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Evaluation of Hyperbaric Oxygen Therapy for Diabetic Wounds and Transcutaneous Oximetry as a Predictor of Wound Healing: A prospective Study at Prana HBOT Center Mumbai

Manoj Gupta , Manoj Gupta

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Indian Journal of Diabetes and Endocrinology 1(1):p 05-10, January - June 2019. | DOI:

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Manoj Gupta. Evaluation of Hyperbaric Oxygen Therapy for Diabetic Wounds and Transcutaneous Oximetry as a Predictor of Wound Healing: A prospective Study at Prana HBOT Center Mumbai. Indian Journal of Diabetes and Endocrinology. 2019;1(1):5-10.

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Received : N/A         Accepted : N/A          Published : N/A

Abstract

Background: It is general trend amongst patients  with diabetes that usually they are at risk for  developing foot ulcers irrespective of age, gender,  symptoms, or adequacy of glycemic control. HBO  therapy is currently approved for a variety of tissue  healing and other applications. Transcutaneous  Oximetry [TCOM] is a simple, reliable noninvasive  technique for the objective assessment of wound  perfusion and oxygenation. Its definitive role in  predicting the wound healing has not yet been  proven.

Objective: We undertook a prospective study  to evaluate the role of Hyper Baric Oxygen Therapy in  healing of diabetic wounds and to determine whether  Transcutaneous Oximetry can predicts healing. Study

Design: A prospective study was performed to realize  the aim and objectives of this study. Place of Study: The study was carried out at the Prana HBO Centre,  which is owned by the Investigator and located in  the Northern parts of Mumbai, in India. Methods: The center has one Sechrist Monoplace hyperbaric  chamber and a TCOM machine with 3 electrodes.  The oxygen gas supply is from oxygen cylinders of  7000 liters’ capacity each. The data was collected from  all the patient files, which are stored at the center.  Transcutaneous Oximetry monitoring system was  utilized for measuring tissue oxygenation (TcPO2 )  in all the patients of both groups.

Observation and Discussion: There was 68% reduction in wound area  (mean baseline area of 22 cm 2 decreased to 7 cm 2 at  30 day of therapy, as per there mean value in group  HT by using paired t test, there is highly significantly  improvement in wound with p value 0.00001.  Hyperbaric oxygen therapy increases the chances of  healing of ulcers by decreasing exudates and very  well promotes granulation tissue, as well the wound  size decreases and wound tissue type and healing is  improvised.

Conclusion: Hyperbaric Oxygen Therapy  definitely has an adjunctive play in management of  non healing ulcers usually in diabetic patients.

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Manoj Gupta. Evaluation of Hyperbaric Oxygen Therapy for Diabetic Wounds and Transcutaneous Oximetry as a Predictor of Wound Healing: A prospective Study at Prana HBOT Center Mumbai. Indian Journal of Diabetes and Endocrinology. 2019;1(1):5-10.

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Keywords

Transcutaneous Oximetry; Hyperbaric Oxygen Therapy; Ulcers.

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