Assessment of the outcomes of the treatment of patients with suppurative necrotic complications of diabetic foot syndrome with the use of programmed rehabilitation technologies

• Main Authors: A. A. Glukhov, V. V. Sergeev, G. A. Semyonova
• Format: Article
• Language: Russian
• Published: Pavlov First Saint Petersburg State Medical University 2018-12-01
• Series: Вестник хирургии имени И.И. Грекова
• Subjects: diabetic foot syndrome; suppurative necrotic complications; programmed aspiration and irrigation rehabilitation; surgical debridement of a suppurative focus; plastic resection of the foot
• Online Access: https://www.vestnik-grekova.ru/jour/article/view/1109

Objective. To assess the outcomes of the treatment of patients with suppurative necrotic complications of diabetic foot syndrome (DFS) without critical ischemia with the use of programmed rehabilitation technologies (PRT).Material and methods. The study included 82 patients. 40 patients (reference group) underwent conventional rehabilitation, while 42 patients (study group) were treated with PRT with the use of the original equipment AMP-01.Results. Use of PRT has been established to significantly improve the quality of rehabilitation, which helps to reduce the duration of inpatient treatment. The number of suppurative complications in the study group proved to be significantly less (p=0.014), and postoperative mortality was lower. The long-term outcomes of the treatment (number of late suppurative complications, ischemia progression, maintenance of foot support ability) in the study group was also found to be significantly better compared to the reference group.Conclusion. The use of PST promotes the improvement of short-term and long-term outcomes of the treatment of the patients with DFS suppurative necrotic complications.