Treatment of wounds in diabetic foot syndrome with local negative pressure: Current concepts and prospects

The aim of the work was to summarize the best practices in using local negative pressure therapy in the context of treating patients with diabetic foot syndrome (DFS) in comparison with traditional treatment methods. Due to the high incidence of diabetes mellitus in the Russian Federation and the increase in purulent-necrotic complications, the medical community continues to work on optimizing the treatment of DFS. However, insufficient attention is being paid to the active study of some scientifically proven methods of adjuvant therapy. One of the effective methods of local treatment is vacuum therapy. The method has undergone significant changes in the last decade and has found wide application in various fields of medicine, opening a new era in the treatment of wound injuries. In this regard, the analysis of scientific and research papers devoted to the study of the mechanism of action and the possibility of using local negative pressure in patients with DFS has been carried out. As one of the elements of complex treatment, it has a high value, especially in cases of a lack of plastic material when closing a defect, when traditional methods of local treatment are ineffective. The results of the study can serve as a basis for the development of new clinical recommendations and improvement of existing protocols for the management of patients with DFS.