Benefits of Hydrocolloid-Absorbent Dressings in “Diabetic Foot” Therapy

Denisa Tănăsescu 1
  • 1 “Lucian Blaga” University of Sibiu,

Abstract

The incidence of diabetes is constantly increasing, so in 2014 about 8, 5% of adults over the age of 18 had diabetes worldwide. Also mortality in patients with diabetes is increased, only in 2015 being the direct cause for 1.6 million deaths worldwide. Worldwide, there are currently 425 million people living with diabetes; by 2045, 629 million people are expected to have diabetes. The authors present the case of patient I.A. 46 years old, male, from urban area, known with type 2 diabetes mellitus insulinotreated, secondary to acute pancreatitis, necrotico-haemorrhagic, operated on antecedents, which is presented in our service accusing spontaneous sensitivity and palpation of the lower limb right, premaleolar ulceration on the inner face of the lower right limb, with Celsian signs at this level, paresthesias at the level of the right leg, muscular weakness, weight loss. Alternative absorbent-hydrocolloid therapy is a feasible therapeutic option for patients with varicose ulcer wounds, especially in those with diabetic background. The combination of targeted antibiotic therapy, systemic treatment, local surgical treatment followed by local colloidal-absorbent treatment has very good results in a much shorter time than conventional, conservative therapy. Prophylaxis of any “diabetic foot” disease is extremely important. Therapeutic education is a major role in preventing the complications of diabetes. The diabetic patient should be trained and learned in order to prevent problems that may occur in the foot.

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  • 1. Carmona GA, Hoffmeyr P, Herrmann FR, et al. Major Lover Limm Amputations in the elderly observed over ten years: the role of diabetes and pheral arterial disease. Diabetes Metab. 2005;s31(5):449-454.

  • 2. Serban V. Tratat roman de boli metabolice, Editura Brumar, vol I, II; 2011. Accessed on 23.12.2019.

  • 3. https://journals.plos.org/plosmedicine/article?id=10.1371/journal.pmed.0030442

  • 4. https://www.idf.org/aboutdiabetes/what-is-diabetes/facts-figures.html. Accessed on 23.12.2019

  • 5. FRD, www.idf.org/our-network/regions-members/europe/members/154-romania. Accessed on 23.12.2019.

  • 6. Ionescu C. Diabetul zaharat: epoca modernă dintr-o perspectivă istorică, Institutul Naţional de Diabet, Nutriţie şi Boli Metabolice „N.C. Paulescu“, Bucureşti

  • 7. Langerhans P. Beitrage zur mikroskopischen Anatomie der Bauchspeicheldruse. Med Diss Berlin; 1869.

  • 8. Lancereaux - Paulesco: Traité de Médecine, editura Bailleres&Fils, Paris; 1912.

  • 9. Paulesco NC. Recherche sur le rôle du pancréas dans l’assimilation nutritive, Archives Internationales de Physiologie. 1921;17:85-103.

  • 10. Banting FG, Best CH. The internal secretion of pancreas. J Lab Clin Med. 1922;7:251-266.

  • 11. https://ro.wikipedia.org/wiki/Nicolae_Paulescu#cite_note-autogenerat2-16 Accessed on 15.12.2019

  • 12. Sibbald RG, Mahoney J. V.A.C. Therapy Canadian Consensus Group. A consensus report on the use of vacuum-assisted closure in chronic, difficult-to-heal wounds. Ostomy Wound Manage; 2003. p. 49:52.

  • 13. Chao-Wei Hwang, Saxena V, Hwang CW, Huang S, Eich Baum Q, Ingber D, Orgill DP. Vacuum-Assisted Closure: Microdeformations of Wounds and Cell Proliferation. Plastic and Reconstructive Surgery; 2004. p. 114-1086.

  • 14. Tatu RF, Brediceanu R, Ungurean C, Cebzan C, Tatu CL. Jiga D. Vermesan Tratamentul plãgilor supurate în atmosferã cu presiune negative. Chirurgia, 102(5):577-580.

  • 15. Fleischmann W, Strecker W, Bombelli M, Kinzl L. Vacuum sealing as treatment of soft tissue damage in open fractures. Unfallchirurg; 1993. p. 96-488.

  • 16. Wound Management on vacuum closure and the V.A.C. treatment unit. Zentralbl Chir; 2004. p. 129:S7.

  • 17. Morykwas MJ, Argenta LC. Nonsurgical modalities to enhance healing and care of soft tissue wounds J. South Orthop. Assoc; 1997. p. 6-279.

  • 18. Wild T, Wetzel-Roth W, Zoch G. German and Austrian Societies for Wound Healing and Wound Management. Consensus of the German and Austrian Societies for Wound Healing and Wound Management on Vaccum Closure and the V.A.C. treatment unit. Zentralbl Chir. 2004 May;129 Suppl 1:S7-11.

  • 19. McCallon SK, Knight CA, Valiulus JP, Cunningham, MW, McCulloch JM, Farinas LP. Vacuum-assisted closure versus saline-moistened gauze in the healing of postoperative diabetic foot wounds. Ostomy Wound Manage; 2000. p. 46-28.

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