Abstract
We hereby report the case of a 66-year-old obese patient (BMI 30) with type 2 diabetes, who presented a chronic vulvar lesion on the left labia majora following surgical drainage of an abscess. After multiple unsuccessful treatments by antibiotics and local wound care, we proposed a trial of hyperbaric oxygen therapy (HBOT). The patient fully recovered after 54 sessions at 2.5 ATA, 95 minutes each. HBOT has been studied for perineal lesion such as skin atrophy or necrosis caused by irradiation but not for vulvar nonhealing chronic lesions in the case of impaired vascularization caused by diabetes. This case is, to our knowledge, one of the first publications about the healing boost of HBOT in chronic vulvar wounds due to vascular impairment.
Highlights
Impaired healing causing chronic wounds is a constant and increasing challenge for the medical society with an estimation of 6.5 million cases per year [1]
We describe the successful healing of a vulvar chronic wound using hyperbaric oxygen therapy (HBOT) after numerous treatment failures
Negative pressure therapy, application of platelet gel, and growth factors have been used with good healing results [2, 9]
Summary
Impaired healing causing chronic wounds is a constant and increasing challenge for the medical society with an estimation of 6.5 million cases per year [1]. At 2.5 ATA 100% O2, the total content is 24.2 ml O2/100 ml blood instead of 19.2 ml O2/ 100 ml at 1 ATA room air It saturates the blood with oxygen causing hyperoxia of the lesions and massively increases the blood oxygen content. Most of the studies focused their research on chronic wounds occurring after an oncological surgery or radiation and only a few on lesions caused by other origins [5–8]. In this case report, we describe the successful healing of a vulvar chronic wound using HBOT after numerous treatment failures
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
