The differential diagnostics and sepsis surgical treatment and induced metabolically diseases in diabetic foot lesions patients

Abstract

Purpose of the study. The sepsis differentiation criteria and metabolically induced diabetic foot lesions must be established. Material and methods. The 115 patients were observed. Results and discussion. Sepsis by the qSOFA criteria was diagnosed in 3, heart failure of 3–4 class by NYHA classification estimated in 39 cases. High limb amputation had been performed to 18 patients, surgery on the foot to 97. Foot lesion relapse accompanied by unstable glycaemia had been observed in 25 cases. For the surgical correction of the diabetes ileoduodenoplasty had been performed in 7 cases, which resulted in uncomplicated wound healing in all patients. Conclusion. Sepsis progression in patient with diabetic foot case proof indicates the necessity high lower limb amputation. Foot lesion relapse after the effective surgical sanitation indicate on metabolic disorder, not on sepsis. Surgical correction of the diabetes by mean of ileoduodenoplasty performing seems to be the reliable method of foot lesion relapse preventing. Keywords: diabetic foot, sepsis, metabolism challenge, surgical correction, ileoduodenoplasty.