Local treatment of wounds and vascular perfusion

Česká verzia

Authors: L. Sobotka
Authors place of work: Klinika gerontologická a metabolická Lékařské fakulty UK a FN Hradec Králové, přednosta prof. MU Dr. Luboš Sobotka, CSc.
Published in the journal: Vnitř Lék 2010; 56(4): 356-358
Category: 11th National Diabetes Symposium "Diabetes and Angiology", Hradec Kralove, 5 to 6 June 2009

Summary

Skin defects and wounds are rather frequent in diabetic population. They most frequently occur on lower limbs and their origins are often multifaceted. If vascular perfusion is not damaged, it is important to secure perfect drainage with sufficient incision and to use local treatment modalities such as hyaluronan‑ iodine complex, now well‑established at our clinic. It is always essential to save the vascular system if this is damaged. Careful examination by an angiologist is normally followed by angioplasty or vascular bypass. Amputation is an extreme solution that, nevertheless, may save the limb functionality if done in a patient with ischemic damage that cannot be resolved.

Key words:
diabetes mellitus – wound healing – diabetic defect – atherosclerosis – angioplasty hyaluronan‑ iodine complex

Zdroje

1. Sobotka L, Smahelova A, Pastorova J et al. A case report of the treatment of diabetic foot ulcers using a sodium hyaluronate and iodine complex. Int J Low Extrem Wounds 2007; 6: 143– 147.

2. Sobotka L, Velebný V, Smahelová A et al. Sodium hyaluronate and an iodine complex – Hyiodine – new method of diabetic defects treatment. Vnitř Lék 2006; 52: 417– 422.

3. Giles KA, Pomposelli FB, Spence TL et al. Infrapopliteal angioplasty for critical limb ischemia: relation of TransAtlantic InterSociety Consensus class to outcome in 176 limbs. J Vasc Surg 2008; 48: 128– 136.

4. Zayed HA, Fassiadis N, Jones KG et al. Day-case angioplasty in diabetic patients with critical ischemia. Int Angiol 2008; 27: 232– 238.

5. Toursarkissian B, D’Ayala M, Stefanidis Det al. Angiographic scoring of vascular occlusive disease in the diabetic foot: relevance to bypass graft patency and limb salvage. J Vasc Surg 2002; 35: 494– 500.