Local treatment of wounds and vascular perfusion

Czech version

Authors: L. Sobotka
Authors‘ workplace: Klinika gerontologická a metabolická Lékařské fakulty UK a FN Hradec Králové, přednosta prof. MU Dr. Luboš Sobotka, CSc.
Published in: Vnitř Lék 2010; 56(4): 356-358
Category: 11th National Diabetes Symposium "Diabetes and Angiology", Hradec Kralove, 5 to 6 June 2009

Overview

Skin defects and wounds are rather frequent in diabetic population. They most frequently occur on lower limbs and their origins are often multifaceted. If vascular perfusion is not damaged, it is important to secure perfect drainage with sufficient incision and to use local treatment modalities such as hyaluronan‑ iodine complex, now well‑established at our clinic. It is always essential to save the vascular system if this is damaged. Careful examination by an angiologist is normally followed by angioplasty or vascular bypass. Amputation is an extreme solution that, nevertheless, may save the limb functionality if done in a patient with ischemic damage that cannot be resolved.

Key words:
diabetes mellitus – wound healing – diabetic defect – atherosclerosis – angioplasty hyaluronan‑ iodine complex

Sources

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