[Diabetic arterial disease. Surgical indications of the basis of a series of 416 cases (author's transl)].
416 cases of diabetic arterial disease were treated over a period of 5 years, the majority of patients (71%) having trophic problems from the outset. -- Clinically, distinction must be drawn between patients suffering from "ischemic" disturbances, where healing is obtained after an appropriate surgical procedure (reconstructive surgery, if not lumbar sympathectomy) and so-called "diabetic" gangrene, where cure is obtained only by isolated excision. -- Few of the patients had lesions making reconstructive surgery possible, and the latter was thus only rarely indicated (13% of cases). -- So-called "major" amputations through leg or thigh were necessary in 16% of cases. Distal excision, if necessary atypical, thus in 84% of cases led to healing with preservation of weight-bearing.
D000368:Aged; D000671:Amputation, Surgical; D003925:Diabetic Angiopathies / Q000601:surgery*; D005260:Female; D005734:Gangrene / Q000601:surgery; D006801:Humans; D007383:Intermittent Claudication / Q000601:surgery; D007511:Ischemia / Q000601:surgery*; D007866:Leg / Q000098:blood supply*; D007871:Leg Ulcer / Q000601:surgery; D008297:Male; D008875:Middle Aged; D013562:Sympathectomy; D014656:Vascular Surgical Procedures / Q000379:methods
Les artériopathies diabétiques. Indications chirurgicales à propos d'une série de 416 cas.