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Chinese Journal of Injury Repair and Wound Healing(Electronic Edition) ›› 2021, Vol. 16 ›› Issue (06): 532-535. doi: 10.3877/cma.j.issn.1673-9450.2021.06.014

• Review • Previous Articles     Next Articles

Analysis of debridement methods for diabetic foot with myofascial space infection

Wei Wang1,(), Binru Han2, Yingfeng Wu3, Tao Luo4, Shijun Cui3, Lianrui Guo3, Zhu Tong3   

  1. 1. Wound Care Center, XuanWu Hospital, Capital Medical University, Beijing 100053, China
    2. Department of Nursing, XuanWu Hospital, Capital Medical University, Beijing 100053, China
    3. Department of Vascular Surgery, XuanWu Hospital, Capital Medical University, Beijing 100053, China
    4. Department of General Surgery, XuanWu Hospital, Capital Medical University, Beijing 100053, China
  • Received:2021-10-14 Online:2021-12-01 Published:2021-12-17
  • Contact: Wei Wang

Abstract:

Diabetic foot is one of the long-term and serious complications of diabetes. It is characterized by complex etiology, great difficulty in treatment, rapid development of the disease, and has high disability and mortality. When patients with foot ulcers are not treated in time and effectively, local wound infection is easy to occur. Once myofascia space infection occurs and tension reduction and drainage is not timely, the infection will spread and spread rapidly, causing foot swelling or gangrene, and even systemic infection endangering life. Therefore, this article reviews the debridement drainage methods of the open debridement, vacuum sealing drainage and small incision counterpart drainage technology, elaborates the specific technical points, technical advantages and technical focus of the three debridement and drainage methods for preserving limbs in patients with diabetic foot with myofascial space infection, to provide a reference for diabetic foot multidisciplinary team to formulate a scientific and appropriate treatment plan, in order to promote the early recovery of diabetic foot ulcer patients and ensure the effectiveness of the overall treatment.

Key words: Diabetic foot, Infection, Debridement, Drainage

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