EXPERIENCE IN THE TREATMENT OF PURULENT-NECROTIC COMPLICATIONS OF DIABETIC FOOT SYNDROME WITH THE USING OF THE ORIGINAL SURGICAL METHOD IN THE COMBINATION WITH A TARGETED ANTIBIOTIC THERAPY
The comparative analysis of the treatment of 1136 patients with purulent- necrotic complications of diabetic foot syndrome (SDS ), treated with traditional surgical technique without suturing the wound ( 357 people ) and using the surgical benefits, based on the radical remove necrosis and closed wo...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Bashkir State Medical University
2017-01-01
|
| Series: | Креативная хирургия и онкология |
| Subjects: | |
| Online Access: | https://www.surgonco.ru/jour/article/view/34 |
| _version_ | 1797872402905956352 |
|---|---|
| author | Yu. P. Belozertseva P. P. Kurlaev V. K. Esipov V. A. Gritsenko |
| author_facet | Yu. P. Belozertseva P. P. Kurlaev V. K. Esipov V. A. Gritsenko |
| author_sort | Yu. P. Belozertseva |
| collection | DOAJ |
| description | The comparative analysis of the treatment of 1136 patients with purulent- necrotic complications of diabetic foot syndrome (SDS ), treated with traditional surgical technique without suturing the wound ( 357 people ) and using the surgical benefits, based on the radical remove necrosis and closed wounds administered in combination with a targeted antibiotic therapy (779 persons). In the first group of amputation at the hip were performed in 35 cases (9.8%), atthe level of the tibia - in 63 patients (17.7%) and operations atthe foot suffered 259 (72.5 %) patients. In 171 cases (47.9%) were retried surgery and amputation at a higher level. Mortality rate was 16%. In the second group of amputation at the hip were performed in 13 cases (2 %), at the level of the tibia - in 38 patients (4.8%) and operations at the foot suffered 728 (93.2 %) patients. In the main group targeted application antibiotic therapy postoperative contributed favorable course of wound healing and primary wound healing in 71.9 % of cases. The progression of the inflammatory changes observed on the foot, respectively, in 28.1% cases that require repeated surgical implement, and 18 (2.3 %) patients had an amputation at the level of execution tibia or femur. Mortality reported at 3.3%. Application of the developed method for the treatment of purulent- destructive processes in patients with SDS has reduced the number of high amputation and mortality in 4 to 4.8 times. |
| first_indexed | 2024-04-10T00:59:18Z |
| format | Article |
| id | doaj.art-2dc6672593b34d22927d3384bdaf6e2b |
| institution | Directory Open Access Journal |
| issn | 2307-0501 2076-3093 |
| language | English |
| last_indexed | 2024-04-10T00:59:18Z |
| publishDate | 2017-01-01 |
| publisher | Bashkir State Medical University |
| record_format | Article |
| series | Креативная хирургия и онкология |
| spelling | doaj.art-2dc6672593b34d22927d3384bdaf6e2b2023-03-13T10:01:05ZengBashkir State Medical UniversityКреативная хирургия и онкология2307-05012076-30932017-01-0103677010.24060/2076-3093-2014-0-3-67-7034EXPERIENCE IN THE TREATMENT OF PURULENT-NECROTIC COMPLICATIONS OF DIABETIC FOOT SYNDROME WITH THE USING OF THE ORIGINAL SURGICAL METHOD IN THE COMBINATION WITH A TARGETED ANTIBIOTIC THERAPYYu. P. Belozertseva0P. P. Kurlaev1V. K. Esipov2V. A. Gritsenko3ГБОУ ВПО Оренбургская государственная медицинская академия Институт клеточного и внутриклеточного симбиоза УрО РАНГБОУ ВПО Оренбургская государственная медицинская академия Институт клеточного и внутриклеточного симбиоза УрО РАНГБОУ ВПО Оренбургская государственная медицинская академия Институт клеточного и внутриклеточного симбиоза УрО РАНГБОУ ВПО Оренбургская государственная медицинская академия Институт клеточного и внутриклеточного симбиоза УрО РАНThe comparative analysis of the treatment of 1136 patients with purulent- necrotic complications of diabetic foot syndrome (SDS ), treated with traditional surgical technique without suturing the wound ( 357 people ) and using the surgical benefits, based on the radical remove necrosis and closed wounds administered in combination with a targeted antibiotic therapy (779 persons). In the first group of amputation at the hip were performed in 35 cases (9.8%), atthe level of the tibia - in 63 patients (17.7%) and operations atthe foot suffered 259 (72.5 %) patients. In 171 cases (47.9%) were retried surgery and amputation at a higher level. Mortality rate was 16%. In the second group of amputation at the hip were performed in 13 cases (2 %), at the level of the tibia - in 38 patients (4.8%) and operations at the foot suffered 728 (93.2 %) patients. In the main group targeted application antibiotic therapy postoperative contributed favorable course of wound healing and primary wound healing in 71.9 % of cases. The progression of the inflammatory changes observed on the foot, respectively, in 28.1% cases that require repeated surgical implement, and 18 (2.3 %) patients had an amputation at the level of execution tibia or femur. Mortality reported at 3.3%. Application of the developed method for the treatment of purulent- destructive processes in patients with SDS has reduced the number of high amputation and mortality in 4 to 4.8 times.https://www.surgonco.ru/jour/article/view/34синдром диабетической стопыхирургияантибиотикотерапия |
| spellingShingle | Yu. P. Belozertseva P. P. Kurlaev V. K. Esipov V. A. Gritsenko EXPERIENCE IN THE TREATMENT OF PURULENT-NECROTIC COMPLICATIONS OF DIABETIC FOOT SYNDROME WITH THE USING OF THE ORIGINAL SURGICAL METHOD IN THE COMBINATION WITH A TARGETED ANTIBIOTIC THERAPY Креативная хирургия и онкология синдром диабетической стопы хирургия антибиотикотерапия |
| title | EXPERIENCE IN THE TREATMENT OF PURULENT-NECROTIC COMPLICATIONS OF DIABETIC FOOT SYNDROME WITH THE USING OF THE ORIGINAL SURGICAL METHOD IN THE COMBINATION WITH A TARGETED ANTIBIOTIC THERAPY |
| title_full | EXPERIENCE IN THE TREATMENT OF PURULENT-NECROTIC COMPLICATIONS OF DIABETIC FOOT SYNDROME WITH THE USING OF THE ORIGINAL SURGICAL METHOD IN THE COMBINATION WITH A TARGETED ANTIBIOTIC THERAPY |
| title_fullStr | EXPERIENCE IN THE TREATMENT OF PURULENT-NECROTIC COMPLICATIONS OF DIABETIC FOOT SYNDROME WITH THE USING OF THE ORIGINAL SURGICAL METHOD IN THE COMBINATION WITH A TARGETED ANTIBIOTIC THERAPY |
| title_full_unstemmed | EXPERIENCE IN THE TREATMENT OF PURULENT-NECROTIC COMPLICATIONS OF DIABETIC FOOT SYNDROME WITH THE USING OF THE ORIGINAL SURGICAL METHOD IN THE COMBINATION WITH A TARGETED ANTIBIOTIC THERAPY |
| title_short | EXPERIENCE IN THE TREATMENT OF PURULENT-NECROTIC COMPLICATIONS OF DIABETIC FOOT SYNDROME WITH THE USING OF THE ORIGINAL SURGICAL METHOD IN THE COMBINATION WITH A TARGETED ANTIBIOTIC THERAPY |
| title_sort | experience in the treatment of purulent necrotic complications of diabetic foot syndrome with the using of the original surgical method in the combination with a targeted antibiotic therapy |
| topic | синдром диабетической стопы хирургия антибиотикотерапия |
| url | https://www.surgonco.ru/jour/article/view/34 |
| work_keys_str_mv | AT yupbelozertseva experienceinthetreatmentofpurulentnecroticcomplicationsofdiabeticfootsyndromewiththeusingoftheoriginalsurgicalmethodinthecombinationwithatargetedantibiotictherapy AT ppkurlaev experienceinthetreatmentofpurulentnecroticcomplicationsofdiabeticfootsyndromewiththeusingoftheoriginalsurgicalmethodinthecombinationwithatargetedantibiotictherapy AT vkesipov experienceinthetreatmentofpurulentnecroticcomplicationsofdiabeticfootsyndromewiththeusingoftheoriginalsurgicalmethodinthecombinationwithatargetedantibiotictherapy AT vagritsenko experienceinthetreatmentofpurulentnecroticcomplicationsofdiabeticfootsyndromewiththeusingoftheoriginalsurgicalmethodinthecombinationwithatargetedantibiotictherapy |