Anaplerosis in Complex Treatment of Patients with Diabetic Foot Syndrome
Journal Title: Міжнародний ендокринологічний журнал - Year 2015, Vol 4, Issue 68
Abstract
The article describes the improvement of anaplerosis in patients with diabetic foot syndrome using skin flaps on vascular pedicle of the perforating vessels. The study involved patients with type 2 diabetes mellitus complicated with diabetic foot syndrome of neuroischemic form and chronic wounds of the lower extremities that do not heal for more than 21 days from the date of occurrence. The wounds were cleaned with ultrasonic cavitation. There was applied bandage with sorption antibacterial remedy base on nanodispersed silicon dioxide. There was applied a drainage vacuum bandage on a wound on the third day (VAC therapy). The flap is forming fitting to the size and configuration of a wound on a foot. Fourteen patients (93 %) in the basic group were found to have survived flaps. Long-term follow up in 6 months demonstrated full maintenance of supporting function and good survived skin graft, absence of foot ulcers. In a control group 7 patients had recurrent foot ulcer. Improved techniques of autodermoplasty in patients with diabetic foot syndrome include glycemia control, preparation of a wound using vacuum apparatus bandage. Usage of split-skin graft combined with vacuum apparatus bandage allows close acute and chronic wounds effectively, maintain supporting function of an extremity, decrease in-hospital staying, and improve quality of patient’s life. Adequate foot wound closure prevents high-level amputation of low extremities in diabetic patients.
Authors and Affiliations
B. G. Bezrodny, O. A. Radomskyi, M. O. Prystupiuk
Keywords
Related Articles
- EP ID EP222532
- DOI -
- Views 68
- Downloads 0
Diabetes mellitus: the role of genetic factors in the onset of the disease
This paper presents the analysis of the data of studies on the genetics of type 2 diabetes mellitus. High scientific quality papers of the recent years were used to prepare this work. The article deals with the role of s...
Characteristics of specific immunological indicators in patients with postoperative relapse of Graves’ disease
Background. Activity of autoimmune processes had a leading role in the development of relapse of hyperthyroidism. Level of thyroid-stimulating hormone (TSH) receptor antibodies is a basic factor that predetermines the re...
A Case of Pituitary Hypoplasia Combined with Achondroplasia in Six-Year-Old Boy
A case of achondroplasia combined with pituitary hypoplasia in 6-year-old boy is described. It is recommended to carry out magnetic resonance imaging of hypophysis in patients with achondroplasia to identify its possible...
Radiological methods in the diagnosis of cavernous hemodynamic disorders in men with diabetes mellitus and erectile dysfunction
Background. Cardiovascular diseases and diabetes mellitus (DM) remain the main comorbidities in erectile dysfunction (ED), and endothelial dysfunction plays an extremely important role in the mechanisms of ED development...
A1chieve® Study: Global problems of Compensation of Diabetes Mellitus Type 2
No abstract