Multidisciplinary Approach to the Management of Diabetic Foot Complications
Background: According to the International Working Group on the Diabetic Foot (2015), 28 % of diabetic foot ulcers result in major amputations. Over 30 % of patients with diabetic foot undergo major amputations that result in death in 13.0 %-14.0 % of the cases. Clinical case: In our experience of...
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| Format: | Article |
| Language: | Russian |
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Scientific Research Institute, Ochapovsky Regional Clinical Hospital no. 1
2023-08-01
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| Series: | Инновационная медицина Кубани |
| Subjects: | |
| Online Access: | https://www.innovmedkub.ru/jour/article/view/725 |
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| author | V. V. Fedyushkin P. V. Sukhoruchkin A. G. Baryshev S. K. Chibirov R. K. Amirova D. D. Shevchuk |
| author_facet | V. V. Fedyushkin P. V. Sukhoruchkin A. G. Baryshev S. K. Chibirov R. K. Amirova D. D. Shevchuk |
| author_sort | V. V. Fedyushkin |
| collection | DOAJ |
| description | Background: According to the International Working Group on the Diabetic Foot (2015), 28 % of diabetic foot ulcers result in major amputations. Over 30 % of patients with diabetic foot undergo major amputations that result in death in 13.0 %-14.0 % of the cases. Clinical case: In our experience of treating a female patient with diabetic foot complications, we observed that such cases require a multidisciplinary approach to determine management strategies, as well as strict surgery staging. Early plastic and reconstructive surgery demonstrated its positive impact on postoperative wound closure. Conclusions: We managed the infection and achieved the complete closure of the major wound and primary intention healing through the multidisciplinary approach and strict adherence to surgical staging (debridement, revascularization, reconstruction). Thus, patient quality of life and rehabilitation potential significantly improved. |
| first_indexed | 2024-03-07T15:35:05Z |
| format | Article |
| id | doaj.art-ad2e49879a6546b1a02b8732f7e4ca8f |
| institution | Directory Open Access Journal |
| issn | 2541-9897 |
| language | Russian |
| last_indexed | 2024-03-07T15:35:05Z |
| publishDate | 2023-08-01 |
| publisher | Scientific Research Institute, Ochapovsky Regional Clinical Hospital no. 1 |
| record_format | Article |
| series | Инновационная медицина Кубани |
| spelling | doaj.art-ad2e49879a6546b1a02b8732f7e4ca8f2024-03-05T11:12:32ZrusScientific Research Institute, Ochapovsky Regional Clinical Hospital no. 1Инновационная медицина Кубани2541-98972023-08-01039910410.35401/2541-9897-2023-26-3-99-104399Multidisciplinary Approach to the Management of Diabetic Foot ComplicationsV. V. Fedyushkin0P. V. Sukhoruchkin1A. G. Baryshev2S. K. Chibirov3R. K. Amirova4D. D. Shevchuk5Scientific Research Institute – Ochapovsky Regional Clinical Hospital No. 1; Kuban State Medical UniversityScientific Research Institute – Ochapovsky Regional Clinical Hospital No. 1Scientific Research Institute – Ochapovsky Regional Clinical Hospital No. 1; Kuban State Medical UniversityScientific Research Institute – Ochapovsky Regional Clinical Hospital No. 1Kuban State Medical UniversityKuban State Medical UniversityBackground: According to the International Working Group on the Diabetic Foot (2015), 28 % of diabetic foot ulcers result in major amputations. Over 30 % of patients with diabetic foot undergo major amputations that result in death in 13.0 %-14.0 % of the cases. Clinical case: In our experience of treating a female patient with diabetic foot complications, we observed that such cases require a multidisciplinary approach to determine management strategies, as well as strict surgery staging. Early plastic and reconstructive surgery demonstrated its positive impact on postoperative wound closure. Conclusions: We managed the infection and achieved the complete closure of the major wound and primary intention healing through the multidisciplinary approach and strict adherence to surgical staging (debridement, revascularization, reconstruction). Thus, patient quality of life and rehabilitation potential significantly improved.https://www.innovmedkub.ru/jour/article/view/725phlegmonanaerobic infectiondiabetic footcritical lower limb ischemiafluoroscopy-guided endovascular revascularizationactive surgical treatment of woundsmultidisciplinary approach |
| spellingShingle | V. V. Fedyushkin P. V. Sukhoruchkin A. G. Baryshev S. K. Chibirov R. K. Amirova D. D. Shevchuk Multidisciplinary Approach to the Management of Diabetic Foot Complications Инновационная медицина Кубани phlegmon anaerobic infection diabetic foot critical lower limb ischemia fluoroscopy-guided endovascular revascularization active surgical treatment of wounds multidisciplinary approach |
| title | Multidisciplinary Approach to the Management of Diabetic Foot Complications |
| title_full | Multidisciplinary Approach to the Management of Diabetic Foot Complications |
| title_fullStr | Multidisciplinary Approach to the Management of Diabetic Foot Complications |
| title_full_unstemmed | Multidisciplinary Approach to the Management of Diabetic Foot Complications |
| title_short | Multidisciplinary Approach to the Management of Diabetic Foot Complications |
| title_sort | multidisciplinary approach to the management of diabetic foot complications |
| topic | phlegmon anaerobic infection diabetic foot critical lower limb ischemia fluoroscopy-guided endovascular revascularization active surgical treatment of wounds multidisciplinary approach |
| url | https://www.innovmedkub.ru/jour/article/view/725 |
| work_keys_str_mv | AT vvfedyushkin multidisciplinaryapproachtothemanagementofdiabeticfootcomplications AT pvsukhoruchkin multidisciplinaryapproachtothemanagementofdiabeticfootcomplications AT agbaryshev multidisciplinaryapproachtothemanagementofdiabeticfootcomplications AT skchibirov multidisciplinaryapproachtothemanagementofdiabeticfootcomplications AT rkamirova multidisciplinaryapproachtothemanagementofdiabeticfootcomplications AT ddshevchuk multidisciplinaryapproachtothemanagementofdiabeticfootcomplications |