Tactic of treatment of ischemic diabetic foot syndrome

doi:10.26565/2076-0612-2019-26-01

Ю. В. Иванова SI “Zaycev V.T. Institute of General and Urgent Surgery of NAMS of Ukraine”, Kharkiv, Ukraine http://orcid.org/0000-0001-8773-6827
Е. М. Климова SI “Zaycev V.T. Institute of General and Urgent Surgery of NAMS of Ukraine”, Kharkiv, Ukraine http://orcid.org/0000-0002-4007-6806
И. А. Криворучко Kharkiv National Medical University http://orcid.org/0000-0002-5525-701X
В. А. Прасол SI “Zaycev V.T. Institute of General and Urgent Surgery of NAMS of Ukraine” http://orcid.org/0000-0002-0556-6981
Д. А. Кириенко Kharkiv National Medical University http://orcid.org/0000-0001-5290-1159
А. М. Коробов V.N. Karazin Kharkiv National University http://orcid.org/0000-0001-8237-7159

DOI: https://doi.org/10.26565/2076-0612-2019-26-01

Keywords: ischemic diabetic foot syndrome, dermoplasty, synthetic coatings, photоdynamic therapy phototherapy, platelet growth factor

Abstract

The aim of the study was to improve the results of wound treatment in patients with ischemic and neuro-ischemic forms of diabetic foot syndrome through the use of phototherapy, platelet growth factor and modern coating materials in the treatment complex.

The paper presents the results of surgical treatment of 48 patients with ischemic and neuroischemic diabetic foot syndrome, which, in accordance with the objectives of the study, were divided into two groups — the study (24 patients) and comparative (24 patients). All patients suffered from diabetes mellitus type II and had IV degree of foot ischemia according to Fontaine. The following reconstructive operations were performed in both groups of patients: femoral-tibialis and femoral-popliteal shunting, as well as hybrid reconstructions. In patients of the study group, the treatment technology developed by us was applied.

Using the developed tactics, it was possible to achieve complete healing of wounds in 91,7 % of patients and partial healing (over 50 %) in 8.3 % of patients in the study group. The terms of treatment of these patients did not exceed 2 months, the execution of high amputations was not required.

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