

Dzyubanovskiy, I. Y., & Antoshchuk, R. Y. (2017). THE COMPLEX SURGICAL TREATMENT OF PURULENT COMPLICATIONS ON THE BASIS OF DIABETIC FOOT SYNDROME. Bulletin of Scientific Research, (4). https://doi.org/10.11603/2415-8798.2016.4.7146

Issue

Section

SURGERY