Year 2012 Vol. 20 No 1

GENERAL AND SPECIAL SURGERY

M.G. SACHEK 1, V.P. BULAVKIN 1, S.N. EROSHKIN 1, L.M. PEDCHENETS 2, G.B. ANTONYCHEVA 2

LOWER LIMBS AMPUTATION RATE IN PATIENTS WITH DIABETIC FOOT SYNDROME IN VITEBSK REGION

EE “Vitebsk State Medical University” 1,
Me “Vitebsk regional endocrinology clinic” 2,
the Republic of Belarus

Objectives. To carry out rate analysis of particular types of the lower limbs amputations in patients with diabetic foot syndrome.
Methods. Ambulatory cards of patients with diabetic foot syndrome were analyzed, in whom the lower limbs amputations during the period of 2006-2010 were done.
Results. The number of patients in whom “diabetic foot syndrome” was diagnosed in Vitebsk region for the given period of time was steadily increasing; the same dynamics was marked while analyzing parameters throughout the Republic. The number of the performed lower limbs amputations because of the ulcerous-necrotic and purulent-necrotic forms of diabetic foot in the years 2006-2010 both in Vitebsk region and in the Republic of Belarus has in general remained stable, though rate decrease of the lower limbs high amputations has been registered.
Conclusions. The performed analysis shows that, despite number increase of patients with diabetic foot syndrome, there has been no increase in the lower limbs amputations. The reliable rate decrease of the high amputations of the lower limbs has been established; it is the result of the advancing development of diabetology, improvement of dressings as well as with development of shunting surgeries techniques on the lower limbs vessels and endovascular surgery advance.

Keywords: diabetes mellitus, diabetic foot syndrome, operative treatment, amputation
p. 62 – 66 of the original issue
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Address for correspondence:
210023, Respublika Belarus', g. Vitebsk, pr. Frunze, d. 27, UO “Vitebskii gosudarstvennyi meditsinskii universitet”, kafedra gospital'noi khirurgii,
e-mail: eroshki@rambler.ru,
Eroshkin Sergei Nikolaevich
Information about the authors:
Sachek M.G. Doctor of medical sciences, head of the hospital surgery chair of EE “Vitebsk State Medical University”.
Bulavkin V.P. Candidate of medical sciences, associate professor of the surgical diseases chair of the advanced training faculty of EE “Vitebsk State Medical University”.
Eroshkin S.N. Assistant of the surgical diseases chair of EE “Vitebsk State Medical University”.
Pedchenets L.M. Head physician of ME “Vitebsk Regional Endocrinology Clinic”.
Antonycheva G.B. Head of the department of ME “Vitebsk regional endocrinology clinic”.
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