Hyperbaric oxygen therapy for the sacrococcygeal fistula

Good morning,

On 6 February 2017 I got a sacrococcygeal fistula surgery with a semi-closed technique. The operation went fine and I have to treat it twice a day.

Today the wound is still open (3-4 centimetres) and I was suggested to take 10 sessions of hyperbaric oxygen therapy to reduce the wound healing time.

I would like to ask you if the hyperbaric oxygen therapy could help me or not. I have never done it before. Is there any risk that the wound remains open anyway?

I hope that hyperbaric oxygen therapy is useful, because I’m tired of receiving medications every single day.

Thank you in advance.

Best regards,


One comment on “Hyperbaric oxygen therapy for the sacrococcygeal fistula

  1. Ilaria Succi on

    Good morning Sebastiano,
    Thank you for contacting us.
    I’m so sorry for your problem and I understand it can be really frustrating for you to receive so many medications.
    I would like to start with the explanation on how hyperbaric oxygen therapy can help improve your condition.
    Hyperbaric Oxygen Therapy (HBOT) is a non-invasive therapy based on 100% pure oxygen or hyper oxygenated gas mixtures breathing inside the hyperbaric chamber. The elevated pressure allows the diffusion of oxygen in blood with a concentration 10 times higher than normal. This allows the development of new blood vessels, the activation of the cellular metabolism, the improvement of the anti-inflammatory effect and the growth of stem cells.
    When a wound doesn’t heal, the tissues are like “anesthetised”: certainly HBOT could accelerate the healing process thanks to the above-mentioned properties, thus reactivating the cellular metabolism which got blocked, accelerating healing times and progressively reducing the frequency of dressing changes.

    The number of sessions remains at the discretion of the competent doctor who evaluates the progress on more occasions during the therapy.
    There are several studies of proven efficacy concerning the beneficial effects of HBOT on chronic wounds that won’t heal.
    Furthermore, at our Centre we often find cases similar to yours that finally manage to improve or heal after a certain number of HBOT sessions.
    Lastly, I would like to introduce to you the clinical pathway followed by those affected by chronic wounds that won’t heal. First, you have a visit with a doctor and nurses who are expert in the field where the general state of health (i.e. concomitant disease, medicines taken, allergies, etc.) and many aspects of the wound (i.e. Ph., type of tissue, Tcp02 transcutaneous oxygenation, etc.) are evaluated. Then, it is decided how and when to treat the wound with periodical assessments.

    The number of HBOT sessions, the relative frequency and atmospheres (ATA) are also prescribed.
    I hope I’ve satisfied your request. Good luck!

    Best regards,
    Ilaria Succi
    Nurse of the Wound Care Centre


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