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Endocrine Abstracts (2017) 49 EP507 | DOI: 10.1530/endoabs.49.EP507

ECE2017 Eposter Presentations: Diabetes, Obesity and Metabolism Diabetes complications (102 abstracts)

Using the plastic closure techniques of wound defecting treatment of patients with diabetic foot syndrome

Maksym Prystupiuk , Iuliia Onofriichuk , Liudmyla Naumova , Lev Prystupiuk & Marianna Naumova


Bogomolets National Medical University, Kyiv, Ukraine.


Purpose: To improve methods of plastic closure of wound defects in patients with diabetic foot syndrome using skin flaps on vascular pedicle of the perforating vessels.

Methods: The study involved patients with diabetes type 2 complicated with diabetic foot syndrome neuroischemic form. The study included 31 patients, 15 people in the study group and 16 people - the control group. Area wounds ranged from 3.8 to 21 cm2. Cleansing the wounds was performed by ultrasonic cavitation. On the wound bandage with sorption-based antimicrobial composition of nanosized silica. Thus, the wound was purified for 2–3 days. On the third day, the wound was applied vacuum-assisted closure with a standard negative pressure of 125 mm Hg. The device was applied for 3–6 days. The number of colony-forming units for the success of the operation should be less than 10. Formed flap, which corresponds to the size and configuration of the defect on the foot.

Results: In the study group noted engraftment graft in 14 patients. Time of full engraftment and the healing of the wound defect in patients of the main group was 14±3 days in the control group healing ulcers - 51±10 days.

Conclusions: Improved techniques in the treatment of wound autodermoplastic defects in patients from diabetic foot syndrome, which is preparation wounds using an ultrasonic cavitation, vacuum bandage hardware. Using a split skin flap can effectively cover the bandage wounds, supporting the ability to save limbs and improve the quality of life.

Volume 49

19th European Congress of Endocrinology

Lisbon, Portugal
20 May 2017 - 23 May 2017

European Society of Endocrinology 

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