Computer planimetry as an objective control method for wound healing in diabetic foot syndrome

Abstract

The study evaluated the results of treating patients with infectious complications of diabetic foot syndrome using minimally invasive endovideosurgical methods of computer planimetry with the Russian program “AnaliRan” in conjunction with traditional and endovideoscopic methods. The technique employed significantly reduced the treatment duration for this patient population. The technique employed significantly reduced the treatment duration for this patient population. This study provided valuable insights into the most effective ways of assessing the dynamics of the wound process. Despite the patient’s comorbidity, the assessment of laboratory parameters was deemed insignificant, as timely correction of the treatment of the wound process occurred against the background of modern objective methods for assessing its dynamics. Overall, the use of computer planimetry with the Russian program “AnaliRan” as a technique for analyzing wound process indicators in infectious complications of diabetic foot syndrome provided objective assessment of the relative area of granulation, necrosis, fibrin, and epithelium, enabling the evaluation of treatment effectiveness. For treating open wounds with infectious complications of diabetic foot syndrome, the program “AnaliRan” along with clinical data can determine the stage of the wound process, indications for surgical treatments, the use of negative pressure therapy, and the application of modern wound coatings. Analyzing the endovideoscopic frames with the program AnaliRan allows an objective assessment of the wound process in the cavity, based on numerical indicators and the clinical picture, facilitating the formation of indications for staged videoscopic treatments using ultrasonic cavitation, the change of local medicines, and the removal of drains. The data obtained during planimetry of wounds and wound cavities indicate the effectiveness and prospects of the technique. Consequently, the choice of tactics for managing purulent wounds, as well as methods for assessing the course of the wound process, remains an extremely topical issue in the modern world. Further accumulation of material will probably allow the development of specific recommendations for the use of various treatment methods based on digital information.

Keywords

diabetic foot syndrome / phlegmon / necrosis / infection / wound surface / planimetry / endovideoscopy / ultrasound cavitation / digital information

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