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
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Authors
Dates
2017-10-05—Published
2016-03-01—Filed