Cultura

General Provisions for the Right of Legitimate Defense in the Light of Public International Law

VOLUME 23, 2026

The Role of Targeted Infra-popliteal Endovascular Angioplasty to Treat Diabetic Foot Ulcers Using the Angiosome Model: A Systematic Review

VOLUME 6, 2023

Ahmed Abdalla Binaskar Al-naqbi
Dr. Zayed Ali Zayed

Abstract

The general provisions of the right of legitimate defense from the perspective of public international law represent one of the major theories regulated by all international instruments, and which international jurisprudence and judiciary have elaborated upon in light of what is required and proportionate with the rules of international legality. The use of the right of legitimate defense by states is considered one of the most important rights they resort to immediately upon the occurrence of an attack against them, as long as such attack or aggression is unlawful—meaning without justification.

The problem in this regard centers on the situation of conflicts currently witnessed by the international community, particularly since some states resort to altering the concept of aggression, and to invoking risks and fears of extensive violations of international peace and security, in a manner that enables them to use their right of legitimate defense under the pretext of relying on international legality.

Therefore, in an analytical framework, we addressed the regulation of the conditions governing this right exercised by states—whether related to the conditions of aggression or to the conditions of defense. Based on this, we concluded that states, as members of the international community, must adhere to the binding international instruments—major powers before smaller ones—in order to reduce the use of this right, in return for preventing the occurrence of any aggression. We thus hope that the hand of the international community and its interest in achieving international peace and security will prevail over any other consideration or interests.

Keywords : Act of aggression – Public international law – United Nations – Right of legitimate defense – Proportionality..
Erin Saricilar
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.

Abstract

Atherosclerotic disease significantly impacts patients with type 2 diabetes, who often present with recalcitrant peripheral ulcers. The angiosome model of the foot presents an opportunity to perform direct angiosome-targeted endovascular interventions to maximise both wound healing and limb salvage. A systematic review was performed, with 17 studies included in the final review. Below-the-knee endovascular interventions present significant technical challenges, with technical success depending on the length of lesion being treated and the number of angiosomes that require treatment. Wound healing was significantly improved with direct angiosome-targeted angioplasty, as was limb salvage, with a significant increase in survival without major amputation. Indirect angioplasty, where the intervention is applied to collateral vessels to the angiosomes, yielded similar results to direct angiosome-targeted angioplasty. Applying the angiosome model of the foot in direct angiosome-targeted angioplasty improves outcomes for patients with recalcitrant diabetic foot ulcers in terms of primary wound healing, mean time for complete wound healing and major amputation-free survival.
Keywords : Diabetic foot ulcer, angiosome, angioplasty