The effectiveness of laser therapy in patients with diabetic foot
https://doi.org/10.37895/2071-8004-2022-26-3-4-26-31
Abstract
Purpose: to compare the effectiveness of laser therapy and traditional methods for managing diabetic patients with purulent-necrotic lesions in their lower extremities.
Material and methods. The article presents a retrospective analysis of outcomes after treatment of 76 patients with diabetes mellitus having purulent-necrotic lesions in their lower extremities. Patients were divided into two groups. The first (main) group consisted of 34 patients in whom traditional treatment was accompanied by intravenous laser blood irradiation and local laser therapy; the second (control) group consisted of 42 patients who received only traditional treatment.
Results. Laser therapy contributed to more rapid reduction of wound defect (17.4 %) compared to patients after traditional treatment (11.1 %); it reduced the period of transition to inflammatory-regenerative changes, promoted a smaller number of high amputations of lower limbs from 14 to 6 % as well as shortened the length of hospital stay by 11.2 days.
Conclusion. Laser light therapy in patients with diabetic foot accelerates cleansing and reduction of the wound area, allows to reduce or eliminate inflammatory process in shorter time than with traditional treatment.
About the Authors
Yu. G. LutsenkoRussian Federation
Lutsenko Yuri – Cand. Sc. (Med.), Assistant Professor at the Department of Surgery
Donetsk
A. G. Grintsov
Russian Federation
Grintsov Alexander – Dr. Sc. (Med.), Professor, Head of the Department of Surgery
Donetsk
A. B. Matiytsiv
Russian Federation
Matiytsiv Alexander – Cand. Sc. (Med.), Assistant Professor at the Department of Surgery
Donetsk
References
1. Baranov A.V., Ismailov G.I., Derbenev V.A., Radzhabov A.A. Combined application of photodynamic therapy and hydrosurgical technologies in the complex treatment of extensive purulent wounds in patients with diabetic foot syndrome. Mezhdunarodnyy nauchno-prakticheskiy kongress «Rany i ranevye infektsii», posvyashchennyy 140-letiyu so dnya rozhdeniya S.S. Girgolava: sbornik nauchnykh trudov. Moscow; 2021: 18–21. [In Russ.].
2. Galstyan G.R., Vikulova O.K., Isakov M.A., et al. Epidemiology of diabetic foot syndrome and lower limb amputations in the Russian Federation according to the Federal Register of Patients with Diabetes mellitus (2013-2016). Diabetes Mellitus. 2018; 21 (3): 170–177. [In Russ.]. DOI: 10.14341/ DM9688
3. Dedov I.I., Shestakova M.V., Mayorov A.Yu., et al. Algorithms of specialized medical care for patients with diabetes mellitus. 9th edition. Diabetes Mellitus. 2019; 22 (1S1): 1–144. [In Russ.]. DOI: 10.14341/DM221S1
4. Derbenev V.A., Radzhabov A.A., Huseynov A.I., Ismailov G.I. An integrated approach to the treatment of purulent-necrotic wounds in diabetic foot syndrome. 4-y mezhdunarodnyy nauchno-prakticheskiy kongress «Rany i ranevye infektsii»: sbornik nauchnykh trudov. Moscow; 2018: 58–60. [In Russ.].
5. Tsvetkov V.O., Kolovanova O.V., Mikaelyan L.S., et al. Osteomyelitis of diabetic foot: A balance between radical surgical treatment and prolonged antibiotic therapy from the position of the surgeon. Consilium Medicum. 2020; 22 (4): 61–65. [In Russ.]. DOI: 10.26442/20751753.2020.4.200143
6. Armstrong D.G., Boulton A.J.M., Bus S.A. Diabetic foot ulcers and their recurrence. N Engl J Med. 2017; 376 (24): 2367–2375. DOI: 10.1056/NEJMra1615439
7. De Alencar Fonseca Santos J., Campelo M.B.D., de Oliveira R.A., et al. Effects of low-power light therapy on the tissue repair process of chronic wounds in diabetic feet. Photomed Laser Surg. 2018; 36 (6): 298–304. DOI: 10.1089/ pho.2018.4455
8. Saeedi P., Petersohn I., Salpea P., et al. Global and regional diabetes prevalence estimates for 2019 and projections for 2030 and 2045: Results from the International Diabetes Federation Diabetes Atlas, 9th edition. Diabetes Res Clin Pract. 2019. 157: 107843. DOI: 10.1016/j.diabres.2019.107843
9. Milcheski D.A., Portocarrero M.L., Alvarez D.M., et al. Initial experience with negative-pressure wound therapy with instillation in complex wounds. Rev Col Bras Cir. 2017; 44 (4): 348–353. DOI: 10.1590/0100-69912017004008
Review
For citations:
Lutsenko Yu.G., Grintsov A.G., Matiytsiv A.B. The effectiveness of laser therapy in patients with diabetic foot. Laser Medicine. 2022;26(3-4):26-31. (In Russ.) https://doi.org/10.37895/2071-8004-2022-26-3-4-26-31