[Surgical classification of the diabetic foot syndrome]. / Khirurhichna klasyfikatsiia syndromu diabetychnoï stopy.

Surgical classification of the diabetic foot syndrome was proposed, permitting to formulate pathogenetic diagnosis with working out in detail the foot pathologic process depth and expansion, taking into account the microflora presence in the purulent-necrotic affection zone, basing on own experience of treatment of 490 patients. This permits to formulate tactic and volume of necessary pathogenetic surgical and conservative treatment.

[Results of surgical treatment of ischemic gangrenous form of the diabetic foot syndrome]. / Rezul'taty khirurhichnoho likuvannia ishemichno-hanhrenoznoï formy syndromu diabetychnoï stopy.

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%.

[Differentiated approach to the surgical treatment of diabetic foot syndrome]. / Dyferentsiiovanyi pidkhid do khirurhichnoho likuvannia syndromu diabetychnoï stopy.

The results of surgical treatment of 334 patients with diabetes mellitus with diabetic foot syndrome (DFS) were analyzed. The surgical intervention performance is based on analysis of pathogenetic form of affection, its depth and extension, type of microflora in the pyo-necrotic focus. We attempted to achieve surgical cleansing or partial foot amputation in every patient in order to preserve the support function of the foot. The use of differentiated approach to surgical treatment of DFS permitted to decrease the rate of high leg amputation from 17 to 7.2%, to decrease the duration of surgical treatment by 11.2 days.