HBOT – Compromised Skin Grafts & Flaps

Skin grafting is a surgical procedure to place skin or skin substitute over a burn or non-healing wound to permanently replace damaged or missing skin or provide a temporary wound dressing. Sometimes these grafts fail (or become compromised) due to poor blood flow, swelling or infection.

Capillary proliferation, protection from reperfusion injury, anti-edema action, rheological capillary improvement and protection from infection are among the demonstrated effects of hyperbaric hyperoxia.

Hyperbaric oxygen therapy is an extremely effective therapy for tissues affected by a burn, radiation therapy or in patients with decreased perfusion or hypoxia. Some skin grafts (from a severe burn) or flaps (a graft which is moved and reattached along with the blood vessel that supplies it) may have trouble healing from swelling or poor blood flow.

Hypoxia due to inadequate grafted tissue oxygenation, involves hyperbaric oxygen use as adjunct therapy.

·       While HBOT can help save failing grafts it can be even more effective when used before surgery to keep grafts from failing in the first place.

·    HBOT also offers strategies for reducing edema. The edema reduction effect, induced by the relative spasm of a precapillary arteriolar sphincter helps to limit the swelling of the graft or flap. 

       

     The high oxygen tension achievable with HBOT induces neovascularization. Among other things, oxygen dissolved in plasma is readily available to tissues and organs thus limiting damage from reperfusion injury. 

     The effectiveness of HBOT is shown in grafting and in reimplantation of limbs, with a salvage rate of 75% for the HBOT group compared to 46% for the controls, with 100% HBOT salvage when the patient is treated within 72 hours post-operatively. 
    
   The use of HBOT for the preparation of a base for skin grafting and the preservation of compromised skin grafts has been well documented as effective. HBOT’s effectiveness in aiding skin graft survival is supported by research. 

Proper timing of hyperbaric oxygen therapy through a collaboration of the plastic surgeon with the hyperbaric physician are considered necessary for the desired final outcomeIndia Hyperbaric Oxygen Therapy HBOT Chamber india, HBOT Chamber india, HBOT India, India HBOT chamber, india hyperbaric oxygen therapy chamber, india hyperbaric oxygen therapy indications, india hyperbaric oxygen therapy information, Hyperbaric Oxygen Therapy HBOT Chamber india, HBOT Chamber india, HBOT India, India HBOT chamber, india hyperbaric oxygen therapy chamber, india hyperbaric oxygen therapy indications, india hyperbaric oxygen therapy information,