Multidisciplinary approach to scheduling surgery for diabetic foot: a case report
The treatment of diabetic foot ulcers in this case is complex and multidisciplinary, and an interdisciplinary team is extremely beneficial.
In conclusion, AMPs produced by B. arboris RAI16 showed significant inhibitory effect on diabetic wound microorganisms. Further investigations should be conducted to identify the isolated AMPs to provide an alternative solution for diabetic wound infections.
AbstractBackgroundThis randomized clinical trial was conducted to assess the role of platelet-rich plasma (PRP) gel as a treatment of clean non-healing diabetic foot ulcer (DFU) in comparison with regular dressing with saline as a control.MethodsPatients with DFU were randomly assigned to one of two equal groups: group I received dressing with PRP gel and group II received regular saline dressing. The main outcomes of the study were percent reduction in the dimensions of the DFU, healing of DFU, and complications at 20 weeks of follow-up.ResultsTwenty-four patients were included to the study. The mean age of patients...
Conclusion: The profile of Limb amputation in Liberia is not very different from what is obtaining in the region. However the limitations of histology and other investigative procedure have affected the accurate diagnosis of certain conditions like tumours.
Conditions: Diabetic Foot; Neuropathic Foot Ulcer; Chronic Diabetic Ulcer of Left Foot (Diagnosis); Chronic Diabetic Foot Ulcer of Right Foot Interventions: Other: Standard-of-care for neuropathic/neuroischemic diabetic foot ulcers; Drug: S26E Sponsor: National and Kapodistrian University of Athens Recruiting
Conclusions/interpretationFour interventions were identified as being effective in preventing foot ulcers in people with diabetes, but uncertainty remains about what works and who is most likely to benefit.
Introduction: One in twelve adults in Sri Lanka suffers from diabetes mellitus. Lower extremity threatened limb ischaemia is a frequent complication among the diabetic population. Here we assessed the outcomes of infrainguinal bypass surgeries in patients with ischaemic diabetic foot ulcers (DFU) in a tertiary care centre.
Introduction: Diabetic foot ulcer patients require a multidisciplinary approach. Increasing prevalence of diabetes and longer life expectancy in the UK has led to an increase in the need for diabetic foot ulcer management in vascular clinics. Dedicated rapid access vascular (RAV) clinics to improve cross regional diabetic foot care and prevent major limb amputations were instituted two years ago. Access to this clinic was predominantly direct from specialist podiatrists and diabetic foot clinics in addition to those patients who were discharged from the hospital with diabetic foot problems.
Introduction: The prevalence of Diabetes Mellitus (DM) is increasing. Diabetic patients have a 15-25% lifetime risk of developing a foot ulcer and its annual incidence can reach 25-30% if arterial disease is present. Diabetic angiopathy is a unique vascular disease that has predilection for below-the-knee arteries. Endovascular techniques have been revolutionizing the revascularization of neuroischemic diabetic foot (NIDF) patients, showing consistently high limb salvage rates.In addition, the survival of NIDF patients reaches 50% at 5 years after revascularization and limb salvage, but decreases to 50% at 2 years after a major amputation.
Introduction: The number of people with diabetes mellitus (DM) is increasing worldwide with an estimated number of 422 million adults, according to WHO. The incidence of peripheral arterial disease (PAD) increases with both age and diabetes mellitus which in turn can lead to diabetic foot ulcers (DFU). Comparison of endovascular surgery vs open vascular surgery, in patients with DM, PAD and DFU has not been done in a randomized trial. Large cohort studies are therefore needed to address this issue.