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Research Journal of Medical Sciences

ISSN: Online 1993-6095
ISSN: Print 1815-9346
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Role of Hyperbaric Oxygen Therapy in Diabetic Foot Wounds: A Prospective Observational Study in a Tertiary Care Centre

Prashant Sadashiv Patil, Hemant Deore, Ganesh Chaudhary, Rajeev Singh and Arun Bal
Page: 693-698 | Received 22 Nov 2023, Published online: 14 Jan 2024

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https://doi.org/10.36478/10.36478/makrjms.2024.5.693.698

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Abstract

Diabetic foot ulcer represents a major health problem globally. Hyperbaric oxygen therapy (HBOT) has been recommended and used in wound ulcers. Hence the present study was undertaken to evaluate whether hyperbaric oxygen can decrease major amputation rates and achieve wound healing in chronic non‐healing wounds. A total of 112 patients were treated with HBOT as an adjunct to standard treatment modality for their diabetic foot ulcer. Outcome was assessed in terms of ulcer healed, ulcer requiring further debridement and non‐healing ulcer leading to higher level amputation. Of 112 patients, 73 were completely healed, 19 needed further debridement and 23 underwent amputation. Of the amputations, 9 were below knee amputation, 5 were above knee amputation and 9 were minor. Major amputations were associated with the Wagner grade 4, with the age of the patients and with the age of the wounds (>10 weeks). Although there is some indication of a beneficial effect on wound healing, it is currently unknown which patients are likely to benefit from HBOT and which patients are not. If patient is clinically fit to undergo HBOT, then HBOT can be considered as an adjunct to standard care in all chronic non‐healing wounds. TcPO2 as the only objective criteria for determining efficacy of HBOT does not hold true in all patients. TcPO2 <40 mm Hg after completion of HBOT can predict poor outcome.

How to cite this article:

Prashant Sadashiv Patil, Hemant Deore, Ganesh Chaudhary, Rajeev Singh and Arun Bal. Role of Hyperbaric Oxygen Therapy in Diabetic Foot Wounds: A Prospective Observational Study in a Tertiary Care Centre.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.5.693.698
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.5.693.698