Hyperbaric Oxygen Therapy Is an Effective Adjunctive Therapy to Manage Treatment-Resistant Venous Leg Ulcers

Kotaro Suehiro; Motoki Fujita; Noriyasu Morikage; Takasuke Harada; Makoto Samura; Ryo Suzuki; Hiroshi Kurazumi; Ryosuke Tsuruta; Kimikazu Hamano

doi:10.3400/avd.cr.21-00030

Case Report

Hyperbaric Oxygen Therapy Is an Effective Adjunctive Therapy to Manage Treatment-Resistant Venous Leg Ulcers

Kotaro Suehiro , Motoki Fujita, Noriyasu Morikage, Takasuke Harada, Makoto Samura, Ryo Suzuki, Hiroshi Kurazumi, Ryosuke Tsuruta, Kimikazu Hamano

Author information

Kotaro Suehiro Corresponding author
Division of Vascular Surgery, Department of Surgery and Clinical Science, Yamaguchi University Graduate School of Medicine
Motoki Fujita
Acute and General Medicine, Yamaguchi University Graduate School of Medicine
Noriyasu Morikage
Division of Vascular Surgery, Department of Surgery and Clinical Science, Yamaguchi University Graduate School of Medicine
Takasuke Harada
Division of Vascular Surgery, Department of Surgery and Clinical Science, Yamaguchi University Graduate School of Medicine
Makoto Samura
Division of Vascular Surgery, Department of Surgery and Clinical Science, Yamaguchi University Graduate School of Medicine
Ryo Suzuki
Division of Vascular Surgery, Department of Surgery and Clinical Science, Yamaguchi University Graduate School of Medicine
Hiroshi Kurazumi
Division of Vascular Surgery, Department of Surgery and Clinical Science, Yamaguchi University Graduate School of Medicine
Ryosuke Tsuruta
Acute and General Medicine, Yamaguchi University Graduate School of Medicine
Kimikazu Hamano
Division of Vascular Surgery, Department of Surgery and Clinical Science, Yamaguchi University Graduate School of Medicine

Keywords: hyperbaric oxygen therapy, venous leg ulcer, chronic venous insufficiency

JOURNAL OPEN ACCESS

2021 Volume 14 Issue 3 Pages 273-276

DOI https://doi.org/10.3400/avd.cr.21-00030

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Abstract

We report five cases of venous leg ulcers (VLU) that were resistant to conservative therapy for 22–119 months and were eventually healed via hyperbaric oxygen therapy (HBOT). In one patient, VLU recurred four times and was managed using HBOT, each time. The VLU sizes ranged from 18 to 68 cm² before HBOT. HBOT was administered at 2.0 atmospheres absolute with 100% oxygen for 60 min per session, five sessions a week during hospitalization. All VLUs healed after 17–66 sessions of HBOT.

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