Romaniv I. Optimization of surgical treatment of patients with diabetes complicated with diabetic foot syndrome

Українська версія

Thesis for the degree of Candidate of Sciences (CSc)

State registration number

0410U006106

Applicant for

Specialization

  • 14.01.03 - Хірургія

28-10-2010

Specialized Academic Board

Д 58.601.01

I. Horbachevsky Ternopil State Medical University

Essay

The thesis provides a new theoretical synthesis and scientific problem solving to improve the overall performance of pathogenetic treatment of diabetic foot syndrome. The analysis of examination and treatment of 235 patients with diabetes mellitus complicated by diabetic foot syndrome. Investigated the degree of violation of hemodynamic monitoring course of wound process complement clinical, cytological, microbiological and morphological criteria. Assessment of quality of life of patients with diabetic foot syndrome was carried out on data processing of the international questionnaire SF-36. Based on the data The appropriateness of indirect endolymphatic therapy and optimized approaches to surgical treatment. This has reduced the number of high amputations of 17,1 to 9,6 % and postoperative mortality from 6,1 to 2,1 % and reduce the terms of inpatient treatment (48,4±6,2) to (28,1±4,3) bed-days. The question of the medical and social adaptation and quality of life of patients with diabetic foot syndrome was analysed.

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