Role of hyperbaric oxygen therapy in diabetic limb

Abstract

Background: The present study was conducted to study the pattern of presentation of patients with diabetic limb in surgery opd and casualty, to evaluate the efficacy of available treatment options salvaging the diabetic limb, and to evaluate the amount of health care resource utilization, health care related quality of life. Material and methods: It was a hospital based, prospective randomized control study, conducted at department of General Surgery, Government Medical college and Hospital Nagpur during June 2012 to October 2014 among 101 patients with various diabetic limb are being managed with standard care and with HBOT. Results: The distribution of bacteria isolated is shown in the table number 2. Study group shows singificant reduction in the percentage of bacteria isolated among the study subjects. According to culture sensitivity reports most commonly isolated organism was E.coli in both the groups. Conclusion: Diabetic wounds are one of the most dreaded wounds to heal for any surgeon. Amongst various factors involved in poor healing of diabetic wounds one important factor is ischaemia HBOT by delivering oxygen at more than 1 ata delivers 100% oxygen and so helps in accelerating wound healing.