Economic surgical interventions on the foot in diabetic gangrene
Petkov, R.; Gavrailov, M.
Khirurgiia 48(2): 28-29
1995
ISSN/ISBN: 0450-2167 PMID: 8531443 Document Number: 445031
Primary surgical toilet is the main stage of surgical management of diabetic gangrene, usually associated with amputation of isolated toes, or varying in type transmetatarsal amputations. Elimination of the basic tissue decomposition and wide exposure of all purulent cavities contribute greatly to restrict the purulent gangrenous process in course. Simultaneously, adequate insulin and antibiotic therapy is conducted. If necessary, at a second stage plastic reconstructive operations are performed with a view to improve the biomechanics of the foot.