Two-stage treatment for diabetic foot: surgical peripheral revascularization and minor amputation in day-surgery admission.
Diabetic foot is complex and difficult to treat. More aggressive treatment using peripheral distal by-pass frequently combined to minor amputations has greatly improved limb salvage in most patients. However, diabetes-related amputations are at high risk of non-healing or superinfection, thus requiring a second-step surgical revision treatment more frequently than in non-diabetic patients. Several advanced technologies have been developed to improve the treatment of diabetic foot wounds including Vacuum Assisted Therapy: we present 3 cases of diabetic patients treated with preliminary surgical peripheral revascularization, subsequent minor amputation in combination with Vacuum Assisted Therapy performed in a day-surgery regime.
Rivolta
Nicola
N
Vascular Surgery, Department of Surgical Sciences, University of Insubria, Varese, Italy. nicolarivolta@yahoo.it
Piffaretti
Gabriele
G
Tozzi
Matteo
M
Lomazzi
Chiara
C
Maida
Simona
S
Riva
Francesca
F
Buscarini
Elena
E
Castelli
Patrizio
P
D000368:Aged; D000369:Aged, 80 and over; D000556:Ambulatory Surgical Procedures / Q000379:methods*; D000671:Amputation, Surgical / Q000379:methods*; D000792:Angiography; D017719:Diabetic Foot / Q000175:diagnosis / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000379:methods*; D018608:Ultrasonography, Doppler; D014656:Vascular Surgical Procedures / Q000379:methods*