Computer planimetry as an objective control method for wound healing in diabetic foot syndrome

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Abstract

The study evaluated the results of treating patients with infectious complications of diabetic foot syndrome using minimally invasive endovideosurgical methods of computer planimetry with the Russian program “AnaliRan” in conjunction with traditional and endovideoscopic methods. The technique employed significantly reduced the treatment duration for this patient population. The technique employed significantly reduced the treatment duration for this patient population. This study provided valuable insights into the most effective ways of assessing the dynamics of the wound process. Despite the patient’s comorbidity, the assessment of laboratory parameters was deemed insignificant, as timely correction of the treatment of the wound process occurred against the background of modern objective methods for assessing its dynamics. Overall, the use of computer planimetry with the Russian program “AnaliRan” as a technique for analyzing wound process indicators in infectious complications of diabetic foot syndrome provided objective assessment of the relative area of granulation, necrosis, fibrin, and epithelium, enabling the evaluation of treatment effectiveness. For treating open wounds with infectious complications of diabetic foot syndrome, the program “AnaliRan” along with clinical data can determine the stage of the wound process, indications for surgical treatments, the use of negative pressure therapy, and the application of modern wound coatings. Analyzing the endovideoscopic frames with the program AnaliRan allows an objective assessment of the wound process in the cavity, based on numerical indicators and the clinical picture, facilitating the formation of indications for staged videoscopic treatments using ultrasonic cavitation, the change of local medicines, and the removal of drains. The data obtained during planimetry of wounds and wound cavities indicate the effectiveness and prospects of the technique. Consequently, the choice of tactics for managing purulent wounds, as well as methods for assessing the course of the wound process, remains an extremely topical issue in the modern world. Further accumulation of material will probably allow the development of specific recommendations for the use of various treatment methods based on digital information.

About the authors

Sergei Yа. Ivanusa

Kirov Military Medical Academy

Email: rauan198944@gmail.com
ORCID iD: 0000-0003-3948-6928
SPIN-code: 8752-1600

MD, Dr. Sci. (Med.), professor

Russian Federation, Saint Petersburg

Boris V. Risman

Kirov Military Medical Academy

Email: rauan198944@gmail.com
ORCID iD: 0000-0002-6634-4450
SPIN-code: 8022-6313

MD, Dr. Sci. (Med.)

Russian Federation, Saint Petersburg

Rauan E. Shayakhmetov

Kirov Military Medical Academy

Email: rauan198944@gmail.com
ORCID iD: 0000-0002-4459-4790
SPIN-code: 9334-1613

adjunct

Russian Federation, Saint Petersburg

Andrey V. Yanishevskiy

Kirov Military Medical Academy

Email: rauan198944@gmail.com
SPIN-code: 4801-0861

MD, Cand. Sci. (Med.)

Russian Federation, Saint Petersburg

Maria V. Babenko

Kirov Military Medical Academy

Email: rauan198944@gmail.com
ORCID iD: 0009-0000-1128-1096
SPIN-code: 4150-0610

MD, Cand. Sci. (Med.)

Russian Federation, Saint Petersburg

Pavel A. Shipilov

Kirov Military Medical Academy

Author for correspondence.
Email: rauan198944@gmail.com
ORCID iD: 0009-0007-7497-6443
SPIN-code: 6614-7866

cadet

Russian Federation, Saint Petersburg

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Supplementary files

Supplementary Files
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1. JATS XML
2. Fig. 1. Computer planimetry using “AnaliRan” on the 7th day of treatment: a — wound before analysis; b — area of analysis of the wound

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3. Fig. 2. Computer planimetry using “AnaliRan” on the 14th day of treatment: a — wound before analysis; b — area of analysis of the wound

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4. Fig. 3. Dynamics of the planimetric parameters of wounds in group 1 patients: a — rate of wound healing; b — percentage of reduction in wound area

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5. Fig. 4. Dynamics of relative indicators of wound areas in group 1 patients: a — fibrin; b —granulation; c — necrosis; d — epithelization

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6. Fig. 5. Autopsy of the phlegmon of the foot: a — with endovide support; b — ultrasound treatment of wounds

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7. Fig. 6. Control image of the wound cavity with a calibration square

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8. Fig. 7. Computer planimetry during endoscopy (primary surgery). Endoscopic visualization: a — photograph of the wound cavity before analysis; b — isolated structures of the wound in the cavity

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9. Fig. 8. Computer planimetry during endoscopy on the 14th day of treatment. Endoscopic visualization: a — photograph of the wound cavity before analysis; b — isolated structures of the wound in the cavity

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10. Fig. 9. Dynamics of the relative area of fibrin (a) and granulation tissue (b) in group 2 patients

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