The management of diabetic foot in a vascular surgery unit

被引:1
作者
Bouayed, M. N. [1 ]
Moro [1 ]
Bachaoui, Y. [1 ]
Bouzidi, M. [1 ]
Berrouane, L. [1 ]
Bouziane, L. [1 ]
Zelamat, M. [1 ]
Ayad, T. [1 ]
Benyelles, Z. [1 ]
Benslimane [1 ]
Benazzi, A. [1 ]
Benmaamar, M. [1 ]
机构
[1] CHU Oran, Oran, Algeria
来源
E-MEMOIRES DE L ACADEMIE NATIONALE DE CHIRURGIE | 2010年 / 9卷 / 03期
关键词
Diabetic foot; foot ulcers; angioplasty; rescue support;
D O I
10.14607/emem.2010.3.063
中图分类号
R61 [外科手术学];
学科分类号
摘要
The frequency of diabetic patients (DP) is increasing. The type 2 diabetes that typically, reached the older people, currently reaches also young people. Among the most serious complications of diabetes, foot lesions are a serious problem. In year 2010, its complexity is not yet perfectly resolved. Certainly real progress has been made in the management of diabetic foot including revascularization by distal bypass surgery as more and more current endovascular techniques and hybrid methods but prevention still stalled and the rate of amputations from developing countries has not really declined. The aim of this work is to highlight the difficulties facing the vascular surgeon when the patient in critical ischemia of a lower limb is found to be diabetic. We present a series of 352 DP supported in our vascular surgical department, among which 30 were amputated immediately without revascularization because of the extent of lesions and 322 were revascularized. The operative mortality at one month was 8% and the overall rescue of the heel support was 68.4% for a median follow up of 23 months.
引用
收藏
页码:63 / 69
页数:7
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