Personal Experiences in Treatment of Diabetic Foot Syndrome

• Authors: Adam Lewandowski , Witold Paszta , Włodzimierz Nowatorski
• Languages of publication: EN

Abstracts

EN

Changes like deformities, ulcerations, infection and destruction of deep tissues of foot caused by diabetes mellitus are called diabetic foot syndrome. About 2.5 million people (6% of population) suffer from diabetes mellitus in Poland. About 100 000 of them suffer from diabetic foot syndrome.The aim of the study was to retrospectively analyze patients with diabetic foot syndrome and present results of the surgical treatment of these patients.Material and methods. The study group comprised 112 patients of both sexes aged between 34 and 90 years treated in our Department of Surgery from January 2003 to December 2007. The mean age for men was 61 years and for women - 72 years. Most patients in the study group were diagnosed with type 2 diabetes mellitus (89.2% in men and 95.7% in women). Symptomatic atherosclerosis occurred in 25% of treated patients.Results. 112 patients with diabetic foot syndrome needed 144 hospitalizations (65 male patients needed 86 hospitalizations and 47 female patients needed 58 hospitalizations). The average hospitalization duration for male patients was 24 days and for female patients was 22 days. 8 patients (7,1%) died - 3 men and 5 women. 82 (73%) patients were operated. Operative methods consisted of phlegmon incision, amputation of toes, metacarpal amputation and amputation of limb under and above the knee. 38 different bacterial species were cultured as the results of microbiological evaluations in 71 patients.Conclusions. Patients with diabetic foot syndrome are hospitalized in department of surgery many times, they need multidisciplinary treatment and can be a source of nosocomial infections.

Keywords

EN

diabetic foot syndrome; type 2 diabetes mellitus; atherosclerosis; amputation of limb; nosocomial infections

• Publisher: Index Copernicus International
• Journal: Polish Journal of Surgery
• Year: 2008
• Volume: 80
• Issue: 11
• Pages: 609-614

Dates

published

1 - 10 - 2008

online

4 - 5 - 2010

Contributors

author

Adam Lewandowski

• 2 Department of General and Oncology Surgery, District Hospital in Płock

author

Witold Paszta

• 2 Department of General and Oncology Surgery, District Hospital in Płock

author

Włodzimierz Nowatorski

• 2 Department of General and Oncology Surgery, District Hospital in Płock

References

• Tatoń J i wsp.: Powikłania cukrzycy. Wyd. Lekarskie PZWL, Warszawa 1995.
• Tatoń J i wsp.: Stopa cukrzycowa. PZWL, Warszawa 1987.
• Tatoń J, Czech A: Diabetologia T. I i II. PZWL, Warszawa 2001
• Dzieciuchowicz Ł, Oszkinis G, Krasiński Z i wsp.: Możliwości leczenia rewaskularyzujαcego u chorych z niedokrwiennα stopα cukrzycowα. Acta Angiol 2006; 12:23-33.
• Khaodhiar L, Dinh T, Schomacker KT et al.: The use of medical hyperspectral technology to evaluate microcirculatory changes in diabetic foot ulcers and to predict clinical outcomes. Diabetes Care 2007; 30: 903-10.[Crossref][WoS]
• Lawson D, Petrofsky JS: A randomized control study on the effect of biphasis electrical stimulation in a warm room on skin blood flow and healing rates in chronic wounds of patients with and without diabetes. Med Sci Monit 2007; 13: 258-63.
• Kavros SJ, Miller JL, Hanna SW: Treatment of ischemic wounds with noncontact, low-frequency ultrasound: the Mayo clinic experience, 2004-2006. Adv Skin Wound Care 2007; 20: 221-26.
• Frank L, Bowling BS, Salgami EV et al.: Larval Therapy: A Novel Treatment In Eliminating Methicilin-Resistant Staphylococcus aureus From Diabetic Foot Ulcers. Diabetes Care 2007; 30: 370-71.[WoS]
• Jarczyk G, Jackowski M, Szpila K i wsp.: Wyniki leczenia biochirurgicznego u pacjentów z przewlekłymi owrzodzeniami podudzi i stóp. Pol Przegl Chir 2008; 80(4): 337-56.
• Minke G, Barendse-Hofmann MD, Steenvorde P et al.: Extracellular Wound Matrix (OASIS®): Exploring the Contraindications. Results of Its Use in 32 Consecutive Outpatient Clinic Cases. Wounds 2007; 19: 258-63.
• Edmonds M, Foster A: The use of antibiotics in the diabetic foot. Am J Surg 2004; 187: 25-28.[Crossref]
• Xu L, McLennon SV, Lo L, Natfai A et al.: Bacterial load predicts healing rate in neuropathic diabetic foot ulcers. Diabetes Care 2007; 30: 378-80.[WoS][Crossref]
• Kucharzewski M, Misztal-Knyra J, Błaszczak E i wsp.: Analiza flory bakteryjnej owrzodzeń podudzi pochodzenia żylnego i cukrzycowego. Leczenie Ran 2007; 4: 9-15.

Identifiers

DOI

10.2478/v10035-008-0084-4