Diabetic foot surgery: Difference between revisions
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==Surgery== | ==Surgery== | ||
*One of the centerpieces of [[diabetic foot]] [[treatment]] is debridement of [[necrosis|necrotic]] and [[fibrosis|fibrotic]] [[Tissue (biology)|tissues]] as well as [[Callus|calluses]].<ref name="pmid10480782">{{cite journal| author=American Diabetes Association| title=Consensus Development Conference on Diabetic Foot Wound Care: 7-8 April 1999, Boston, Massachusetts. American Diabetes Association. | journal=Diabetes Care | year= 1999 | volume= 22 | issue= 8 | pages= 1354-60 | pmid=10480782 | doi=10.2337/diacare.22.8.1354 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10480782 }} </ref><ref name="pmid9531915">{{cite journal| author=Armstrong DG, Lavery LA| title=Diabetic foot ulcers: prevention, diagnosis and classification. | journal=Am Fam Physician | year= 1998 | volume= 57 | issue= 6 | pages= 1325-32, 1337-8 | pmid=9531915 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9531915 }} </ref> | |||
*Debridement should be done until it reaches the [[bleeding]] [[Tissue (biology)|tissue]], which is both a [[treatment]] and a [[diagnosis|diagnostic method]] to evaluate [[ulcer]] margin and [[abscess]]'s presence. | |||
*Since proper [[perfusion]] is critical for [[wound healing]], presence of any of the following is indicative for vascular intervention in [[diabetic foot]]:<ref name="LepäntaloApelqvist2011">{{cite journal|last1=Lepäntalo|first1=M.|last2=Apelqvist|first2=J.|last3=Setacci|first3=C.|last4=Ricco|first4=J.-B.|last5=de Donato|first5=G.|last6=Becker|first6=F.|last7=Robert-Ebadi|first7=H.|last8=Cao|first8=P.|last9=Eckstein|first9=H.H.|last10=De Rango|first10=P.|last11=Diehm|first11=N.|last12=Schmidli|first12=J.|last13=Teraa|first13=M.|last14=Moll|first14=F.L.|last15=Dick|first15=F.|last16=Davies|first16=A.H.|title=Chapter V: Diabetic Foot|journal=European Journal of Vascular and Endovascular Surgery|volume=42|year=2011|pages=S60–S74|issn=10785884|doi=10.1016/S1078-5884(11)60012-9}}</ref><ref name="pmid1246689">{{cite journal| author=Raines JK, Darling RC, Buth J, Brewster DC, Austen WG| title=Vascular laboratory criteria for the management of peripheral vascular disease of the lower extremities. | journal=Surgery | year= 1976 | volume= 79 | issue= 1 | pages= 21-9 | pmid=1246689 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=1246689 }} </ref> | *Since proper [[perfusion]] is critical for [[wound healing]], presence of any of the following is indicative for vascular intervention in [[diabetic foot]]:<ref name="LepäntaloApelqvist2011">{{cite journal|last1=Lepäntalo|first1=M.|last2=Apelqvist|first2=J.|last3=Setacci|first3=C.|last4=Ricco|first4=J.-B.|last5=de Donato|first5=G.|last6=Becker|first6=F.|last7=Robert-Ebadi|first7=H.|last8=Cao|first8=P.|last9=Eckstein|first9=H.H.|last10=De Rango|first10=P.|last11=Diehm|first11=N.|last12=Schmidli|first12=J.|last13=Teraa|first13=M.|last14=Moll|first14=F.L.|last15=Dick|first15=F.|last16=Davies|first16=A.H.|title=Chapter V: Diabetic Foot|journal=European Journal of Vascular and Endovascular Surgery|volume=42|year=2011|pages=S60–S74|issn=10785884|doi=10.1016/S1078-5884(11)60012-9}}</ref><ref name="pmid1246689">{{cite journal| author=Raines JK, Darling RC, Buth J, Brewster DC, Austen WG| title=Vascular laboratory criteria for the management of peripheral vascular disease of the lower extremities. | journal=Surgery | year= 1976 | volume= 79 | issue= 1 | pages= 21-9 | pmid=1246689 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=1246689 }} </ref> | ||
**[[Ankle]] [[pressure]] less than 80 mmHg | **[[Ankle]] [[pressure]] less than 80 mmHg | ||
Revision as of 09:02, 7 July 2021
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Diabetic foot Microchapters |
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Diabetic foot surgery On the Web |
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American Roentgen Ray Society Images of Diabetic foot surgery |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Anahita Deylamsalehi, M.D.[2]
Overview
Surgery
- One of the centerpieces of diabetic foot treatment is debridement of necrotic and fibrotic tissues as well as calluses.[1][2]
- Debridement should be done until it reaches the bleeding tissue, which is both a treatment and a diagnostic method to evaluate ulcer margin and abscess's presence.
- Since proper perfusion is critical for wound healing, presence of any of the following is indicative for vascular intervention in diabetic foot:[3][4]
References
- ↑ American Diabetes Association (1999). "Consensus Development Conference on Diabetic Foot Wound Care: 7-8 April 1999, Boston, Massachusetts. American Diabetes Association". Diabetes Care. 22 (8): 1354–60. doi:10.2337/diacare.22.8.1354. PMID 10480782.
- ↑ Armstrong DG, Lavery LA (1998). "Diabetic foot ulcers: prevention, diagnosis and classification". Am Fam Physician. 57 (6): 1325–32, 1337–8. PMID 9531915.
- ↑ Lepäntalo, M.; Apelqvist, J.; Setacci, C.; Ricco, J.-B.; de Donato, G.; Becker, F.; Robert-Ebadi, H.; Cao, P.; Eckstein, H.H.; De Rango, P.; Diehm, N.; Schmidli, J.; Teraa, M.; Moll, F.L.; Dick, F.; Davies, A.H. (2011). "Chapter V: Diabetic Foot". European Journal of Vascular and Endovascular Surgery. 42: S60–S74. doi:10.1016/S1078-5884(11)60012-9. ISSN 1078-5884.
- ↑ Raines JK, Darling RC, Buth J, Brewster DC, Austen WG (1976). "Vascular laboratory criteria for the management of peripheral vascular disease of the lower extremities". Surgery. 79 (1): 21–9. PMID 1246689.