Hyperbaric oxygen therapy for skin flap transplantation: a meta-analysis | Canada Hyperbarics
Meta-Analysis J Wound Care 2026

Hyperbaric oxygen therapy for skin flap transplantation: a meta-analysis

He Z, Sun X, Chen J, Zhang M — J Wound Care, 2026

Tier 1 — Curated

Manually reviewed and included in the Canada Hyperbarics research database.

Summary

What Researchers Did

Researchers combined data from 13 randomized controlled trials involving 1,226 patients to determine whether HBOT improves outcomes after skin flap transplant surgery.

What They Found

HBOT dramatically increased skin flap survival rates, with an odds ratio of 8.57, meaning treated patients were more than 8 times more likely to have their flap survive. Blood oxygen saturation in the flap increased by an average of nearly 20 units, and swelling resolved about 3.8 days faster in HBOT-treated patients. Skin returned to a healthy pink colour about 4.6 days sooner.

What This Means for Canadian Patients

Canadians undergoing reconstructive surgery — such as after cancer removal, burns, or trauma — may significantly reduce their risk of losing the transplanted skin by adding HBOT to their recovery plan. Faster healing means shorter hospital stays and lower complication rates.

Canadian Relevance

No direct Canadian connection identified. Compromised skin grafts and flaps are a recognized HBOT indication supported by major hyperbaric societies, though not currently listed as OHIP-covered.

Study Limitations

Many included trials were conducted in China and may not fully represent outcomes in Western healthcare settings.

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Study Details

Study Type Meta-Analysis
Category Wound Care
Source Pubmed
PubMed ID 41649920
Year Published 2026
Journal J Wound Care
MeSH Terms Humans; Hyperbaric Oxygenation; Surgical Flaps; Wound Healing; Skin Transplantation; Randomized Controlled Trials as Topic

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Disclaimer: This study summary is provided for informational and educational purposes only. It does not constitute medical advice. The information presented reflects the findings of the original research authors and may not represent the views of Canada Hyperbarics. Always consult a qualified healthcare professional before making treatment decisions.