Diabetic Foot Patients and the Question of Vasodilation Surgery
By Medical Correspondent Hidoc Park Jeong-min | Source: Hidoc
One of the pressing questions for many diabetic foot patients is whether undergoing vasodilation surgery can prevent the need for amputation. However, the reality is far more nuanced than a simple yes or no.
Treatment Options
Diabetic foot patients have a myriad of treatment options available to them, and vasodilation surgery is not the only solution. Careful screening and selecting the most appropriate method based on the patient’s individual condition is crucial in achieving positive outcomes.
It’s important to dispel the notion that a one-size-fits-all treatment exists for diabetic foot patients. The causes and conditions of diabetic foot are diverse, making it impossible to guarantee a universal cure through a specific treatment method or procedure.
Considerations for Vasodilation
Vasodilation can be a useful treatment for diabetic foot patients with persistent angiopathy. However, the decision to undergo this procedure should be made with a full understanding of its potential advantages and disadvantages. It is essential to choose a doctor who will take responsibility for the patient’s treatment and consider the potential risks and benefits carefully.
Complications and Risks
Diabetic feet can arise from various factors and present different complications. The decision to pursue vasodilation surgery should be based on a thorough assessment of the patient’s condition and the progression of the diabetic foot. There are cases when undergoing vasodilation surgery may pose greater risks for the patient, and alternatives must be considered.
Precautions and Preparations
Prior to performing vasodilation surgery, it’s crucial to assess the patient’s overall health, including kidney and heart function. The potential complications and risks associated with the procedure must be carefully considered and communicated to the patient.
Additionally, the possibility of calcification and other complications that may affect the success of vasodilation surgery should be taken into account, and alternative treatment approaches should be prepared as a contingency.
Conclusion
While vasodilation surgery can be a valuable tool in the treatment of diabetic foot patients, it is not a guaranteed solution for all cases. The decision to pursue this treatment should be based on a comprehensive evaluation of the patient’s condition and a thorough understanding of the potential risks and benefits.
About the Author: Medical Correspondent Hidoc Park Jeong-min (Orthopedic Specialist)
Disclaimer: The opinions expressed in this column may differ from those of Hidoc.
Copyright © Hidoc. All rights reserved. Redistribution prohibited.
Park Medical Reporter Hidoc Jeong-minㅣSource: Hidoc
There is something that many diabetic foot patients are curious about. The question is, ‘I have a diabetic foot. If I perform a vasodilation, I don’t have to amputate my foot.’
The first answer is that diabetic foot patients do not necessarily undergo vasodilation surgery. There may be hundreds of treatment methods for diabetic foot patients, but careful screening and choosing the appropriate method suitable for the patient’s condition can help the patient.
In fact, what patients and their guardians who suffer from diabetic feet are curious about is whether their feet can be saved without amputation as much as possible. Recently, as competition among medical organizations intensifies and advertisements become rampant, it is promoted as if all diabetic feet can be cured with specific treatment tools or simple procedures. Because the causes of diabetic foot are so varied and the conditions are all different and varied, advertising that a diabetic foot can be saved without amputation using one specific method is just an advertisement. In fact, medical staff who diligently treat diabetic feet will understand this fact more clearly.
Vasodilation is a useful treatment for diabetic foot patients with persistent angiopathy. However, each procedure or operation has advantages and disadvantages, so decisions must be made taking these into account carefully. You must carefully decide and choose a diabetic foot treatment doctor who will take responsibility for your feet to the end, whether it will be helpful or harmful to the patient, so that you can receive the results without worry, no matter what is the result.
Diabetic feet occur due to several reasons. Among diabetic complications, when wounds or ulcers occur due to neurological complications, the infection increases and worsens, sometimes leading to a very serious infection. In this case, when the infection progresses throughout the body, it progresses to sepsis, and if the infection is not controlled, it can lead to elevation and death. In this case, performing vasodilation first may put the patient at greater risk.
For the treatment of diabetic feet, the appropriate treatment should be chosen at the best time depending on the stage or severity of the diabetic foot. When it comes to treating diabetic feet, it is absolutely impossible to cure them all with just one specific treatment.
So, in what cases can lower extremity vasodilation be performed on diabetic foot patients?
It is recommended to correctly diagnose the case of diabetic foot patients and perform vasodilation if the main cause is complications due to blood vessel damage.
Among the complications of diabetic feet, angiopathy continues and worsens, necrosis of the foot increases, and if chronic wounds do not respond to various drug treatments, amputation will eventually become inevitable. In this case, it is essential to accurately determine the amount of vascular complications among diabetic foot complications through various tests and perform vasodilation surgery in patients who qualify for it.
Is vasectomy safe for all patients and is the treatment 100% guaranteed to be effective?
In conclusion, no. The results of vasodilation surgery vary depending on the patient’s condition. You must anticipate the results after such various procedures and be prepared to continue the treatment accordingly.
What preparations are needed to perform a diabetic vascularization on the lower feet? There are several precautions when performing vasodilation surgery. First, an accurate diagnosis of the condition of the kidneys is necessary. The cooperation and opinion of a nephrologist is needed to determine whether a diabetic patient’s kidneys can tolerate some contrast medium used to perform vasodilation. It is also necessary to check whether the condition of the heart can withstand the amount of bleeding or stress caused by the procedure. In addition, through a general confirmation of the systemic condition, in high-risk cases, vasodilation should be carried out in an intensive care unit or a tertiary hospital that can respond to emergency situations. Even in tertiary hospitals, there are cases where the procedure cannot be performed in cases where the risk of vascular surgery is high because the general condition of the patient is very unstable or very old. Depending on the vascular condition or systemic condition, there are many cases where it is advantageous for the treatment of a patient to perform a collaboration with a place that specializes in vascular procedures.
In addition, the various complications that may occur following the treatment need to be adequately considered and explained. Vasodilation procedures, etc., must be performed carefully taking into account the possibility of complications after such procedures. There may be a risk of bleeding after the treatment and the possibility of surgery as a result. The possibility of various complications that may occur during the procedure cannot be ignored.
There are cases where calcification progresses as hard as a rock until blood vessels are severely blocked. Procedures to dilate various blood vessels are only possible when a thin wire-like guide wire called a guide wire is passed through. If the wire cannot enter the blood vessel due to severe calcification, the procedure has no choice but to stop. If the desired vasodilation result is not achieved, the direction of the foot treatment must be reset and the treatment progressed accordingly.
During vascular procedures, blood vessels can rupture or material from the blood vessel walls can fall off, causing blood clots. In some cases, these complications can be well managed, but in other cases, diabetic foot ulcers and necrotic wounds may worsen after treatment. These unfortunate events are complications that can occur depending on the procedure, and can occur in different ways depending on the skill of the operator performing the procedure or the vascular condition of the patient. Although side effects and complications from these treatments are not common, they can occur. However, even in these cases, depending on the condition of the diabetic foot ulcer and the condition of the patient, it is possible to prevent a major amputation as much as possible and treat the foot as well as possible.
It is a foolish decision to abandon treatment and have a major amputation just because complications arise from vasodilation. When performing diabetic foot treatment, vascular surgery is a very useful and necessary treatment method in the process of trying to preserve the diabetic foot as much as possible and treat it without amputation, but there are obvious risks and complications associated with the treatment. it must be used selectively and carefully in patients with diabetic foot ulcers and necrosis who really need this treatment.
Written by = Medical Correspondent Hidoc Park Jeong-min (orthopedic specialist)
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