Mini-invasive revascularization operations in the complex treatment of neuroischemic and ischemic forms of diabetic foot syndrome

Authors

  • Bazylbek Zhakiyev
  • Murat Jakanov Department of General Surgery, West Kazakhstan Marat Ospanov Medical University, Aktobe, Kazakhstan
  • Bernat Zhanabaev Department of Vascular Surgery, “Aktobe Medical Center” Multidisciplinary Hospital, Aktobe, Kazakhstan
  • Anuar Koyshibaev Department of Surgical Diseases N#2, West Kazakhstan Marat Ospanov Medical University, Aktobe, Kazakhstan
  • Samat Mukanov Ambulance Hospital, West Kazakhstan Marat Ospanov Medical University, Aktobe, Kazakhstan
  • Aliya Aitbayeva

DOI:

https://doi.org/10.3329/bjms.v20i4.54140

Keywords:

complex treatment; diabetes mellitus; diabetic foot syndrome; endovascular operations; purulent surgery.

Abstract

Objective: Diabetic foot syndrome is the most dramatic complication of diabetes mellitus. The treatment success is impossible without improving blood circulation and the elimination of hemodynamic disorders in the affected limb.The study aim was to evaluate mini-invasive revascularization operations effectiveness on the lower limbs peripheral arteries in neuro-ischemic and ischemic diabetic foot syndrome forms.

Materials and methods: The study enrolled 104 patients with purulent-necrotic complications of diabetic foot syndrome. 54 (51.9%) patients underwent stenting and balloon angioplasty (the main group). The comparison group included 50 (48.1%) patients, undergoing indirect revascularization surgeries in complex treatment.

Results and discussion:After endovascular interventions, the API index increased by 47.6% (p<0.01) after 20 days compared to the admission index, the average blood flow rate increased by 1.8 times (p<0.01), and the tPo2 value improved by 67.8% (p<0.01). In the control group, the tPo2 value increased by 40.3% after 20 days, and API – by 34.4%. In the main group, the swelling disappearance in the foot wounds area was by 3.7±0.5 days faster (p<0.001), wounds purification by 4.1 days (p<0.001), granulation appearance by 3.5±0.4 days (p<0.001), wound margins infiltration disappearance happened 3.3±0.9 days earlier (p<0.001), and the wound epithelization was 2.9 days earlier (p<0.01) than in the control group patients.

Conclusion: Foot support function at discharge from hospital was preserved in 94.4% of the main group and in 84% of the control group.

Bangladesh Journal of Medical Science Vol.20(4) 2021 p.817-825

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Published

2021-06-18

How to Cite

Zhakiyev, B., Jakanov, M., Zhanabaev, B., Koyshibaev, A., Mukanov, S., & Aitbayeva, A. (2021). Mini-invasive revascularization operations in the complex treatment of neuroischemic and ischemic forms of diabetic foot syndrome. Bangladesh Journal of Medical Science, 20(4), 817–825. https://doi.org/10.3329/bjms.v20i4.54140

Issue

Vol. 20 No. 4 (2021)

Section

Original Articles

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