Diabetic foot syndrome

In August, 30 2001 Center of diabetic foot treatment was established in Kherson (Ukraine). 483 persons ill with sugar diabetes underwent medical treatment during the time of existence of the center.

Creation of the Center of diabetic foot treatment and special help improved the results of treatment the patients with purulo-necrotic lesions of diabetic feet.

The following methods are used during the treatment of diabetic foot syndrome:

Autoplasty

After the holding of the surgical operation with the radical management of purulo-necrotic nidus the sizeable wounds appear. In future they are to be closed. The most simple and safe method of closing them is autoplasty. After the holding of the surgical operation with the radical management of purulo-necrotic nidus the sizeable wounds appear. In future they are to be closed. The most simple and safe method of closing them is autoplasty. As a rule, autoplasty is hold after ripening of the granulation tissue, i.e. after 8-10 days of the operation. But ill with the diabetic foot syndrome usually have signs of the reinfection that appear on 3-4 day after operation. They delay formation and growing of granulations, secondary soft tissue necroses are formed. That can cause necessity of the repeated operation and even high amputation. To prevent these early autoplasty is used (on the 1-3 day of operation). It is recommended to provide autoplasty with cleft piece of skin, on Tirsh method, taking under local anesthetization parts of skin not more than 0.5-3 cm2. This method can be explained by the following: it is less traumatic; need no special equipment; small pieces of skin better renew the relief of the foot wound; they supply better conditions for drainage and airing of the wound surface; while lysis of the transplant just some parts of the skin are seized. Xenoskin plastics is recommended if the wound defects are big (the bone is in the wound or bald sinew and ligament come out).

Kherson Center of diabetic foot syndrome treatment is working on the basis of the surgical department of the Kherson hospital named after A. and O. Tropiny.

The address is Ukraine, Kherson, Komarova St., 2.

Indication for sending to Center of diabetic foot syndrome treatment is diabetic foot syndrome of II-IV degree. Abscess, phlegmon and wet gangrene are signals for urgent hospitalization in the Center. Ill with diabetic foot syndrome having no trophic changes or with surface ulcer (0-I degree) are not sent to the Center. Patients with the gangrene spread upon the whole foot are hospitalized for the high amputation. People with problems of main arteries of the lower extremities are to be consulted by a vascular surgeon to decide whether surgical correction is possible. If there is no indications for urgent hospitalization the consultations in the Center of diabetic foot syndrome treatment are made out-patiently.

The treatment in the Center is provided by:

• Head physician Remyga L.T.
• Division superintendent Dundych V.V.
• Doctor Handziuk V.M.