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  • Diagnosis and treatment of the first signs of ischemia as prevention of the development of the diabetic foot syndrome

    Редактор | 2017, Original articles, Practical medicine 06 (17) Surgery | 21 сентября, 2017

    V.A. STUPIN1, K.A. KOREYBA2, A.R. MINABUTDINOV3

    1Pirogov Russian National Research Medical University, 1 Ostrovityanov Str., Moscow, Russian Federation, 117997

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

    3Clinic of Medical University, 12 Sh. Kamal Str., Kazan, Russian Federation, 420021

     Stupin V.A. — D. Med. Sc., Professor, Head of the Department of Hospital Surgery No. 1, tel. +7-985-198-59-67, e-mail: stvictor@bk.ru

    Koreiba K.A. — Cand. Med. Sc., Associate Professor of the Department of Surgical Diseases No. 2, tel. +7-917-259-47-47, e-mail: korejba_k@mail.ru

    Minabutdinov A.R. — doctor-surgeon of the Surgery Department, tel. +7-965-589-88-91, e-mail: aidoctor@mail.ru

     The number of operations performed in the treatment of complications of diabetic foot syndrome reflects the absence of effective measures for their prevention. Often the attempts are reduced to recommendations based on personal experience, not always having high evidential and experimental basis. Standardization of the diagnostics and treatment of diabetic foot syndrome, combined with its prevention, will allow to treat it on objective and substantiated basis. To elaborate recommendations for prevention and treatment of the diabetic foot syndrome in the conditions of hospital and outpatient setting, we have analyzed the work of the «Diabetic Foot» Centre in 2012–2015. The emphasis in evaluating the performance of the units was made on creating a unified plan of the patient examination at the outpatient and inpatient stages, including invasive and non-invasive methods. Based on these results, we propose the approach to therapeutic interventions at all stages of treatment. The comprehensive approach to the prevention and treatment of diabetic foot syndrome will reduce the risk for traumatic operations and improve the quality of medical services.

    Key words: diabetic foot syndrome, diagnostics, treatment.

    REFERENCES

    1. http://www.idf.org/worlddiabetesday/toolkit/gp/factsfigures
    2. Stupin V.A., Rumyantsev S.A., Silina E.V. Mul’tidistsiplinarnye podkhody k lecheniyu sindromov ishemii i gipoksii u bol’nykh sakharnym diabetom [Multidisciplinary approaches to the treatment of ischemia and hypoxia syndromes in diabetic patients]. Moscow: Izd-vo “MAI-PRINT”, 2011. 108 p.
    3. Komelyagina E.Yu., Uvarova O.M., Antsiferov M.B. Russian-language version of the questionnaire for assessing the quality of life in patients with peripheral polyneuropathy: validation and prospects for use. Sakharnyy diabet, 2014, no. 2, pp. 56–65 (in Russ.).
    4. Koreyba K.A., Minabutdinov A.R. Algorithm of methods of radiation diagnosis in patients with diabetic foot syndrome. Prakticheskaya meditsina, 2015, no. 6 (91), pp. 34–37 (in Russ.).
    5. http://www.lfb.lv/files/Inter-Society-Consensus-for-the-Management-of-PAOD-TASC-II-guidelines.pdf
    6. Patent no. 2549459 RF, Byul, 2015, no. 12, available at: http://www1.fips.ru/Archive/PAT/2015FULL/2015.04.27/Index_ru.htm

    Метки: 2017, A.R. MINABUTDINOV, diabetic foot syndrome, diagnostics, K.A. KOREYBA, Practical medicine 06 (17) Surgery, treatment, V.A. STUPIN

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