scholarly journals Angiographic Therapies for Diabetic Foot Syndrome

2021 ◽  
Vol 11 (4) ◽  
pp. 300-306
Author(s):  
O. V. Galimov ◽  
V. O. Khanov ◽  
V. Sh. Ishmetov ◽  
T. R. Ibragimov ◽  
A. F. Biglova ◽  
...  
Keyword(s):  
Treatment Outcomes ◽  
Lower Limb ◽  
Diabetic Foot ◽  
Arterial Stenosis ◽  
Diabetic Foot Syndrome ◽  
Control Cohort ◽  
Volume Determination ◽  
Invasive Pressure Monitoring ◽  
Medical University ◽  
And Control

Background. The study aimed to improve treatment outcomes in diabetic foot syndrome patients by use of invasive pressure monitoring during arterial radiological interventions.Materials and methods. A total of 36 patients with type 2 diabetes and purulent necrotic lesions of lower extremities have been treated at the surgery unit of Bashkir State Medical University Clinic during 2019—2020, with 12 persons forming the main cohort and receiving the measures complemented with the newly developed “X-ray endovascular intraoperative significance evaluation of lower limb arterial stenosis” technique (Patent RU 2737215 of 26.11.2020). The control cohort comprised 24 patients following pertinent standard treatment and recommendations in this pathology.Results and discussion. Immediate treatment outcomes were evaluated by person in the main and control cohorts. Longterm outcomes were observed at 6, 12 and 24 months since hospital discharge in 10 (83.3 %) patients of the main and 19 (79.2 %) — of the control cohort. In a 2-year run, the limb was kept in 8 (66.7 %) patients having the new revascularisation technique and in 10 (41.7 %) persons of the control cohort (p < 0.05).Conclusion. The use of endovascular radiology for limb revascularisation and intraoperative significance monitoring of lower limb arterial stenosis allow the volume determination of balloon angioplasty and statement of revascularisation completeness.

scholarly journals Diagnostic and treatment principles of wound process in patients with diabetic foot syndrome and risk groups. Draft recommendations

2021 ◽  
pp. 109-123
Author(s):  
A. A. Supilnikov ◽  
E. V. Kolesnikov ◽  
A. A. Starostina ◽  
L. A. Trusova ◽  
M. S. Mikhailov ◽  
...  
Keyword(s):  
Diabetic Foot ◽  
Local Treatment ◽  
Risk Groups ◽  
Practical Experience ◽  
Scientific Data ◽  
Diabetic Foot Syndrome ◽  
Original Research ◽  
Scientific Group ◽  
Treatment Of Wounds ◽  
Medical University

The draft clinical guidelines were developed by the team of the scientific group for the treatment of wounds and wound process of the Reaviz Medical University, taking into account modern scientific data, practical experience and original research. The data on the formulation of the diagnosis in diabetic foot syndrome, the existing classification of ulcers and wounds, the survey plan, basic and additional therapy, local treatment of ulcers and wounds are presented.

scholarly journals In honor of the 85th anniversary of Vladimir Vasilyevich Potemkin

2019 ◽  
Vol 64 (6) ◽  
pp. 412-414
Author(s):  
Elena V. Nagaeva
Keyword(s):  
Diabetic Foot ◽  
Research Work ◽  
General Medicine ◽  
Good Health ◽  
Insulin Binding ◽  
Diabetic Foot Syndrome ◽  
Clinical Aspects ◽  
Medical Institute ◽  
Results Of Treatment ◽  
Medical University

We are celebrating the 85 anniversary and 61 years of research, pedagogical and medical activities of one of the nation’s leading endocrinologists, the promoter of academic endocrinology, the founder and the first head of the department of endocrinology of the Pirogov Russian National Research Medical University (RNIMU) Honored Doctor of the Russian Federation, Professor Vladimir Vasilyevich Potemkin. V.V. Potemkin was the first in our country who began to teach endocrinology at the department of internal diseases of the pediatric faculty of the 2nd Moscow State Medical Institute (now Pirogov Russian National Research Medical University (RNIM). In 1972, after his transfer to the Department of General Medicine, V.V. Potemkin established a course of endocrinology at the chair of internal medicine. Soon, endocrinology became an independent course and on its basis a separate chair was set up. Heading first the course and then the chair for 40 years, V.V. Potemkin proved himself a talented teacher, scientist, and excellent clinicist. V.V. Potemkin is the author of 7 textbooks on various aspects of endocrinology, including the nation’s first fundamental manual Endocrinology, published, in addition to Russian, also in French, Spanish and twice in English. In his research work, V.V. Potemkin focuses on the problems of pathogenesis, clinical aspects, and treatment of diabetes and obesity. Research results obtained by V.V. Potemkin in studying the development of oxidative stress and impaired insulin-binding blood activity in patients with newly diagnosed T2D with normal body weight and suffering from obesity made it possible to find two different pathogenetic mechanisms underlying their hyperglycemia. V.V. Potemkin studied the role of cytokines in the development of diabetic foot syndrome, which led to the conclusion that the criteria for the effectiveness of treatment of patients with type 2 diabetes complicated by diabetic foot syndrome, along with normoglycemia are also decreased activity of lipid peroxidation, stabilization of antioxidant defence, normalization of the level of TNF-alpha proinflammatory cytokine. In troduction of V.V. Potemkin’s findings into clinical practice helps to improve the results of treatment of patients with diabetic foot syndrome, prevent gangrene, and reduce their direct and indirect financial costs. Professor V.V. Potemkin celebrates his anniversary at the heirght of his creative powers. We wish our dear colleague good health, inexhaustible energy, and new creative successes for many years!

scholarly journals Sepsis as a cause of fatal cases after the lower limbs amputation at the hip level due to gangrene in patients with a diabetic foot syndrome

2019 ◽  
Vol 41 part 1 (2) ◽  
pp. 29-35
Author(s):  
A. V. Kapshitar ◽  
A. A. Kapshitar
Keyword(s):  
Myocardial Infarction ◽  
Lower Limb ◽  
Diabetic Foot ◽  
Lower Limbs ◽  
Diabetic Foot Syndrome ◽  
Limb Amputation ◽  
Pathological Changes ◽  
Educational Work ◽  
Severe Diabetes ◽  
Patients With Diabetes

Purpose of the study. To study frequency of fatal sepsis, the causes and severity of diabetes patients complicated by diabetic foot syndrome of the gangrene limb, after amputation of the lower limb at the hip level. Material and methods. Amputation of the lower limb at the hip level was performed in 180 patients with diabetic foot, gangrene of the limb. 15 (8,3%) died. Results. From the 15 patients who died, 9 died from sepsis. The age was 54–78 years old. On admission, sepsis was diagnosed in 5 and septic shock – in 4 patients. After examination and preparation, emergency surgeries were performed in 4 patients and urgent surgeries – in 5. Two- and three-step surgeries were performed in 5 patients. They first performed the removal of the toes of the gangrene, osteomyelitis, opened deep phlegmon of the foot and the lower leg was completed by amputation of the lower limb. Primary amputations were performed in 4 patients. Sepsis was the cause of death in 5 patients from 11 to 60 days and the combinations of sepsis with acute myocardial infarction or repeated myocardial infarction – in 4 from 5 to 17 days. During the autopsy, pathological changes of severe diabetes, complicated diabetic foot syndrome, its mixed form, sepsis with manifestations of septicemia or septicopyjemia, and all organs and systems were revealed. Conclusions. The unsatisfactory organization of medical care for patients with diabetes and diabetic foot syndrome at the pre hospital stage, ineffective sanitary and educational work, systemic pathological changes led to sepsis and death after the amputation of the lower limb at the hip level. Keywords: sepsis, diabetic foot syndrome, limb amputation, mortality.

scholarly journals Experience of successful surgical treatment deep and extensive purulent-necrotic lesion of the lower limb with the neuroischemic form of the diabetic foot syndrome

2019 ◽  
Vol 6 (2) ◽  
pp. 32-39
Author(s):  
K. N. Fomin ◽  
S. A. Platonov ◽  
V. V. Soroka ◽  
S. P. Nokhrin ◽  
A. B. Kurilov ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Lower Limb ◽  
Diabetic Foot ◽  
Local Treatment ◽  
Necrotic Lesion ◽  
Complex Configuration ◽  
Diabetic Foot Syndrome ◽  
Treatment Experience ◽  
Modern Methods

The article presents the successful surgical treatment experience in a patient with deep and extensive purulent-necrotic lesion of the lower limb with a neuroischemic form of the diabetic foot syndrome. The possibilities of modern methods by revascularization, surgical treatment of purulent focus and extensive postoperative complex configuration wounds local treatment are demonstrated.

Screening of Kazakhstan plants useful in the treatment of diabetic foot syndrome

Planta Medica ◽  
2013 ◽  
Vol 79 (13) ◽  
Author(s):  
TS Kustova ◽  
LK Mamonov ◽  
CL Cantrell ◽  
SA Ross
Keyword(s):  
Diabetic Foot ◽  
Diabetic Foot Syndrome

Improvement of specialised help to patient with diabetic foot syndrome in Uzbekistan

2017 ◽  
Author(s):  
Nilufar Ibragimova ◽  
Telman Kamalov ◽  
Hamidulla Shakirov ◽  
Oxana Platonova ◽  
Lyudmila Kokareva
Keyword(s):  
Diabetic Foot ◽  
Diabetic Foot Syndrome
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