Hyperbaric oxygen and wound healing

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Hyperbaric Oxygen and Wound Healing

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Hyperbaric oxygen therapy (HBOT) is the use of 100% oxygen at pressures greater than
atmospheric pressure. Today several approved applications and indications exist for HBOT. HBOT
has been successfully used as adjunctive therapy for wound healing. Non-healing wounds such
as diabetic and vascular insufficiency ulcers have been one major area of study for hyperbaric
physicians where use of HBOT as an adjunct has been approved for use by way of various studies
and trials. HBOT is also indicated for infected wounds like clostridial myonecrosis, necrotising soft
tissue infections, Fournier’s gangrene, as also for traumatic wounds, crush injury, compartment
syndrome, compromised skin grafts and flaps and thermal burns. Another major area of application
of HBOT is radiation-induced wounds, specifically osteoradionecrosis of mandible, radiation cystitis
and radiation proctitis. With the increase in availability of chambers across the country, and with
increasing number of studies proving the benefits of adjunctive use for various kinds of wounds and
other indications, HBOT should be considered in these situations as an essential part of the overall
management strategy for the treating surgeon.

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