Local treatment of diabetic foot syndrome complicated by purulent-necrotic process
Local treatment of purulent wounds in diabetic foot syndrome is one of the urgent problems in surgery. To date, many methods have been proposed, but not one of them is without such a drawback as delayed wound healing; new methods are being sought and known methods are being improved. The results of local treatment of purulent wounds in 68 patients with diabetic foot syndrome are presented, which includes irrigation of the wound with an ozonized solution, then a bandage with a 50% dimexide solution and infrared radiation for a course of 8-10 sessions. Local treatment is supplemented by prescribing drugs, taking into account the form of SDS and the degree of metabolic disorders. To assess the results of treatment, 3 groups were identified. The first included patients with trophic ulcers and infected wounds. The second included patients with DFS complicated by gangrene of the fingers and phlegmon of the foot, and they underwent surgery, and 17 patients were included in group 3, in whom ultrasound revealed occlusion of the vessels of the lower extremities and they underwent balloon angioplasty. All patients underwent general and local treatment, and in addition, all patients were prescribed Thymalin immunocorrector 10 mg, for a course of treatment 8-10 injections. An analysis of the course of the wound process showed that, under the influence of local treatment, there is a positive trend in the wound process, edema quickly decreases, and the amount of discharge and granulation and epithelialization appear, but more pronounced dynamics is observed in patients who underwent balloon angioplasty. We are aware that the 3 groups we have identified are ambiguous in terms of the nature of the lesions and therefore we consider the dynamics of the wound process separately in each group. The results showed that the method of local treatment of DFS developed by us can be used to promote wound healing in diabetic foot syndrome