MSCH No. 9 rescues from amputations
Department of Health Care Unit No. 9, saving from amputation of patients with diabetes, took the second place in Russia in terms of the number of interventions
Thanks to the work of the doctors of the Department of X-ray and Surgery and the Center for Critical Ischemia of the Lower Limbs of the Medical Unit No. 9, more than 400 patients with a severe complication of diabetes mellitus "diabetic foot" managed to avoid amputation
According to the results of the annual report of the Russian Society of X-ray Endovascular Diagnostics and Treatment in 2017, the department of X-ray diagnostic methods of diagnostics and treatment of the Clinical Medical Sanitary Unit No.9 took second place in Russia in terms of the number of balloon angioplasty performed - the most effective method for treating patients suffering from such a serious complication of diabetes, as a "diabetic foot" - among 77 centers dealing with endovascular interventions on the arteries of the lower extremities tei.
This was told by the head physician of the Clinical Medical and Sanitary Unit No. 9, Yury Shapovalov, at a meeting of the Health Care Expert Council that was held the day before. At the end of 2017, Omsk doctors conducted 130 such operations. The cost of each of them on average is 150 thousand rubles. For residents of the region, they are held free of charge as part of the territorial program of state guarantees.
Shapovalov noted that the high qualification of specialists and modern equipment allow Omsk doctors to carry out the whole complex of medical measures for patients with the syndrome of "diabetic foot" on the basis of one medical institution. "The treatment of such patients is a complex and multi-stage process involving physicians of various specialties: endocrinologists, surgeons, and x-ray surgeons. One of the main stages in the treatment is the restoration of blood flow in the affected limb. To do this, our doctors carry out balloon angioplasty (enlarging the lumen of the affected vessel with a balloon catheter), "he stressed.
Through a small puncture on the thigh, the doctor in the sealed vessel inserts a catheter with a can and inflates it, revealing the lumen of the artery, and, thereby, again providing the flow of blood to the tissues. The entire process is monitored by an x-ray surgeon on a monitor of the angiographic setting. If the lesion of the limb is more severe, stenting is performed. In this case, a metal frame is inserted, which, after balloon angioplasty, prevents the vessels from closing again.
To date, doctors in the health unit No. 9 have rescued more than 400 Omsk citizens with severe complications of diabetes mellitus "diabetic foot" from amputation, which earlier in many cases was inevitable. In this case, depending on the degree of vascular injury, amputation could reach the hip.