ABSTRACT
Result of treatment of 225 patients with diabetic angiopathy of lower extremities (LE) was studied. Efficacy of conservative treatment, supplemented, according to indications, by opening of purulent foci, registrated during 5 days, than we established indications for the LE amputation. Application of improved tactics of surgical treatment had permitted to preserve supportive function of foot in 63.6% patients.
Subject(s)
Diabetic Foot/surgery , Surgical Procedures, Operative/methods , Adult , Aged , Diabetes Complications , Diabetes Mellitus/drug therapy , Diabetic Foot/diagnosis , Diabetic Foot/etiology , Female , Humans , Hypoglycemic Agents/therapeutic use , Insulin/therapeutic use , Male , Middle Aged , Severity of Illness IndexSubject(s)
Actinomycosis/complications , Sepsis/complications , Actinomycosis/diagnosis , Adult , Female , Humans , Male , Sepsis/diagnosis , Time FactorsABSTRACT
The experience with treatment of 331 patient with external intestinal fistulas is summarized. It is necessary to remove the high non-shaped "emaciating" fistulas at day 1-2 after their development. A rational method for the treatment of other non-shaped intestinal fistulas is their open management with active aspiration, or flowing drainage. Conservative therapy of the shaped tubular fistulas is effective only within first 4 mos, and later, the operative treatment is indicated to the patients.
