How to treat a post-actinic ulceration

Good morning,

I’m an oncologic patient. Following radiotherapy of the left iliac crest due to secondary lesions caused by pancreatic cancer, an ulceration of the cutaneous and subcutaneous levels, connecting to the abdominal cavity, has been appearing for 20 days.

I ask you if it’s possible to treat the wound with the hyperbaric chamber or other treatment.

Best regards.

One comment on “How to treat a post-actinic ulceration

  1. Ilaria Succi on

    Good morning Antonio,
    Thank you for contacting us.

    I’m so sorry for your situation. I’ll try to answer your questions as exhaustively as I can.
    In your case, we speak about a post-actinic ulcer (radio-lesion). In this case, HBOT is indicated to improve or heal.

    Evidence from many scientific studies shows that HBOT is useful in the wounds initial stages (such as in your particular case, where the wound has been appearing for 20 days). HBOT needs to be included in a well-designed therapeutic program, which envisages the use of a targeted antibiotic and of the wound cleaning and treatment in order to improve its condition.

    Oxygen breathing in the hyperbaric chamber allows inflammation reduction and the extension of the damaged tissue. Moreover, it promotes the growth of a new healthy tissue. In the end, HBOT is extremely useful in the reconstructive surgery pre-operative and post-operative stages, to prevent or reduce the damaged tissue surface and to reduce healing times.

    In any case, before taking any kind of therapy, it is necessary to undergo a very careful diagnostic pathway to understand the fistula size: a soft tissue echography or a magnetic resonance would be useful to understand if soft tissues, other structures or internal organs have been affected.

    If you need a more detailed consultation and you want to know more about our radio-lesion treatment pathway, we are always here for you.
    For more information, you can call the number +390544500152 or send an email to by explaining your problem.

    Best regards,
    Ilaria Succi
    Nurse of the Ravenna Wound Care Centre


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