Clinical-functional and morphological parameters of purulonecrotic foci healing in diabetic foot syndrome using programmable sanitation technologies

Vladimir A. Sergeev; Alexander A. Glukhov; Alexander S. Sorokin; Sergey A. Zhuchkov; Alexander V. Gorokhov; Elena N. Troshkina

doi:10.53730/ijhs.v5n3.1495

Authors

Vladimir A. Sergeev
v.sergeev7023@nuos.pro
Orel State University named after I.S. Turgenev, Orel, Russian Federation
Alexander A. Glukhov Voronezh State Medical University named after N.N. Burdenko, Voronezh, Russian Federation
Alexander S. Sorokin Plekhanov Russian University of Economics, Moscow, Russian Federation
Sergey A. Zhuchkov Orel State University named after I.S. Turgenev, Orel, Russian Federation
Alexander V. Gorokhov Orel State University named after I.S. Turgenev, Orel, Russian Federation
Elena N. Troshkina Orel Cancer Dispensary, Oryol, Russian Federation

Keywords:

complications, cytological examination, diabetes mellitus, health care, patients, reparative process

Abstract

Diabetes mellitus is currently characterised by a high progressive prevalence of patients. The purpose of this study is to evaluate the clinical, functional, and morphological parameters of purulonecrotic foci healing in diabetic foot syndrome (DFS) using programmable sanitation technologies. The patients were randomised into two groups. In the comparison group (n=51), patients received conventional local treatment after surgery. In the main group (n=55), after surgical treatment, the wound was sutured, and in the postsurgical period, programmable sanitation was conducted using the AMP-01 device. The cytological smears of the main group identified a higher rate of cellular reactions in the wound. There was a 1.3-fold reduction in the duration of hospitalisation, the number of purulent complications was significantly less (p=0.014). It was possible to preserve the supporting function of the foot in patients of the main group in a larger percentage of cases (p=0.023). There was a statistically significant increase in the frequency of high amputations in the comparison group (p=0.026). As a result, the effectiveness of the use of programmable sanitation technologies for purulent lesions of the diabetic foot has been proven.

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