Diabetic foot surgery
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Diabetic foot Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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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.
- Before any surgical procedures perfusion of the involved limb must be checked, since proper perfusion is critical for healing.[3]
- Since proper perfusion is critical for wound healing, presence of any of the following is indicative for vascular intervention in diabetic foot:[4][5]
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.
- ↑ Schaper, N. C.; Andros, G.; Apelqvist, J.; Bakker, K.; Lammer, J.; Lepantalo, M.; Mills, J. L.; Reekers, J.; Shearman, C. P.; Zierler, R. E.; Hinchliffe, R. J. (2012). "Diagnosis and treatment of peripheral arterial disease in diabetic patients with a foot ulcer. A progress report of the International Working Group on the Diabetic Foot". Diabetes/Metabolism Research and Reviews. 28: 218–224. doi:10.1002/dmrr.2255. ISSN 1520-7552.
- ↑ 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.