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Hyperbaric oxygen therapy in diabetic foot.

N Doctor1, S Pandya, A Supe

  • 1Dept of Surgery, Seth GS Medical College, Parel, Bombay, Maharashtra.

Journal of Postgraduate Medicine
|July 1, 1992
PubMed
Summary
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Hyperbaric oxygen therapy significantly improves infection control and reduces major amputations in chronic diabetic foot lesions. This treatment is safe and beneficial as an add-on therapy for wound healing.

Area of Science:

  • Medical Research
  • Wound Healing
  • Hyperbaric Medicine

Background:

  • Chronic diabetic foot lesions pose a significant challenge in diabetes management.
  • Infection and delayed healing are common complications, often leading to amputation.

Purpose of the Study:

  • To evaluate the efficacy of hyperbaric oxygen therapy (HBOT) as an adjuvant treatment for chronic diabetic foot lesions.
  • To compare infection control, wound healing, and amputation rates between HBOT and conventional management.

Main Methods:

  • A prospective controlled study involving 30 diabetic patients with chronic foot lesions.
  • Patients were randomized into a study group (conventional management + 4 HBOT sessions) and a control group (conventional management only).
  • Outcomes assessed included infection control (bacterial cultures), wound healing, and need for major amputation.

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Main Results:

  • Quicker control of infection spread was observed in the HBOT group (positive cultures reduced from 19 to 3 vs. 16 to 12 in controls, p < 0.05).
  • Significant reduction in major amputations in the study group (2) compared to the control group (7) (p < 0.05).
  • No significant difference in average hospital stay between the groups.

Conclusions:

  • Hyperbaric oxygen therapy is a safe and effective adjuvant treatment for chronic diabetic foot lesions.
  • HBOT demonstrates significant benefits in controlling infection and reducing the need for amputation.
  • Further research may explore optimal HBOT protocols for diabetic wound care.