M.I. MITRONIN¹, V.V. GLINKIN¹, A.V. MAKSIMOV^1,3, N.Z. ZARIPOV¹, A.A. AKHUNZYANOV¹, A.V. PIKUZA², S.G. GERASIMOV¹

¹Republican Clinical Hospital of the MH of RT, 138 Orenburgskiy Trakt, Kazan, Russian Federation, 420064

²Kazan State Medical University, 49 Butlerov St., Kazan, Russian Federation, 420012

³Kazan State Medical Academy, 36 Butlerov St., Kazan, Russian Federation, 420012

Mitronin M.I. — Head of the Department of pus purulent surgery, tel. (843) 231-21-64, e-mail: st-aur@rambler.ru

Glinkin V.V. — Head of the Roentgenosurgical Diagnostics and Treatment Department, tel. +7-937-613-13-83, e-mail: Vladimir.glinkin@tatar.ru

Maksimov A.V. — D. Med. Sc., Head of the Vascular Surgery Department № 1, Associate Professor of the Department of Cardiology, Endovascular and Cardiovascular Surgery, tel. +7-917-877-16-65, e-mail: maks.av@mail.ru

Zaripov N.Z. — Cand. Med. Sc., Surgeon of the Department of purulent surgery, tel. (843) 231-21-64, e-mail: zaripova-nailya1962@mail.ru

Akhunzyanov A.A. — Cand. Med. Sc., Surgeon of the Department of purulent surgery, tel. (843) 231-21-64, e-mail: st-aur@rambler.ru

Pikuza A.V. — Cand. Med. Sc., Assistant of the Department of Surgery № 1, tel. (843) 231-21-64, e-mail: pikuza75@mail.ru

Gerasimov S.G. — surgeon of the Department of purulent surgery, tel. (843) 231-21-64, e-mail: Stasek86@mail.ru

The article presents the results of treatment of 902 patients with ischemic and mixed forms of diabetic foot syndrome. The proposed comprehensive program of diagnostic accuracy in patients of this group, including the use of distal angiography, which allows to determine the indications for reconstructive vascular operations, allowing to reduce the number of high amputation. The application of the system of local vacuum therapy Negative pressure wound treatment (NPWT), methods immobilize insulating unloading dressings total contact cast (TTS) in the complex treatment promotes the healing of wounds and earlier rehabilitation.

Key words: diabetic foot syndrome, angiography, acculturate, total contact cast.

REFERENCES

1. Kaputin M.Yu., Ovcharenko D.V., Platonov S.A., Chistyakov S.P. Comparative analysis of the remote results of transluminal balloon angioplasty in the treatment of critical limb ischemia in patients with diabetes and without diabetes. Angiologiya i sosudistaya khirurgiya, 2010, no. 3, pp. 41-46 (in Russ.).
2. Natsional’nye rekomendatsii po vedeniyu bol’nykh s sosudistoy arterial’noy patologiey (Rossiyskiy soglasitel’nyy dokument). Ch. 1. Perifericheskie arterii [National guidelines on the management of patients with arterial vascular pathology (Russia conciliation document). Part 1. Peripheral artery]. Moscow: Izd-vo NTsSSKh im. A.N. Bakuleva RAMN, 2010. 176 p.
3. Williams D.T. et al. A diabetic foot service established by a department of vascular surgery: an observational study. Ann. Vasc. Surg, 2012, vol. 26, no. 5, rr. 700-706.
4. Belov V.V., Grekova N.M., Lebedeva Yu.V. Vacuum therapy and free dermatomnaya dermepenthesis granulating wounds in the diabetic foot syndrome. Ural’skiy meditsinskiy zhurnal, 2007, no. 6, pp. 82-86 (in Russ.).
5. Doronina L.P., Tokmakova A.Yu Use of vacuum therapy in patients with diabetic foot syndrome. According to the materials of the 3rd World Congress on wound healing, Toronto, June 4-8, 2008. Sakharnyy diabet, 2009, no. 1, pp. 67-70 (in Russ.).
6. Argenta L.C., Morykwas M.J. et al. Vacuum-assisted closure: state of clinic art. Plast Reconstr Surg (USA), 2006, vol. 117, no. 7, pp. 127-142.
7. Gesslein M., Horch R.E. Interdisciplinary management of complex chronic ulcers using vacuum as-sisted closure therapy and buried chip skin grafts. Zentralbl Chir (German), 2006, vol. 131, pp. 170-173.
8. Udovichenko O.V., Galstyan G.R. Modern technologies of discharge of the lower limb in the complex treatment of diabetic foot syndrome. Problemy endokrinologii, 2005, no. 3, pp. 44-46 (in Russ.).