PLASTIC AND RECONSTRUCTIVE SURGERY
PLASTIC AND RECONSTRUCTIVE SURGERY
Plastic surgery is a broad specialty encompassing a variety of areas including the treatment of traumatic soft tissue injury, burn care, hand surgery, microsurgery and limb replantation, problem wound management, flap reconstruction, cosmetic surgery, and congenital deformity.
In recent years an emphasis on less anecdotal and more scientific research has provided a better understanding of the role of hyperbaric oxygen therapy (HBO) for many plastic surgical conditions. Patient selection remains the key to successful outcome. The rationale for HBO treatment of a specific plastic surgery problem should be based on scientific research if possible. If supportive research is not available or applicable to a specific case, then the decision to treat should be based on sound physiological principles.
Source: Zamboni W.A. (1996) Applications of Hyperbaric Oxygen Therapy in Plastic Surgery. In: Oriani G., Marroni A., Wattel F. (eds) Handbook on Hyperbaric Medicine. Springer, Milano. https://doi.org/10.1007/978-88-470-2198-3_14
How can patients benefit from your care?
The most important effects of hyperbaric oxygen therapy (HBOT), for the surgeon, are the stimulation of leukocyte microbial killing, the enhancement of fibroblast replication, and increased collagen formation and neovascularization of ischemic tissue.
Preoperative hyperbaric oxygen induces neovascularization in tissue with radionecrosis. Refractory osteomyelitis and necrotizing fasciitis appear to respond to adjunctive hyperbaric oxygen. Crush injury and compartment syndrome appear to benefit through preservation of ATP in cell membranes, which limits edema.
Hyperbaric oxygen in burn injury permits shorter hospital stays, a reduced number of surgeries, and less fluid replacement. Skin grafts and flaps are reported to take more completely and more rapidly. The same mechanisms may apply in ischemic problem wounds such as infected diabetic extremities.
Source: Kindwall EP, Gottlieb LJ, Larson DL. Hyperbaric oxygen therapy in plastic surgery: a review article. Plast Reconstr Surg. 1991 Nov;88(5):898-908. doi: 10.1097/00006534-199111000-00029. PMID: 1924583. https://pubmed.ncbi.nlm.nih.gov/1924583/
See the section below for detailed information on research and studies related to your specialty.
RESEARCH AND STUDIES
Hyperbaric oxygen therapy in plastic surgery: a review article https://pubmed.ncbi.nlm.nih.gov/1924583/
Hyperbaric oxygen therapy in the treatment of wounds, in plastic and reconstructive surgery https://pubmed.ncbi.nlm.nih.gov/1696087/
The History and Development of Hyperbaric Oxygenation (HBO) in Thermal Burn Injury https://pubmed.ncbi.nlm.nih.gov/33430046/
The effect of hyperbaric oxygen on reperfusion of ischemic axial skin flaps: a laser Doppler analysis https://pubmed.ncbi.nlm.nih.gov/1596067/
Stimulation of angiogenesis to improve the viability of prefabricated flaps https://pubmed.ncbi.nlm.nih.gov/9529215/
Hyperbaric Therapy for Skin Grafts and Flaps https://pubmed.ncbi.nlm.nih.gov/29262046/
An evidence-based appraisal of the use of hyperbaric oxygen on flaps and grafts https://pubmed.ncbi.nlm.nih.gov/16799386/
Hyperbaric oxygen therapy in Plastic Surgery practice: case series and literature overview https://pubmed.ncbi.nlm.nih.gov/32011977/
