[Differentiated approach to the surgical treatment of diabetic foot syndrome]

The results of surgical treatment of 334 patients with diabetes mellitus with diabetic foot syndrome (DFS) were analyzed. The surgical intervention performance is based on analysis of pathogenetic form of affection, its depth and extension, type of microflora in the pyo-necrotic focus. We attempted to achieve surgical cleansing or partial foot amputation in every patient in order to preserve the support function of the foot. The use of differentiated approach to surgical treatment of DFS permitted to decrease the rate of high leg amputation from 17 to 7.2%, to decrease the duration of surgical treatment by 11.2 days.