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Biomedical subjects

Iu M Hupalo

Publications and source records attributed to Iu M Hupalo.

6 recordsLinked to original sources
PubMed2006

[The role of revascularization in the foot salvage in patients suffering diabetes mellitus with occlusion-stenotic lesions of the shin arteries].

There were examined 1363 patients suffering diabetes mellitus with trophic ulcer and purulent-necrotic affection of foot. Conservative treatment or operative intervention on the foot were conducted according to indications in 1176 (86.3%) patients, who no needed revascularization. Revascularization was done in 187 (13.7%) patients. Necessity of reconstruction for occlusion-stenotic affection of the shin arteries was established in 125 (66.8%) of them, shunting into the foot arteries was done in 52 (41.6%). High amputation of the limb was performed in 73 (58.4%) of patients in presence of contraindications for the foot revascularization. In 83.5% of patients suffering diabetes mellitus with occlusion-stenotic affection of the shin segment arteries there were two or one passable arteries of foot, fit for shunting operation.

Constriction, Pathologic↗
PubMed2001

[Efficacy of vascular therapy in complex of treatment of purulent necrotic foot ulcers in patients with diabetes mellitus].

The result of treatment of purulent-necrotic affection of foot (PNAF) in 151 patients with diabetes mellitus (DM) was estimated. The conduction of preoperative medicinal therapy is mandatory for the general status of patient stabilization only. After prescribing of heparin, no-spa, papaverin, rheopolyglucinum, solcoseryl, aspirin the foot tissues blood supply is changing nonvitally, the foot tissues blood supply while the alprostan intravenous infusion improves significantly. The alprostan prescription during performance of operative intervention on foot in patients with PNAF, caused by DM, and in the collateral blood flow decompensation of the leg and foot arteries is mandatory.

Adult↗
PubMed2001

[Diagnosis and treatment of the main arteries in the lower extremities of patients with diabetic foot syndrome].

Results of examination and treatment of 209 patients with diabetes mellitus (DM), complicated by purulent-necrotic affection of foot (PNAF), were analyzed. While choosing patients to determine indications for reconstructive operation performance segmentary pressure (SP) on posterior tibial artery on level of her low third was measured, shoulder-scapular index (SSI) and the PNAF stage (according to classification of Wagner) were determined. In 16% of patients with diabetic affection of III-IV stages, SP indexes ranging 9.3-12.0 kPa (70-90 mm Hg), SSI 0.6-0.9 stenosis or occlusion of the lower extremity main arteries, demanding surgical correction to be done, was revealed. Reconstructive operation on vessels was done in 26 patients with restricted stenosis of femoro-popliteal segment, according to ultrasonic Dopplerometry results, passability of the leg arteries, distance of more than 50 metres, which passes patient without painful sensations, value of SP in both arteries of leg ranging 9.3-12.0 kPa (70-90 mm Hg), SSI more than 0.6. Revascularization operation on arteries of lower extremity was successful in 46 (94%) of 49 patients with DM and PNAF.

Constriction, Pathologic↗
PubMedDate not supplied

[Treatment of neurological component of venous insufficiency of the lower extremities].

Based on a personal experience of the treatment of venous insufficiency of low extremities, was selected a group of 31 patients from 167 patients with trophic disorders resulted from venous insufficiency of low extremities. The patients of the selected group had along typical venous insufficiency related symptoms a neurological syndrome which was typical for the tarsal canal. Neurological disorders in 26 patients may be caused by a long persisting ulcer and chronic regional inflammation against venous hypertension. The syndrome of the tarsal canal in 5 patients may develop as recurrence of venous disease following the surgical operation after Linton. The patients of the selected group underwent final correction of venous hemodynamics, decompression and neurolysis of posterior tibial nerve in the tarsal canal.

Chronic Disease↗