CURRENT ASPECTS OF URGENT SURGICAL ASSISTANCE IN PATIENTS WITH DIABETIC FOOT SYNDROME

Abstract

Aim: Improving emergency surgical care for patients with diabetic foot syndrome. Materials and methods: We conducted treatment of 268 patients with diabetic foot syndrome (DFS). The first group (136 patients) consisted of patients admitted to the hospital in 2012-2016, organ-preserving operations were performed according to the methods developed in the clinic (126 patients).The second group (132 patients) consisted of patients admitted in 2017-2021. Results: In the main group, surgical treatment was determined by the form of DFS. There were in the neuropathic form: stage I – surgical treatment of the focus, and stage II – plastic closure of the wound. There were in neuroischemic form (60 patients): stage I – correction of ischemia; stage II – surgical treat¬ment of the focus; stage III – plastic closure of the wound. In 10 (7.3%) patients of the main group amputations were performed at the level of the shin and the thigh. In the control group, in 19 (14.4%) patients, amputation was performed at the level of the thigh. Conclusions: Organ-preserving treatment of DFS should be carried out in accordance with the form of DFS with determination of tissue viability. Among the factors influencing the rate of healing, the shape of the wound, its size and localization are important.