Suh HS, Oh TS, Hong JP, et al.
Diabetes/metabolism research and reviews. Date of publication 2016 Jan 1;volume 32 Suppl 1():275-80.
1. Diabetes Metab Res Rev. 2016 Jan;32 Suppl 1:275-80. doi: 10.1002/dmrr.2755.
Innovations in diabetic foot reconstruction using supermicrosurgery.
Suh HS(1), Oh TS(1), Hong JP(1).
Author information:
(1)Department of Plastic and Reconstructive Surgery, Asan Medical Centre,
University of Ulsan College of Medicine, Seoul, South Korea.
The treatment of diabetic foot ulceration is complex with multiple factors
involved, and it may often lead to limb amputation. Hence, a multidisciplinary
approach is warranted to cover the spectrum of treatment for diabetic foot, but
in complex wounds, surgical treatment is inevitable. Surgery may involve the
decision to preserve the limb by reconstruction or to amputate it. Reconstruction
involves preserving the limb with secure coverage. Local flaps usually are able
to provide sufficient coverage for small or moderate sized wound, but for larger
wounds, soft tissue coverage involves flaps that are distantly located from the
wound. Reconstruction of distant flap usually involves microsurgery, and now,
further innovative methods such as supermicrosurgery have further given complex
wounds a better chance to be reconstructed and limbs salvaged. This article
reviews the microsurgery involved in reconstruction and introduces the new method
of supermicrosurgery.
Copyright © 2016 John Wiley & Sons, Ltd.
DOI: 10.1002/dmrr.2755
PMID: 26813618 [Indexed for MEDLINE]
