The choice of surgical treatment of patients with ischemic forms diabetic foot syndrome affection of necrotic suppurative process


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Abstract

In four years 338 patients were diagnosed with ischemic and neuroischemic forms diabetic foot syndrome affection of necrotic
suppurative process. Early direct revascularization on aorta and great vessels were carried out to 71 patients of main group.
The post-pone direct revascularization were carried out to 30 patients in control group. And indirect revascularization –
isolated lumbal sympathoectomy, were carried out to 46 (37%) patients. In conclusion, early revascularization and bilateral
lumbal sympathoectomy, don’t late then 24-48 hours after surgical treatments, are recommend of patients with ischemic and
neuroischemic forms diabetic foot syndrome with necrotic suppurative process. It’s help to save damaged limbs from higher
amputations and to limit them at the foot and decrease lethal rates.

About the authors

Кубанский государственный медицинский университет Краснодарская городская клиническая больница скорой помощи

Author for correspondence.
Email: victor-alexey@mail.ru
ассистент
кафедры факультетской хирургии с курсом ане-
стезиологии и реаниматологии Кубанского госу-
дарственного медицинского университета

Кубанский государственный медицинский университет Краснодарская городская клиническая больница скорой помощи

Email: lischenko_an@mail.ru
д.м.н., профес-
сор кафедры общей хирургии Кубанского госу-
дарственного медицинского университета

Кубанский государственный медицинский университет Краснодарская городская клиническая больница скорой помощи

Email: lischenko_an@mail.ru
д.м.н., профес-
сор кафедры факультетской хирургии с курсом ане-
стезиологии и реаниматологии Кубанского госу-
дарственного медицинского университета

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