THE FUNDAMENTALS OF SUCCESSFUL TREATMENT
One of the bases of successful treatment is the development of individual tactics and algorithms for the treatment of complications of diabetes in the legs. At the same time, a physician should thoroughly assess the extent of the disease and its complications, the vascular system, microcirculation of the foot, and the state of the nervous system. In most cases, it is necessary to identify, evaluate, and select the treatment tactics that are most closely associated with diabetes. Examples of these diseases are high blood pressure (arterial hypertension), ischemic heart disease, heart attack and post stroke, renal disease (chronic renal failure), autoimmune diseases.
Multidisciplinary approach is another key to successful treatment. What does this mean?
The development of medicine to date has reached such a level that information about diseases and their complications, methods of diagnosis and treatment is growing. In the medical field, 1 news every 3 minutes is created. It is unthinkable that one or more doctors will master such a huge flow of information. That is why we (a pediatric surgeon, a vascular surgeon, an intervention surgeon, an endocrinologist, a cardiologist, a podiatrist, a neuropathologist, etc.) work as a team. Our patients are under the constant supervision of a cardiologist, endocrinologist, surgeon and other specialists. Patients are prescribed medication that regulates blood sugar levels and is adjusted as needed, adjusted by consensus for cardiovascular, digestive, sedative, analgesic and other drugs.
The use of modern, proven, high-performance, harmless, and minimal side effects is the key to successful treatment. During the treatment of our patients, antibacterial (several groups), anti-fungal, improves blood flow, enhances blood fluid, enhances its suspension, strengthens the vascular wall, antioxidant, antihypoxant, anti-inflammatory, anti-inflammatory, and anti-inflammatory, In addition, they take drugs such as “capillary” reserve capillaries. Intravenous injection of these drugs is considered less effective for the foot. In our clinic, drugs are transmitted directly through the arteries to only one patient’s foot. The concentration of drugs in the feet is higher than in the body. This is done over a long period of time (3-4 days) through a catheter (thin tube) inserted into the thigh artery, using the syringe dosage device (DVAKT), day and night. More than three thousand patients received 15 years of experience in this method.
Performance of surgical procedures with mini-invasive, maximal preservation of organs and tissues, with many years of experience in modern, state-of-the-art equipment is another key to successful treatment. At our center, all sophisticated surgeries required to maintain your feet are performed in accordance with world standards. If necessary, surgery can be performed in two or three stages. Ultrasound cavitation of the wound during surgery and irradiation using low-power laser radiation is established.
Washing wounds with hydrogen peroxide, rinsing furacillin, and tasting ligaments (levomecol) has been proven to be less effective, often ineffective and in some cases harmful.
In our center, wounds are resuscitated using the “gauze suction” method. The treatment of wounds uses interactive polyacrylic, hydrocolloid, alginate special binders, bacterial biofilters and a wide range of bacterial killer (bactericidal) gels, developed in developed countries, to create the most favorable tissue for wound healing.
Effective treatment of wounds with a special pressure applied by vacuum has been proven worldwide and is widely used in our society.
In the future, the treatment of purulent wounds with live sterile surgical larvae (maggot therapy, larval therapy) is planned. This method is widely used in America, Europe, Malaysia and Iran.