The Significance of Transcutanic Oximetry in Determining the Tactics of Treatment of Distal Foot Gangrene in Patients with Diabetes Mellitus

Abstract

At present, research is ongoing in the world to improve the results of surgical treatment of patients with gangrene of the lower extremities on the background of diabetes mellitus, which is associated with the steady growth of this contingent of patients with bleeds, the ambiguity of approaches in matters of surgical tactics and unsatisfactory results of treatment. The analysis of the literature data indicates that today there are a number of unresolved issues of surgical tactics for purulent-necrotic lesions of the feet of various localization, in particular, staging or simultaneity depending on the affected area of the foot, clear indications for combined minimally invasive endovascular interventions with a combination of infectious process and limb ischemia, which in general should be aimed at improving the treatment and diagnostic algorithm in the treatment of patients with gangrene of the lower extremities against the background of diabetes. The results of treatment of 126 patients with critical ischemia of the lower extremities on the background of diabetes mellitus were analyzed; after the final diagnosis and localization of the affected segment, all patients underwent transluminal balloon angioplasty of the arteries of the lower extremities