Local treatment of diabetic foot syndrome after lower limb revasculization

The aim of the paper is to evaluate the results of local treatment of purulonecrotic ulcers using traditional and innovative dressings after lower limb revascularization (LLR) in patients with type 2 diabetes mellitus. Materials and Methods. Forty-three patients with critical ischemia caused by diabetic angiopathy and lower limb artery atherosclerosis underwent LLR. The patients were divided into 3 groups, depending on the dressings used in the postoperative period. The first group included 14 patients with lesions of soft tissues and bones (purulonecrotic destruction). These patient underwent local treatment with alginate sorption and adhesive wound dressings. The second (n=13) and the third (n=16) groups included patients with dry necrosis. Patients of the second group received conventional treatment with gauze dressings. The treatment of the patients of the third group included hydrogels, coating films, and then alginate and sorption dressings. Results. The use of alginate sorption dressings with adhesive foam-based dressings for treating lesions of soft tissues and bones (purulonecrotic destruction) made it possible to heal wounds by secondary intension (85...