Diabetes Postoperative

Diabetic postoperative complications are a group of complications associated with a tendency to recurrent wound formation, bleeding, circulatory disorders and other causes during surgical treatment of patients with concomitant diabetes mellitus. They are characterized by a chronic course, a tendency to progression and the formation of deep forms of damage to the skin and subcutaneous fat, dependence on the level of glycemia and the duration of the operation. The leading factor in the development of postoperative complications in patients with diabetes mellitus is chronic hyperglycemia, which in turn contributes to metabolic disorders, vascular damage and microcirculation. In diabetes mellitus, to a greater extent than in other forms of carbohydrate metabolism disorders, the state of the body is determined by the long duration of the disease. Against the background of pregnancy, due to histaminvection and long-term inflammatory process in the pelvic organs and other structural changes that have arisen in the body due to diabetes, the prognosis for the mother in the postpartum period is extremely unfavorable. This condition worsens the results of treatment and prognosis of the underlying disease. Treatment. In the preoperative period, it is necessary to carry out treatment aimed at optimizing the glycemic profile and pathogenetic correction of disorders in a patient with diabetes mellitus.