PMID- 11794117
OWN - NLM
STAT- MEDLINE
DCOM- 20020607
LR  - 20221207
IS  - 0023-2130 (Print)
IS  - 0023-2130 (Linking)
IP  - 8
DP  - 2001 Aug
TI  - [Specific aspects of pathogenesis and strategies in the comprehensive surgical 
      treatment of the diabetic foot in patients with diabetes mellitus].
PG  - 54-7
AB  - Retrospective analysis of complex surgical treatment of 590 patients with 
      diabetes mellitus (DM), complicated by necrotic-inflammatory affection (NIAF) of 
      foot for 1991-2000 yrs period was conducted. At the time of first hospitalization 
      age of patients had constituted at average (60.3 +/- 0.4) yr, duration of 
      DM--(14.1 +/- 0.3) yr, in 11.2% patients DM was revealed for the first time. High 
      amputation of lower extremity was done in 147 (35.1%) of 419 patients with 
      disorders of its arterial blood supply, postoperative lethality had constituted 
      10.2%, general lethality--6.4%. Duration of stay in hospital had constituted at 
      average (52.8 +/- 0.4) days. Strategy of complex surgical treatment of NIAF 
      envisages: survival of the patient; complete healing (epithelization) of 
      operative wound; securing the supportive function of foot. Disorder of sequence 
      of this principles causes the increase of the reoperations frequency, lethality 
      and material expenses. The problem solution envisages not so much the struggle 
      with vascular consequences of DM, as prophylaxis of occurrence of these 
      complications.
FAU - Fedorenko, V P
AU  - Fedorenko VP
FAU - Fedorenko, A V
AU  - Fedorenko AV
FAU - Smereka, A V
AU  - Smereka AV
FAU - Boiko, R L
AU  - Boiko RL
LA  - ukr
PT  - English Abstract
PT  - Journal Article
TT  - Osoblyvosti patohenezu, taktyka i stratehiia kompleksnoho khirurhichnoho 
      likuvannia nekrotychno-zapal'noho urazhennia stopy u khvorykh na tsukrovyi 
      diabet.
PL  - Ukraine
TA  - Klin Khir
JT  - Klinichna khirurhiia
JID - 9516872
SB  - IM
MH  - Adult
MH  - Amputation, Surgical/methods
MH  - *Diabetes Complications
MH  - *Diabetic Foot/etiology/physiopathology/surgery
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Treatment Outcome
EDAT- 2002/01/17 10:00
MHDA- 2002/06/12 10:01
CRDT- 2002/01/17 10:00
PHST- 2002/01/17 10:00 [pubmed]
PHST- 2002/06/12 10:01 [medline]
PHST- 2002/01/17 10:00 [entrez]
PST - ppublish
SO  - Klin Khir. 2001 Aug;(8):54-7.