[Application of lavation and drainage with continuous negative pressure in the debridement of diabetic foot complicated by plantar abscess].
OBJECTIVE
To investigate the feasibility of debridement at early stage by combining lavation and drainage under continuous negative pressure in the limb salvage surgery of patients suffering from diabetic foot complicated by plantar abscess.


METHODS
Ten patients suffering from diabetic foot (10 feet affected) combined with plantar abscess were involved. After being debrided, wounds of patients were lavaged and drained for 7 - 14 ds under continuous negative pressure through a detained stomach tube. Suction under negative pressure continued for 3 - 5 ds after lavation, and then drainage tube was removed. Stitches on wound were removed about 3 weeks after surgery. The condition of the wounds was observed.


RESULTS
After above-mentioned treatment, local inflammatory response of patients was obviously ameliorated, and the wounds healed with satisfactory preservation of function and shape of the feet.


CONCLUSIONS
Debridement combined with local lavation and drainage under continuous negative pressure is satisfactory for the treatment of diabetic foot complicated by plantar abscess, and it can preserve the length of the affected limb.
HAN
Jun-tao
JT
Burn Center of PLA, Xijing Hospital, Fourth Military Medical University, Xi'an 710032, China.
WANG
Hong-tao
HT
XIE
Song-tao
ST
GUAN
Hao
H
HAN
Fu
F
LI
Na
N
HU
Da-hai
DH
D000038:Abscess / Q000150:complications / Q000601:surgery*; D000368:Aged; D001424:Bacterial Infections / Q000150:complications / Q000601:surgery*; D003646:Debridement; D017719:Diabetic Foot / Q000150:complications / Q000601:surgery*; D005240:Feasibility Studies; D005260:Female; D016523:Foot Ulcer / Q000150:complications / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D054843:Negative-Pressure Wound Therapy