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Study Undersea Hyperb Med 2019

Use of hyperbaric oxygen therapy for tissue ischemia after breast reconstruction

Rajpal N, Walters E, Elmarsafi T, Pittman T, Johnson-Arbor K — Undersea Hyperb Med, 2019

Tier 2, Indexed

Automatically imported from PubMed based on relevance criteria.

Summary

What Researchers Did

Researchers retrospectively reviewed outcomes for eight breasts with compromised mastectomy skin flaps in seven patients who received HBOT within 24 hours of breast reconstruction surgery, using indocyanine green angiography to measure perfusion before and after.

What They Found

All patients except one achieved successful healing after an average of 10 HBOT sessions. Mean relative perfusion in the at-risk area increased from 13.8% before HBOT to 101.6% after HBOT -- a 6.8-fold increase.

What This Means for Canadian Patients

Mastectomy flap loss is a devastating complication of breast reconstruction. For Canadian women undergoing mastectomy, early HBOT referral when flap viability is threatened could prevent additional surgeries and significant tissue loss.

Canadian Relevance

No direct Canadian connection identified.

Study Limitations

This was a small retrospective study of 8 breasts; no control group existed and selection bias cannot be excluded.

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Study Details

Study Type Study
Category Wound Care
Source Pubmed
PubMed ID 31509902
Year Published 2019
Journal Undersea Hyperb Med
MeSH Terms Adult; Aged; Angiography; Breast Neoplasms; Coloring Agents; Female; Humans; Hyperbaric Oxygenation; Indocyanine Green; Ischemia; Mammaplasty; Mastectomy; Middle Aged; Necrosis; Postoperative Complications; Retrospective Studies; Salvage Therapy; Surgical Flaps; Wound Healing

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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.