RESULTS OF COMBINED SURGICAL TREATMENT IN PATIENTS WITH PYONECROTIC INJURIES IN THE PRESENCE OF DIABETIC FOOT SYNDROME


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Abstract

The results of treatment were analyzed in 67 patients with pyonecrotic injuries in the presence of diabetic foot syndrome, including 35 patients whose treatment was performed in accordance with the generally accepted standards and 32 patients whose combined therapy involved hyperbaric oxygenation sessions. Lower extremity artery Doppler ultrasound was used to study macrohemodynamics; microcirculation was examined by transcutaneous oximetry. Combined surgical treatment using hyperbaric oximetry reduced the number of high-level amputations from 40.6 to 25.7% in the study group and increased that of high-level leg amputations from 30.8 to 50.0%. The number of performed skin plastic interventions increased from 12.5 to 31.4%. The average length of hospital stay length decreased by 7.4±2.3 bed days (p < 0.05).

About the authors

A. I. Anikin

City Hospital Fifty-Six, Southern Administrative District, Moscow; Hospital Surgery Department One, Russian National Research Medical University, Moscow

Email: anikin15@mail.ru
канд. мед. наук, ассистент каф., врач-хирург 3-го хирургического отд-ния больницы

O. V. Gridnev

City Hospital Fifty-Six, Southern Administrative District, Moscow

M. M. Akhmetov

City Hospital Fifty-Six, Southern Administrative District, Moscow

V. P. Chuprina

City Hospital Fifty-Six, Southern Administrative District, Moscow

S. V. Goryunov

City Hospital Fifty-Six, Southern Administrative District, Moscow; Hospital Surgery Department One, Russian National Research Medical University, Moscow

V. V. Mikhalsky

Hospital Surgery Department One, Russian National Research Medical University, Moscow

V. I. Chudik

City Hospital Fifty-Six, Southern Administrative District, Moscow

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