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Case Reports
. 2022 Jan 11:2022:6083915.
doi: 10.1155/2022/6083915. eCollection 2022.

Treatment of a Chronic Vulvar Wound by Hyperbaric Oxygen Therapy (HBOT)

D Ricard-Gauthier  1 , M-A Panchard  2 , D E Huber  1
Affiliations
Case Reports

Treatment of a Chronic Vulvar Wound by Hyperbaric Oxygen Therapy (HBOT)

D Ricard-Gauthier et al. Case Rep Obstet Gynecol. .

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.

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Conflict of interest statement

The authors declare that they have no conflicts of interest.

Figures

Figure 1
Figure 1
Incision site of the labia majora with an impaired healing and suspicion of cellulitis.
Figure 2
Figure 2
MRI showing an empty cavity without any collection. Skin infiltration with suspicion of a cellulitis. Absence of fistula.
Figure 3
Figure 3
Image of the labia majora after the first session of HBOT.
Figure 4
Figure 4
Image of the labia majora at the end of the treatment with complete healing of the incision site.
See this image and copyright information in PMC

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