Aim: to improve the results of lower leg amputations with a differentiated approach in patients with critical lower limb ischemia (CLLI) on the background of diabetes mellitus (DM).Material and research methods. This study is aimed at improving the results of amputations at the levelof the lower leg, taking into account the affected part of the foot (angiosomes) and the appearance of theprimary pathological focus. This paper presents an analysis of the results of examination and treatment of73 patients with gangrene of the lower extremities on the background of diabetes mellitus. The patientswere hospitalized in 2018–2021. in the center of the department of purulent surgery at the multidisciplinary clinic of the Tashkent Medical Academy. The main instrumental research method was multislicecomputed tomography of the arteries of the lower extremities (MSCT) and duplex scanning of the arteriesof the lower extremities, which provided final information about the state of the peripheral arterial bed.All patients underwent amputation of the lower leg at the level of the upper third by a new differentiatedmethod.Results and their discussion. Analysis of the results of treatment of patients with diabetic gangrene ofthe extremity showed that with the correct determination of the strategy for performing amputation ofthe lower leg in 97.3% of cases, it is possible to ensure a smooth course of the postoperative period, withprimary wound healing. These results were achieved due to the correct selection of the level of lower legamputation according to the differentiated method developed by us.
| Mualliflar | К.Ж. МАТМУРОТОВ, А.А. ИРНАЗАРОВ, П.Ю. РУЗМЕТОВ, Н.А. РУЗМЕТОВ |
|---|---|
| Jurnal | Shoshilinch tibbiyot axborotnomasi |
| Nashr sanasi | 2023-01-01 |
| Jild | 15 |
| Son | 5 |
| Til | en |
| DOI | 10.54185/tbem/vol15_iss5/a3 |
DOI: 10.54185/tbem/vol15_iss5/a3 · Maqolaning asl sahifasi · PDF
В статье рассмотрены некоторые аспекты анестезиолого-реаниматологической помощи пациентам с взрывными поражениями, которые влияют на исход. Учет специфики не только анатомических разрушений, но и неизбежно развивающихся…
Epidemiological studies revealed up to 5-6 undiagnosed cases of type 2 diabetes mellitus (DM2) per 1 registered patient. The late diagnosis of DM2 presents a medical and socio-economic problem. Aim. To identify the most…
Программа ускоренного восстановления пациентов после хирургического вмешательства (ERAS-Enchanced Recovery After Surgery) -это современное, актуальное направление, которое успешно используется в различных направлениях…
We describe a case of successful endoscopic removal of a bronchial blocker along with an endotracheal tube, followed by reintubation of the patient and sanitation of the tracheobronchial tree. Endoscopically it was…
Цель. Оценка влияния регионарных методов обезболивания на показатели центральной и периферической гемодинамики в периоперационном периоде. Материал и методы. 97 пациентов-реципиентов почечного трансплантата разделены на…
Upper extremity deep vein thrombosis (UEDVT) constitutes around 10% of all DVT, and can cause both pul-monary embolism (PE) and post-thrombotic syndrome (PTS) in the arm. The incidence of secondary UED-VT is increasing…
. 20- . . 2001-2021 . 22996 , - 12792 (55,6%) 317 (1,4%) , - 9197 (40%) , - 690 (3%). . , (1,4 1,9 ), (2 3 ), (1 1,5 ). 2,8%. . , .
. () ()
Medical evacuation by air transport is an important part of the system of medical evacuation measures inthe military and the population in peacetime, wartime, and especially in emergency situations. The use of thelatter…