Page 41 - Virtual Vascular Vol 15
P. 41

Amputation of the left big toe was
          offered as the likelihood of wound

          healing is high in view of adequate
          distal    perfusion       (palpable      distal
          pulses). The aim of amputation is to

          remove the infected or dead part of
          the leg. The level is chosen according
          to the most distal part where tissue

          is viable for healing. In other forms
          of peripheral vascular diseases, prior
          revascularisation        is   essential      to

          optimise blood flow to the wound
          for healing after amputations.



          Pre-operative insulin therapy was
          subsequently started.


          Transmetatarsal         amputation         was
          performed to remove the big toe.

          Haemostasis         was     achieved       and
          wound dressings were done.





         Toe amputation 720.mp4








































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