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Revista Mexicana de Angiología

Órgano Oficial de la Sociedad Mexicana de Angiología y Cirugía Vascular
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2015, Number 4

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Rev Mex Angiol 2015; 43 (4)

VAC artesanal más ketanserina como tratamiento de pie diabético Wagner III en el Hospital General de Los Mochis (SSA)

Guerrero-Córdova OY, González-Bonilla EA, Loza-Rivera S, Álvarez-Ahumada CA, Magallanes-Del Río AS, Valdez-Barreras LÁ
Full text How to cite this article

Language: Spanish
References: 4
Page: 148-152
PDF size: 177.31 Kb.


Key words:

Diabetic foot, vacuum-assited closure system (VAC), ketanserin.

ABSTRACT

Introduction. The diabetic foot corresponds to a multifactorial complication of diabetes mellitus, currently remains the leading cause of non-traumatic lower extremity amputations in Mexico. The Vacuum- assisted closure (VAC) is a new method that has been shown to improve the outcome in wound care, which has changed de actual clinical practice.
Objective. Evidence the effectiveness of artisan VAC system, associated with topical ketanserin as treatment of diabetic foot in a 53 year old patient.
Case report. A male patient aged 53, with advanced diabetic foot, according to the classification of Wagner was classified as grade III, which was treated by artisan VAC with ketanserin as alternative treatment for this entity, for four consecutive days.
Results. Using this treatment, the patient presents favorable clinical evolution, healing the infectious process, promoting re-epithelialization of the tissue, also, decreasing day hospital stay.
Conclusions. The VAC system, combined with topical treatment with ketanserin, proved be very effective, representing an adequate therapeutic alternative in patientis with diabetic foot grade III of Wagener’s classification.


REFERENCES

  1. Tratado de Cirugía General. Asociación Mexicana de Cirugía General, A.C. Consejo Mexicano de Cirugía General, A. C. 2a Ed. México: Manual Moderno; 2008.

  2. Dzieciuchowicz L, Espinosa G, Grochowicz L. El sistema de cierre asistido al vacío en el tratamiento del pie diabético avanzado. Revista de Cirugía Española 2009; 86(04).

  3. World Union of Wound Healing Societies (WUWHS). Principios de las mejores prácticas: Sistema de cierre al vacío: recomendaciones de uso. Documento de consenso. Londres: MEP Ltd, 2008.

  4. Martínez F, Morales M, Castañeda M, Pérez A, García J, Mendiola E. Ensayo clínico controlado, aleatorio, ciego simple de la eficacia del ungüento Ketanserina para acelerar la cicatrización de las úlceras del pie diabético. Archives of Medical Research 1997; 28(1): 95-9.




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C?MO CITAR (Vancouver)

Rev Mex Angiol. 2015;43