Results of surgical treatment of ischemic gangrenous form of the diabetic foot syndrome
Herasymchuk, P.O.
Klinichna Khirurhiia 9: 44-46
2002
ISSN/ISBN: 0023-2130 PMID: 12440212 Document Number: 545778
Results of surgical treatment of 189 patients with diabetes mellitus with the diabetic foot syndrome, suffering an ischemic gangrenous form, stages II-IV (according to Wagner), were analyzed. The accomplishment of surgical treatment or small amputation of foot and preservation of the extremity supportive function was tried in every patient. Optimization of the patients surgical treatment was elaborated, basing on clinical investigations data, rheovasography and estimation of local blood circulation in tissues according to hydrogen clearance. In 79.2% of observations the satisfactory outcome was achieved with the lower extremity preservation. In 21.8% patients after high amputation of extremity postoperative mortality had constituted 9.8%.