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...
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Bashkir State Medical University
2017-01-01
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| Series: | Креативная хирургия и онкология |
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| Online Access: | https://www.surgonco.ru/jour/article/view/34 |
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| 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. |
| format | Article |
| id | doaj-art-2dc6672593b34d22927d3384bdaf6e2b |
| institution | DOAJ |
| issn | 2076-3093 2307-0501 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Bashkir State Medical University |
| record_format | Article |
| series | Креативная хирургия и онкология |
| spelling | doaj-art-2dc6672593b34d22927d3384bdaf6e2b2025-08-20T03:19:23ZengBashkir State Medical UniversityКреативная хирургия и онкология2076-30932307-05012017-01-0103677010.24060/2076-3093-2014-0-3-67-7034EXPERIENCE 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. Gritsenko3Orenburg State Medical Academy Institut of Cellular and Intracellular SymbiosisOrenburg State Medical Academy Institut of Cellular and Intracellular SymbiosisOrenburg State Medical Academy Institut of Cellular and Intracellular SymbiosisOrenburg State Medical Academy Institut of Cellular and Intracellular SymbiosisThe 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/34diabetic foot syndromesurgeryantibiotic therapy |
| 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 diabetic foot syndrome surgery antibiotic therapy |
| 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 | diabetic foot syndrome surgery antibiotic therapy |
| 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 |