Incidencia de complicaciones en amputaciones menores con técnica cerrada para tratamiento de pie diabético infectado.

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Bibliographic Details
Title:	Incidencia de complicaciones en amputaciones menores con técnica cerrada para tratamiento de pie diabético infectado.
Alternate Title:	Incidence of complications in minor amputations with closed technique for treatment of infected diabetic foot.
Authors:	Hernández-González, Elda Herminia¹, Decuir-Díaz, Aldo¹, Alvarado-Acosta, Leopoldo¹
Source:	Revista de Sanidad Militar. jul/aug2011, Vol. 65 Issue 4, p159-162. 4p.
Subjects:	FOOT amputation, TREATMENT of diabetic foot, DIABETES complications, MILITARY hospitals, VASCULAR surgery, LOCAL anesthesia
Abstract (English):	Background. The Diabetic Foot is one the most expensive and disabling chronic events presented in diabetic patients. In México 9% of the population suffers diabetes mellitus. In the Central Military Hospital all minor amputations are performed with open technique is for this reason that realized this study for determined the incidence of complications with minor amputation closed technique in diabetic foot. Material and methods. The procedure of minor amputations with closed technique took place in the vascular's surgery room of the central Military hospital, under the influence of local anesthesia using stererile technique, and the wound were closed using 3-0 nylon, with intravenous antibiotics for five days to assess the presence of complications, then was discharged with oral antibiotics and appointment of vascular surgery. Results. The group operated with minor amputation closed technique complications were observed from 18% with 2 patients (7%) infection other 2 patients (7%) necrosis of the edges surgery and 1 patient (4%) deserves major amputation, the other 23 patients (82%) showed no complication. Conclusions. After performing minor amputations with closed technique in 28 patients the incidence of complications were 5 patients (18%) 3 of them with chronic renal failure aggregated so it's best to exclude patients with this condition added to decrease the rate of complications. [ABSTRACT FROM AUTHOR]
Abstract (Spanish):	Antecedentes. El pie diabético constituye uno de los eventos más costosos y discapacitante que presenta el paciente diabético. En México 9% de la población padece de diabetes mellitus. En el Hospital Central Militar todas las amputaciones menores se realizan con técnica abierta, es por esta razón que se realiza un estudio para determinar la incidencia de complicaciones en amputaciones menores con técnica cerrada en pie diabético. Material y métodos. El procedimiento de amputación menor con técnica cerrada se llevó a cabo en el quirófano de cirugía vascular del Hospital Central Militar bajo efectos de anestesia local utilizando técnica estéril y para cierre de la herida se utilizó nylon 3-0; se dejó al paciente hospitalizado con esquema antibiótico intravenoso durante cinco días realizando curación diaria de la herida para valorar presencia de complicaciones, luego se dio de alta con antibióticos vía oral y cita Consulta Externa de Cirugía Vascular para retiro de puntos al completar dos semanas de la cirugía. Resultados. De los 28 pacientes a quienes se les realizó amputación menor con técnica cerrada las complicaciones observadas fueron del 18% siendo dos pacientes (7%) con infección de la herida quirúrgica, otros dos pacientes (7%) presentaron necrosis de los bordes de la herida quirúrgica, un paciente (4%) ameritó amputación mayor, los otros 23 pacientes (82%) no presentaron ninguna complicación. Conclusiones. Después de realizar amputaciones menores con técnica cerrada en 28 pacientes que cumplieron con los criterios de inclusión, se encontró que la incidencia de complicaciones fue de cinco pacientes (18%) tres de ellos con insuficiencia renal crónica agregada, por lo cual se recomienda excluir a los pacientes con esta patología agregada para disminuir el porcentaje de complicaciones. [ABSTRACT FROM AUTHOR]
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Database:	MedicLatina

Description
Abstract:	Background. The Diabetic Foot is one the most expensive and disabling chronic events presented in diabetic patients. In México 9% of the population suffers diabetes mellitus. In the Central Military Hospital all minor amputations are performed with open technique is for this reason that realized this study for determined the incidence of complications with minor amputation closed technique in diabetic foot. Material and methods. The procedure of minor amputations with closed technique took place in the vascular's surgery room of the central Military hospital, under the influence of local anesthesia using stererile technique, and the wound were closed using 3-0 nylon, with intravenous antibiotics for five days to assess the presence of complications, then was discharged with oral antibiotics and appointment of vascular surgery. Results. The group operated with minor amputation closed technique complications were observed from 18% with 2 patients (7%) infection other 2 patients (7%) necrosis of the edges surgery and 1 patient (4%) deserves major amputation, the other 23 patients (82%) showed no complication. Conclusions. After performing minor amputations with closed technique in 28 patients the incidence of complications were 5 patients (18%) 3 of them with chronic renal failure aggregated so it's best to exclude patients with this condition added to decrease the rate of complications. [ABSTRACT FROM AUTHOR]
ISSN:	0301696X