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Poster translation:

Introduction: Diabetes mellitus is a chronic health problem, the incidence of which has increased in our country and around the world in recent years, increasing the risk of mortality and morbidity of patients. (1) Diabetic foot wounds, which occur due to involvement of peripheral vessels due to diabetes, are responsible for 80% of non-traumatic amputations. Decrease in epidermal factor is the main reason for the formation of diabetic foot wounds. For this reason, various drug and non-drug supports are widely used in wound treatment to increase and accelerate post-treatment epithelialization, which is reduced to stage 1 level as a result of surgical debridement, enzymatic debridement and conventional wound treatments applied in the healing and wound treatments of diabetic foot wounds. Gels containing bovine colostrum are one of the treatment methods used recently.

Case: F.K is a 52-year-old male patient. The patient, who has known diabetes mellitus and asthma for 20 years, has been complaining of pain, swelling, bruising in the left foot, a wound with necrotic discharge on the lateral plantar face of the left foot, and chills and shivering for 15 days. The patient was admitted to our hospital from the emergency department and was hospitalized in the Infection Clinic. A decision was made to amputate the patient up to the half of the left 5th finger metatarsal. Antibiotic treatment and conventional wound treatment continued after amputation. Negative pressure aspiration system (VAK) was applied for wound debridement. After the second postoperative week, the sutures were removed and the patient was left for primary healing. The patient, who was followed up as an outpatient at the outpatient clinic, was started on gel treatment containing bovine colostrum. At the end of the first week, a decrease in wound depth and size was observed, and the treatment was completed in 3 weeks. It was observed that the wound was completely closed.

Discussion: After the patient’s finger amputation, the patient was dressed with a gel containing bovine colostrum once a day for 21 days. (2) Bovine colostrum contains high amounts of EGF (epiderman growth factor), TGF (transforming growth factor), IGF (insulin like growth factor), FGF (fibroblast growth factor), and accelerates wound epithelialization by acting directly on DNA and RNA. This increases the formation process of new cells at the wound site and supports the nutrition and growth processes of newly developing cells. In our patient, it was observed that the gel containing bovine colostrum used during the 3-week wound care process accelerated the healing of the wound and the formation of new epithelialization.

Conclusion: We believe that bovine colostrum can be used to ensure epithelialization and acceleration of the wound healing process in outpatient follow-up of necrotic and infected diabetic foot wounds after surgical and medical treatment.

resources

1)Role of Bovine Colostrum in Healing of Chronic Non-Healing Ulcers – A Clinical Study November 2018 DOI:10.18535

2)Barry. M. Colostrum proves to be powder healing agent when applied externally. Available from: http://www. icnr.org/blog.

Dr. Hasan Murat Arslan

Heart/Vessel Surgeon