open access

Vol 24, No 3 (2018)
Artykuły
Published online: 2018-10-25
Get Citation

Evaluation of the healing progress of phlegmon related to type 2 diabetes treated with the local hyperbaric oxygen therapy

Jarosław Pasek, Grzegorz Cieślar, Aleksander Sieroń
DOI: 10.5603/AA.2018.0017
·
Acta Angiologica 2018;24(3):93-97.

open access

Vol 24, No 3 (2018)
Artykuły
Published online: 2018-10-25

Abstract

Introduction. Phlegmon is a disease which causes purulent inflammation of the subcutaneous tissue, being
of unlimited character. This disease does not only affect the external coverings of the body; it may also be
transmitted to the internal organs, and lead to their insufficiency.

Case report. The study presents the results of the physical therapy applied to phlegmon located in the right
shank and foot of a 57-year old patient with type 2 diabetes after an ineffective typical symptomatic treatment.
A local hyperbaric oxygen therapy has been used in this treatment which utilizes the therapeutic effect of gases
with high oxygen content close to 100%,exceeding the pressure of one atmosphere.

Results. After completion of the 4-month therapy complete regression of pain symptoms was achieved assessed
accordingly to the VAS scale, as well as the complete healing of wounds, reduction of the inflammatory
reaction and skin congestion, thanks to which the amputation of the limb turned out not to be necessary. The
thermographic assessment performed after the completion of the treatment confirmed normalization of the
previously reduced temperature of tissues in the area of healed wounds.

Conclusions. The obtained initial results indicate that the therapy with the use of the local hyperbaric oxygen
therapy may constitute a useful adjunctive method for treatment of patients whose wounds are hard to heal,
including wounds with inflammatory origin.

Abstract

Introduction. Phlegmon is a disease which causes purulent inflammation of the subcutaneous tissue, being
of unlimited character. This disease does not only affect the external coverings of the body; it may also be
transmitted to the internal organs, and lead to their insufficiency.

Case report. The study presents the results of the physical therapy applied to phlegmon located in the right
shank and foot of a 57-year old patient with type 2 diabetes after an ineffective typical symptomatic treatment.
A local hyperbaric oxygen therapy has been used in this treatment which utilizes the therapeutic effect of gases
with high oxygen content close to 100%,exceeding the pressure of one atmosphere.

Results. After completion of the 4-month therapy complete regression of pain symptoms was achieved assessed
accordingly to the VAS scale, as well as the complete healing of wounds, reduction of the inflammatory
reaction and skin congestion, thanks to which the amputation of the limb turned out not to be necessary. The
thermographic assessment performed after the completion of the treatment confirmed normalization of the
previously reduced temperature of tissues in the area of healed wounds.

Conclusions. The obtained initial results indicate that the therapy with the use of the local hyperbaric oxygen
therapy may constitute a useful adjunctive method for treatment of patients whose wounds are hard to heal,
including wounds with inflammatory origin.

Get Citation

Keywords

phlegmon, chronic wounds, treatment, local hyperbaric oxygen therapy

About this article
Title

Evaluation of the healing progress of phlegmon related to type 2 diabetes treated with the local hyperbaric oxygen therapy

Journal

Acta Angiologica

Issue

Vol 24, No 3 (2018)

Pages

93-97

Published online

2018-10-25

DOI

10.5603/AA.2018.0017

Bibliographic record

Acta Angiologica 2018;24(3):93-97.

Keywords

phlegmon
chronic wounds
treatment
local hyperbaric oxygen therapy

Authors

Jarosław Pasek
Grzegorz Cieślar
Aleksander Sieroń

References (14)
  1. Potempa M, Jończyk P, Janerka M. Chronic wounds - epidemiology and factors influence on healing process. Wound treatment. 2014; 11: 43–50.
  2. Rojczyk-Gołębiewska E, Wilemska-Kucharzewska K, Pałasz A, et al. The role of angiogenesis in wound healing. Leczenie Ran. 2015; 12(1): 1–7.
  3. Bumpus K, Maier MA. The ABC's of wound care. Curr Cardiol Rep. 2013; 15(4): 346.
  4. Sieroń A, Cieślar G, Kawecki M. Hyperbaric medicine. II edition. α-medica press, Bielsko-Biała 2007.
  5. Kalani M, Jörneskog G, Naderi N, et al. Hyperbaric oxygen (HBO) therapy in treatment of diabetic foot ulcers. Journal of Diabetes and its Complications. 2002; 16(2): 153–158.
  6. Knefel G, Kawecki M, Szymańska B. Hyperbaric oxygen therapy in the treatment of chirurgical diabetic foot ulcer. Inż Biomed. 2008; 14(1): 47–50.
  7. Sahni T, Singh P, John MJ. Hyperbaric oxygen therapy: current trends and applications. J Assoc Physicians India. 2003; 51: 280–284.
  8. Pasek J, Majda G, Cieślar G, et al. Wound treatment after congenital syndactyly separation with 100% oxygen therapy: A case report. Surgery: Current Research. 2015; 4: 215.
  9. Gibbons JA, Smith HL, Kumar SC, et al. Antimicrobial stewardship in the treatment of skin and soft tissue infections. Am J Infect Control. 2017; 45(11): 1203–1207.
  10. Lifshits YuZ, Vasetskiy AM, Zaychenko PA, et al. Successful treatment of a patient for phlegmon of right forearm, using method of negative pressure. Klin Khir. 2015(3): 77–78.
  11. Pasek J, Sieroń A. OXYBARIA–S – innovatory apparatus to hyperbaric oxygen therapy. Rehabilitation in Practice. 2015; 1: 56.
  12. Pasek J, Opara J, Pasek T, et al. The implication of Quality of Life in rehabilitation. Physiotherapy. 2007; 15(3): 3–8.
  13. Park H, Copeland C, Henry S, et al. Complex wounds and their management. Surg Clin North Am. 2010; 90(6): 1181–1194.
  14. Plafki C, Peters P, Almeling M, et al. Complications and side effects of hyperbaric oxygen therapy. Aviat Space Environ Med. 2000; 71(2): 119–124.

Important: This website uses cookies. More >>

The cookies allow us to identify your computer and find out details about your last visit. They remembering whether you've visited the site before, so that you remain logged in - or to help us work out how many new website visitors we get each month. Most internet browsers accept cookies automatically, but you can change the settings of your browser to erase cookies or prevent automatic acceptance if you prefer.

By "Via Medica sp. z o.o." sp.k., ul. Świętokrzyska 73, 80–180 Gdańsk

tel.:+48 58 320 94 94, faks:+48 58 320 94 60, e-mail: viamedica@viamedica.pl