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JYMS : Journal of Yeungnam Medical Science

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Focused Review article
Management of diabetic foot ulcers: a narrative review
Jahyung Kim, Otgonsaikhan Nomkhondorj, Chi Young An, Ye Chan Choi, Jaeho Cho
J Yeungnam Med Sci. 2023;40(4):335-342.   Published online September 22, 2023
DOI: https://doi.org/10.12701/jyms.2023.00682
  • 2,296 View
  • 197 Download
  • 2 Web of Science
  • 2 Crossref
AbstractAbstract PDF
Diabetic foot ulcers (DFUs) are among the most serious complications of diabetes and are a source of reduced quality of life and financial burden for the people involved. For effective DFU management, an evidence-based treatment strategy that considers the patient's clinical context and wound condition is required. This treatment strategy should include conventional practices (surgical debridement, antibiotics, vascular assessment, offloading, and amputation) coordinated by interdisciplinary DFU experts. In addition, several adjuvant therapies can be considered for nonhealing wounds. In this narrative review, we aim to highlight the current trends in DFU management and review the up-to-date guidelines.

Citations

Citations to this article as recorded by  
  • Kick-Starting Wound Healing: A Review of Pro-Healing Drugs
    Bethany L. Patenall, Kristyn A. Carter, Matthew R. Ramsey
    International Journal of Molecular Sciences.2024; 25(2): 1304.     CrossRef
  • Unveiling the challenges of diabetic foot infections: diagnosis, pathogenesis, treatment, and rehabilitation
    Chul Hyun Park
    Journal of Yeungnam Medical Science.2023; 40(4): 319.     CrossRef
Original article
Clinical effectiveness of omental transposition in facilitating perineal wound healing after abdominoperineal resection: a systematic review
Sungjin Kim, Sung Il Kang, Sohyun Kim, Jae Hwang Kim
Yeungnam Univ J Med. 2021;38(3):219-224.   Published online February 9, 2021
DOI: https://doi.org/10.12701/yujm.2020.00871
  • 4,445 View
  • 57 Download
AbstractAbstract PDF
Background
Omental transposition has been used to facilitate perineal wound healing in patients undergoing abdominoperineal resection (APR). However, there is no high-level evidence supporting the effectiveness of omental transposition in this regard. This study aimed to investigate the clinical efficacy of omental transposition in facilitating perineal wound healing after APR.
Methods
In this systematic review, we systematically searched the PubMed/MEDLINE, Embase, Scopus, Cochrane Library, and Web of Science databases for literature regarding the topic of our study. Studies published since the inception of each database were considered for review. The outcomes of interest were the perineal wound healing rate at 1 and 3 months postoperatively, perineal wound infection rate, and perineal wound healing period.
Results
Of the 1,923 studies identified, four articles representing 819 patients (omental transposition patients, n=295) were included in the final analysis. The wound healing rates at 1 and 3 months postoperatively in the omental transposition group (68.5% and 79.7%, respectively) did not significantly differ from those in the control group (57.4% and 78.7%, respectively) (p=0.759 and p=0.731, respectively). Perineal wound infection and chronic wound complication rates, including sinus, dehiscence, and fistula rates, also did not significantly differ between the omental transposition (8% and 7%, respectively) and control (11% and 7%, respectively) groups (p=0.221 and p=0.790, respectively).
Conclusion
Our results suggest that omental transposition does not affect perineal wound healing in patients who undergo APR.
Case Report
Use of post-operative negative-pressure wound therapy for gouty ulcer.
Chang Yul Oh, Jung Ran Choi, Min Su Son, Sun Young Jo, Jun Ho Hur, Jung Gyu Park, Dong Ho Oh, Young Hyun Yi
Yeungnam Univ J Med. 2015;32(1):42-46.   Published online June 30, 2015
DOI: https://doi.org/10.12701/yujm.2015.32.1.42
  • 1,669 View
  • 4 Download
AbstractAbstract PDF
Gouty ulcer can be caused by the accumulation of clumps of uric acid in body tissues that lead to acute or chronic inflammation at sites of accumulation. Furthermore, tophi-inhibiting granulation tissue may form a canal that channels microbial infection from the underlying involved joint space, and thus, presents the risk of osteomyelitis development. Accordingly, gouty ulcer must be treated appropriately. In this case, refractory wounds on gouty ulcers at the left shin and left radial ankle were treated by surgical debridement. Negative-pressure wound therapy was used successfully to prevent post-operative delayed wound healing.

JYMS : Journal of Yeungnam Medical Science