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A simplified hyperbaric oxygen technique for leg ulcers.

M C Heng, J P Pilgrim, F W Beck

    Archives of Dermatology
    |May 1, 1984
    PubMed
    Summary
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    A new, cost-effective hyperbaric oxygen therapy using disposable bags effectively healed arterial leg ulcers. This simple method offers a promising treatment for chronic ulcers, showing significant healing rates in patients.

    Area of Science:

    • Vascular Surgery
    • Wound Healing
    • Hyperbaric Medicine

    Background:

    • Arterial leg ulcers represent a significant clinical challenge.
    • Chronic non-healing ulcers impact patient quality of life and healthcare costs.

    Purpose of the Study:

    • To evaluate a modified hyperbaric oxygen therapy (HBOT) technique for arterial leg ulcers.
    • To assess the efficacy and simplicity of HBOT administered via disposable polyethylene bags.

    Main Methods:

    • A prospective study involving six male patients with 27 chronic arterial leg ulcers treated with modified HBOT.
    • A control group of five male patients (10 ulcers) received standard care.
    • Ulcer healing rates and size reduction were measured over a three-week period.

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    Main Results:

    • 18 of 27 ulcers (80%) in the treated group healed within 6-21 days (5/6 patients).
    • Treated ulcers demonstrated a healing rate of 7.8% per day, compared to -0.5% in controls.
    • Significant size reduction (50%-90%) was observed in remaining treated ulcers.

    Conclusions:

    • The modified HBOT technique using disposable bags is a simple and effective treatment for arterial leg ulcers.
    • This method shows potential for both inpatient and outpatient settings.
    • The approach offers advantages including low cost and reduced risk of cross-infection.