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Úlceras del pie diabético: importancia del manejo multidisciplinario y salvataje microquirúrgico de la extremidad / Diabetic foot ulcers: importance of a multidisciplinary approach and microsurgical limb rescue
Pereira C, Nicolás; Suh, Hyunsuk Peter; Hong, Joon Pio (JP).
  • Pereira C, Nicolás; Clínica Las Condes. Departamento de Cirugía Plástica. Santiago. CL
  • Suh, Hyunsuk Peter; University of Ulsan College of Medicine. Asan Medical Center. Department of Plastic Surgery. Seoul. KR
  • Hong, Joon Pio (JP); University of Ulsan College of Medicine. Asan Medical Center. Department of Plastic Surgery. Seoul. KR
Rev. chil. cir ; 70(6): 535-543, dic. 2018. tab, ilus
Article in Spanish | LILACS | ID: biblio-978027
RESUMEN
Las úlceras del pie diabético son el principal factor de riesgo para las amputaciones no traumáticas en personas con diabetes. El éxito de la intervención requiere un completo entendimiento de la patogénesis y una implementación oportuna y estandarizada de un tratamiento efectivo. Es necesario un enfoque multidisciplinario para inicialmente controlar y tratar múltiples factores causantes de la ulceración severa del pie diabético. El desbridamiento, control de la infección y revascularización son pasos clave para la estabilización de la herida y su preparación para una reconstrucción exitosa. La microcirugía y supermicrocirugía permite proporcionar un tejido bien vascularizado para controlar la infección, un contorno adecuado para el calzado, durabilidad y anclaje sólido para resistir las fuerzas de cizallamiento durante la marcha. De esta manera, se puede lograr el salvataje de la extremidad, mejorando la calidad de vida y aumentando la sobrevida.
ABSTRACT
Diabetic foot ulcers are the main risk factor for non-traumatic amputations in people with diabetes. A succesful intervention requires a thorough understanding of the pathogenesis and a timely and standardized implementation of an effective treatment. A multidisciplinary approach is needed to initially control and treat multiple factors that cause severe diabetic foot ulceration. Debridement, infection control, and revascularization are key steps in wound stabilization and preparation for successful reconstruction. Microsurgery and supermicrosurgery provide a well-vascularized tissue to control infection, an adequate shoe contour, durability and solid anchorage to resist shearing forces during gait. In this way, the salvage of the limb can be achieved, improving the quality of life and increasing the survival rate.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Patient Care Team / Diabetic Foot / Limb Salvage / Microsurgery Type of study: Diagnostic study / Risk factors Limits: Humans Language: Spanish Journal: Rev. chil. cir Journal subject: General Surgery Year: 2018 Type: Article Affiliation country: Chile / South Korea Institution/Affiliation country: Clínica Las Condes/CL / University of Ulsan College of Medicine/KR

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Full text: Available Index: LILACS (Americas) Main subject: Patient Care Team / Diabetic Foot / Limb Salvage / Microsurgery Type of study: Diagnostic study / Risk factors Limits: Humans Language: Spanish Journal: Rev. chil. cir Journal subject: General Surgery Year: 2018 Type: Article Affiliation country: Chile / South Korea Institution/Affiliation country: Clínica Las Condes/CL / University of Ulsan College of Medicine/KR