Subject(s)
Peptic Ulcer Perforation/diagnosis , Peptic Ulcer Perforation/surgery , Peptic Ulcer/surgery , Aged , Disease Management , Exudates and Transudates/metabolism , Humans , Male , Peptic Ulcer/diagnostic imaging , Peptic Ulcer/pathology , Peptic Ulcer Perforation/diagnostic imaging , Peptic Ulcer Perforation/pathology , RadiographySubject(s)
Pancreatic Pseudocyst/diagnosis , Severity of Illness Index , Adolescent , Adult , Aged , Aged, 80 and over , Female , Humans , Male , Middle Aged , Minimally Invasive Surgical Procedures , Pancreatectomy/methods , Pancreatic Pseudocyst/diagnostic imaging , Pancreatic Pseudocyst/pathology , Pancreatic Pseudocyst/surgery , Ultrasonography , Young AdultABSTRACT
Results of treatment of 207 patients with purulent-necrotic complications of the diabetic foot syndrome (DFS) were analyzed. Tactics of treatment was determined considering the DFS form presented, stage of the extremity ischemia, character and severity of purulent-inflammatory affection and the patient's homeostasis state. Urgent operation was performed in 79 (38.1%) patients, in 38 (48.1%) of them--amputation of extremity. In late follow-up period 98 (47.3%) patients were operated on, in 76 (75.5%) of them necrectomy or small amputation was performed, allowing to preserve the extremity. Conservative treatment was conducted in 30 (14.5%) patients with trophic ulcers. Application of elaborated program of treatment had permitted to increase the preservation frequency of supporting function of foot from 28.9 to 56.3% and to reduce general lethality from 18.3 to 13.5%.
Subject(s)
Diabetic Foot/pathology , Diabetic Foot/surgery , Diabetes Mellitus, Type 2/complications , Diabetic Foot/etiology , Humans , Middle Aged , NecrosisABSTRACT
The results of experimental and clinical studies on the development of multicomponent ointments on a hydrophilic base for local treatment of wounds at phase I of the inflammatory process have been analyzed. A pronounced therapeutic effect of the use of the remedies suggested (levosin, levomecol, dioxycole, sulphamecole, iodmetroxide) resulting from simultaneous dehydrating, antimicrobial, necrolytic and anesthetic effect, 2-fold shortening of the period of wound treatment and improvement of the results of treatment of the patients with different types of purulent surgical infection were noted.