Results of diabetic foot surgical treatment in gerontological patients
Dibirov, M.D.; Kirtadze, D.G.; Dibirov, A.A.; Tereshchenko, S.A.; Ramazanova, I.I.
Khirurgiia 9: 46-48
2006
ISSN/ISBN: 0023-1207 PMID: 17047633 Document Number: 602662
The experience in surgical treatment of 1200 patients with an ischemic form of diabetic foot syndrome is analyzed. Surgical reconstruction of the major arteries was performed in 338 (28%) patients including reconstructive surgeries on the aorto-iliac-femoral segment--70 (21%), distal reconstructions--246 (73%), extra-anatomic reconstructions--22 (6%) patients. In distal reconstructions autovein in situ was used in 94, reversed autovein--in 82, and PTFE grafts--in 70 patients. Good results were achieved in 235 (69%), satisfactory--in 57 (17%) patients. Early thrombosis was revealed in 46 (14%) patients, femoral amputation was performed in 36 (10.6%) patients, 5 (1.4%) patients died.