Порівняльна Характеристика Перебігу Гострих Та Хронічних Ран У Хворих На Синдром Діабетичної Стопи На Тлі Вакуум-Терапії

Herasymchuk, P. O.; Власенко, Array В.; Pavlyshyn, А. V.

doi:10.11603/2414-4533.2015.3.5030

Cited by 2 publications

(1 citation statement)

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“…Thus, using the classical method of vacuum therapy of wounds in patients with severe forms of diabetic foot syndrome, we have encountered the problem of de-laying the outflow of tissue exudate and lysis detritus (due to the large amount of fibrin) in the vacuum system. The time of effective use of the vacuum system in these cases was not more than 3 hours, in the future there was a "sticking" of the pores of the sponge, and further use of the technique was associated with the risk of progression of infectious processes in the wound [6,7]. We made the decision to optimize the technique of the effect of negative pressure on the wound in such patients by the use of tidal drainage.…”

Section: Introductionmentioning

confidence: 99%

Application of Vac-Therapy in the Treatment of Diabetic Foot

Sakhanda

Orlov²

2019

Technology transfer: innovative solutions in medicine

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The aim. To substantiate the effectiveness of the use of VAC-therapy in the treatment of wounds in patients with diabetic foot syndrome. Materials and methods. The patient with a complicated form of diabetic foot syndrome was examined. The monitoring of the course of the wound process is supplemented by clinical, cytological, microbiological and morphological criteria. In the treatment of patients we used vacuum therapy apparatus. Vacuum wound therapy was performed in negative pressure regimens in the range of 80–125 mm Hg. Results. In the pattern of morbidity in economically developed countries, diabetes mellitus (DM) occupies one of the first places. Its prevalence is 1.5–6 %. The number of patients with diabetes in Ukraine is likely to reach 14 million by 2020. Lesions of the lower extremities of different genesis occur in 30–80 % of people with impaired carbohydrate metabolism. Most often, these lesions are complicated by the development of chronic peptic ulcer defects, which, when untimely diagnosed and inadequate treatment, leads to amputation of the affected limb. Even when radical surgery is avoided, the long and costly treatment of trophic disorders of the soft tissues of the feet and legs leads to huge costs of both material resources and time for medical staff. In 15 % of patients with DM, trophic ulcers of the lower extremities are diagnosed. Recent studies have focused on such important aspects of the study of this issue as the early diagnosis of soft tissue lesions in individuals with DM, the development of treatment aimed at preventing amputations, facilitating the further rehabilitation of patients. Vacuum therapy is one of the new methods of treating wound defects, including in patients with diabetic foot syndrome. Topical application of vacuum therapy has already become an integral therapeutic option for wound debridement in patients with diabetic foot syndrome. However, when applying the classic vacuum therapy technique, these patients have the problem of delaying the outflow of tissue exudate and lysis detritus to the vacuum system. Conclusions. Optimization of the technique of the influence of negative pressure on the wound by applying forced drainage with irrigation of the wound with an antiseptic can maintain a constantly high concentration of antimicrobial agent in the wound, increase the speed of wound dialysis and prevent clogging of pores of the sponge and the bacterial colonies in it. The application of this technique avoids high amputation, accelerates the time of wound healing, and retains the supporting function of the lower extremity.

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Section: Introductionmentioning

confidence: 99%

Application of Vac-Therapy in the Treatment of Diabetic Foot

Sakhanda

Orlov²

2019

Technology transfer: innovative solutions in medicine

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Application of Vacuum Therapy in Conditions of Complex Treatment of Complex Forms of Diabetic Syndrome

Kozlovskaya¹,

Iftodiy²,

Kulachek³

et al. 2019

Khark. Surg. Sch.

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Summary. The aim of the study was to improve the results of treatment of patients with diabetic foot syndrome by applying a complex method of VAC-associated therapy. After 5 days of this treatment we enhanced the local blood flow of wounds from 27-31 to 52-54 mm Hg. (p<0.01), while in the comparison group the blood flow was 29-34 mm Hg, granulation tissue in the wound developed on average 4.93±0.64 days, which was significantly faster than in the control – 9,42±0.81 (p<0,05). Contamination of the wound of the main group before treatment was 8,4±0.14 Lg CFU/g of tissue, for 5 days – 2,8±0.21 Lg CFU/g of tissue, and the regenerative-inflammatory type of cytograms dominated. For 10 days the pathological microflora in the wound was absent, regional epithelialization appeared, the cytogram was of the regenerative type. In the comparison group, contamination before treatment was 8,1±0,17 Lg CFU/g (p<0.05), on the 5th and 10th day the indices were significantly higher than main group– 6,2±0.18 Lg CFU/g (p<0,01) and 3,8±0.19 Lg CFU/g (p<0,01), respectively and the cytograms were still of inflammatory type. The proposed comprehensive method of VAC-therapy provides an effective antibacterial, anti-inflammatory effect, promotes better regeneration and significantly improves the wound healing.

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Порівняльна Характеристика Перебігу Гострих Та Хронічних Ран У Хворих На Синдром Діабетичної Стопи На Тлі Вакуум-Терапії

Cited by 2 publications

References 1 publication

Application of Vac-Therapy in the Treatment of Diabetic Foot

Application of Vac-Therapy in the Treatment of Diabetic Foot

Application of Vacuum Therapy in Conditions of Complex Treatment of Complex Forms of Diabetic Syndrome

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