Preliminary evidence using negative pressure wound therapy to achieve limb salvage for the ischemic diabetic foot
نویسندگان
چکیده
1School of Medicine, University of Queensland, Queensland 4072, Australia. 2Department of Dermatology, Shuang Ho Hospital, Taipei Medical University, Taipei 235, Taipei, China. 3School of Public Health, College of Public Health and Nutrition, Taipei Medical University, Taipei 110, Taipei, China. 4Department of Dermatology, Taipei Medical University Hospital, Taipei 110, Taipei, China. 5Department of Ophthalmology, Linkou Chang Gung Memorial Hospital, Taoyuan 333, Taipei, China. 6Aesthetic Medicine Center, Department of Plastic Surgery, Chiayi Chang Gung Memorial Hospital, Puzi City, Chiayi 613, Taipei, China. 7Department of Plastic Surgery, Chiayi Chang Gung Memorial Hospital, Puzi City, Chiayi 613, Taipei, China. 8School of Medicine, China Medical University, Taichung 404, Taipei, China.
منابع مشابه
Limb salvage in severe diabetic foot infection.
BACKGROUND The purpose of our study was to determine the efficacy of a management algorithm that includes negative pressure wound therapy (NPWT) in diabetic feet with limb-threatening infection. MATERIALS AND METHODS Forty-five septic diabetic feet were treated with NPWT between 2006 and 2008. After emergent abscess evacuation, early vascular intervention was performed if necessary. Debrideme...
متن کاملContemporary Evaluation and Management of the Diabetic Foot
Foot problems in patients with diabetes remain a major public health issue and are the commonest reason for hospitalization of patients with diabetes with prevalence as high as 25%. Ulcers are breaks in the dermal barrier with subsequent erosion of underlying subcutaneous tissue that may extend to muscle and bone, and superimposed infection is a frequent and costly complication. The pathophysio...
متن کاملNegative-pressure wound therapy for management of diabetic foot wounds: a review of the mechanism of action, clinical applications, and recent developments
Negative-pressure wound therapy (NPWT) plays an important role in the treatment of complex wounds. Its effect on limb salvage in the management of the diabetic foot is well described in the literature. However, a successful outcome in this subgroup of diabetic patients requires a multidisciplinary approach with careful patient selection, appropriate surgical debridement, targeted antibiotic the...
متن کاملNegative pressure wound therapy in patients with diabetic foot.
OBJECTIVE In this study our aim was to compare the results of standard dressing treatment to negative pressure wound therapy (NPWT) performed with a vacuum-assisted closure (VAC) device in patients with diabetic foot ulcers. METHODS We assessed the results of 35 patients treated for diabetic foot ulcer between 2006 and 2008. Of these cases, 20 (4 women and 16 men; mean age: 66 years; range: 5...
متن کاملMultimodal therapy as an algorithm to limb salvage in diabetic patients with large heel ulcers.
In many series of diabetic foot ulcer care, heel ulcers greater than 4 cm across have been identified as an independent predictor of limb loss. Therefore, we set out to pursue the most aggressive limb salvage algorithm in patients with heel ulcers greater than 4 cm in diameter. Over 5 years, we identified 21 patients, 39-84 years of age, all with diabetes mellitus, with heel ulcers greater than...
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