OUTCOMES OF RECONSTRUCTIVE OPERATIONS IN GERONTOLOGICAL PATIENTS WITH DIABETIC FOOT SYNDROME

Dibirov M.D., Gadzhimuradov R.U., Dibirov A.A., Tereshchenko S.A., Ramazanova Yu.I., Proshin A.V.
Chair of Surgical Diseases and Clinical Angiology Moscow Medical Stomatological University,
Moscow, Russia

The authors share herein their experience in treating a total of two hundred and forty-six patients presenting with an ischaemic form of diabetic foot syndrome on the background of secondary to occlusion of major arteries. The patients' average age amounted to 74 years. According to the findings of ultrasonographic angioscanning and radiopaque aorto- arteriography, 62.3% of the patients were diagnosed as having bilateral lesions of the arterial bed and only 37.7% of the patients had lesions of the major vessels on one side. Reconstructive operations on the aortoiliac-femoral zone were performed in sixty-nine (28%) patients, distal reconstruction in one hundred and twenty-seven (52%) patients, multi-storey reconstructions in eighteen (7%), and prolundoplasty in thirty-two (13%) patients.

Direct revascularization of lower extremities made it possible to save the supporting foot in 89% of the patients undergoing proximal reconstructions and in 83% of the patients subjected to distal reconstructions, as well as to decrease the rate of high amputations to 11%.

KEY WORDS: diabetic foot syndrome, surgical management of diabetic macroangiopathy, gerontology, diabetes mellitus and critical ischaemia.

P. 149

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