LOW-INVASIVE METHOD FOR TREATMENT OF PURULENT-NECROTIC COMPLICATIONS OF DIABETIC FOOT SYNDROME IN CASE OF DIABETES MELLITUS

摘要

FIELD: medicine.;SUBSTANCE: treatment of the diabetic foot syndrome complications is performed by accessing deep plantar spaces through the trocar sleeve. Phlegmon contents aspiration is carried out. CO₂ is fed to inflate the cavity to 5-8 mm Hg. A laparoscope with an illuminator is inserted into the sleeve, the cavity volume is evaluated. A cut is made from the medial side of the foot. The second trocar sleeve is installed. The purulent focus is drained, necroctomy with one-stage coagulation of the pathological focus of the foot is performed under visual control.;EFFECT: low traumatism, shortening of treatment time, preservation of foot support function and improved quality of life through the use of minimally invasive access to the purulent focus.;2 cl, 1 dwg