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Live Updates from the Diabetic Limb Salvage Conference

Discussion in 'Diabetic Foot & Wound Management' started by admin, Sep 22, 2011.

  1. admin

    admin Administrator Staff Member

  2. admin

    admin Administrator Staff Member

  3. PORTAL Education

    PORTAL Education Active Member

    Thanks Craig for making this available - we will try and post some interesting developments directly from DLS 2011.....and maybe a few surprises!!!!
    We are broadcasting LIVE surgical cases via satellite (vascular, debridement, wound management) this week from Georgetown University Hospital as part of this conference - what an amazing program line up it is!
  4. PORTAL Education

    PORTAL Education Active Member

    Dr David Margolis: "Spending more money does not equate to statistically saving limbs or preventing amputation."

    "Some states in America have a very high spend on treating patients with diabetes, however the rates of complications, mortality and morbidity doesn't change - and in fact it goes up."
  5. PORTAL Education

    PORTAL Education Active Member

    Dr David Armstrong - The Role of Industry in Future Health Care. Possibly one of the best presented lectures we have ever seen at PORTAL. Stay tuned, I will try and get David's permission to post snippets here......
  6. PORTAL Education

    PORTAL Education Active Member

    Francis Game: "The only thing statistically in the literature that is shown to prevent ulceration is to moisturize" She suggested that the best things you can do for your patients is feel their feet (in terms of sweating/hydration), tell them to inspect their feet daily for wounds and tell them to apply moisturizer.

    "Patients who had their feet examined by their Podiatrist/Doctor were more likely to examine their own feet regularly."
  7. PORTAL Education

    PORTAL Education Active Member

    Dr Ben Lipsky: New IDSA guidelines on Diabetic Foot Infections - published later in 2011 including a new systematic review on Diabetic Foot Infections.
  8. PORTAL Education

    PORTAL Education Active Member

    Why not head over to the PORTAL Education facebook page and LIKE us?

    Whilst your there why not watch Dr Armstrongs lecture from our LIVE Broadcast of Diabetic Limb Salvage happening RIGHT NOW!

  9. admin

    admin Administrator Staff Member

    Last edited: Sep 22, 2016
  10. PORTAL Education

    PORTAL Education Active Member

    Apologies for not posting yesterday on DAY TWO of DLS 2011 - the day was amazing chaotic. It involved PORTAL broadcasting live surgical procedures from the Georgetown University operating theaters LIVE to the conference, then live to the world - the whole time enabling communication between all parties in real time. A little stressful, but all went flawlessly.

    Highlight of Day Two:

    Most of the day revolved around the importance of blood supply to the lower limb and the importance of the vascular assessment and the vascular surgeon in the team approach to the diabetic foot.

    There were numerous surgical cases done LIVE and the first one - Endovascular Revascularization by Dr David Heaton was extremely interesting. Dr Heaton walked all of the attendees through a live endovascular revascularization of a patients leg. From initial entry point to final images of the blood flow.

    Dr John Steinberg also presented a LIVE case of plantar 1st MTPJ ulceration in a complicated patient. A thorough explanation of biomechanics was discussed with the conference with Dr Steinberg fielding opinions and questions from the audience whilst he was doing the case. In the end a 1st PIPJ fusion, medial sesamoidectomy and a long discussion on orthotics, biomechanics and wound care later - we had an amazingly unique perspective on patient care.

    Evidence approach to complex arterial and venous wounds was also presented by Dr Richard Neville. The whole day was amazingly evidence based, with long discussions ensuing on how academic evidence and clinical evidence needs to find some common ground.

    Dr Chris Attinger also provided a long surgical case of a complicated forefoot infection - Dr Attinger also included a vascular surgeon in his case and they both worked together to provide an answer for this patient. In the end the patient ended up having the whole forefoot/midfoot amputated as the infection was so diffuse - the interesting discussion at the conference between he vascular surgeon, Dr Attinger and attendees was how they would manage the large wound with free flap or grafting, the biomechanical considerations post op as well as the patient considerations post op.

    An amazing lecture from Dr Peter Sheehan was presented in the afternoon discussing that one of the things we commonly don't think about in our diabetic patients is renal disease and how this effects their wounds and long term care.

    The long day ended with a unique panel of patients - and how they have handled their disease, amputation in regards to work, social circles, family and emotional distress. This panel was extremely emotional and the patients provided a unique perspective on their disease.

    Overall - an amazing day. Very busy! I will try and get permission to post another lecture later today.

    Day three has begun!!! Off to the vascular symposium and dermagraft workshops....

    To all our online attendees - hope you are enjoying the conference.
  11. PORTAL Education

    PORTAL Education Active Member

    New video posted on PORTAL Education facebook page: Live Surgical case from Georgetown Operating Theatres. Dr Chris Attinger - forefoot debridement with charcot midfoot history and vascular and biomechanical considerations.


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