Hyperbaric Oxygen Therapy in Plastic, Aesthetic, and Reconstructive Surgery: Systematic Review
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Design
2.2. Search Strategy
2.3. Evaluation of Criteria and Synthesis of the Manuscripts
2.4. Data Extraction
2.5. Outcomes
2.6. Quality Evaluation
3. Results
3.1. Studies Identified and Selected
3.2. Risk of Bias
3.3. Outcomes
4. Discussion
5. Conclusions
Author Contributions
Funding
Data Availability Statement
Conflicts of Interest
References
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Abidia [14] | Boykin [15] | Zhang [18] | Gehmert [16] | Vishwanat [17] | Nishizaka [19] | |
---|---|---|---|---|---|---|
Publication year | 2003 | 2007 | 2018 | 2011 | 2011 | 2011 |
Number of patients | 18 | 6 | 27 | 6 | 10 | 21 |
Diagnosis | Skin ulcers | Skin ulcers | Wound healing disorders: Keloids. | Free flaps | Free flaps | Melanin pigmentation, age spot |
Country of the study | United Kingdom | United Sates | China | Germany | India | Japan |
Comorbidities | Yes | Yes | No | No | No | No |
Type of comorbidity | Mellitus Diabetes | Mellitus Diabetes | None | None | None | None |
Comparator | Hyperbaric air | No reports | No reports | No alternative treatment | No reports | Normobaric environment at 1ATA with 21% oxygen |
Abidia et al. [14] | Boykin [15] | Zhang [18] | Gehmert [16] | Vishwanath [17] | Nishizaka [19] | |
---|---|---|---|---|---|---|
Session duration | 90 | 90 | 90 | 90 | 60 | 60 |
Days of the week | 5 | 7 | 1 | 7 | 2 to 3 | |
Number of cycles | 30 | 20 | 7 | 1 | 1 | 4 to 12 |
HBOT Atmospheres Absolute ATA | 2.4 | 2 | 2 | 2.4 | No reports | 1.25 |
Author | Outcome | p Value |
---|---|---|
Abidia [14] | Reduction in the size of the ulcer | 0.026 |
Healing of the ulcer after one year of treatment | 0.027 | |
Decrease in medical visits for bandages (33.75 vs. 136.5) Lower cost of care (GBP1972 vs. GBP7946) | ||
Boykin [15] | Progressive reduction in area Increased formation of granulation tissue Significant increase in local levels of nitric oxide in the wound | <0.05 |
Zhang [18] | Perfusion in the keloid was significantly reduced after HBOT. Lower expression levels of vimentin, vibronectin, vascular endothelial growth factor, and hypoxia-inducible factor-1a, and expression of E-cadherin and Zonula ocludens (ZO-1) were observed. The expression of E-cadherin and ZO-1 mRNA was also increased. | <0.01 |
Gehmert [16] | Increased partial pressure of transcutaneous oxygen in the flap 83.45 ± 13.80 Torr. | <0.001 |
Vishwanath [17] | No significant differences were found in flap survival, time to resolution of venous congestion, resolution of edema, and postoperative recovery period. | >0.05 |
Nishizaka [19] | Accelerates both the fading of melanin pigmentation and the decrease in age spot size. | <0.05 |
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Ríos-Gómez, M.; Gómez-Ortega, V.; Cardona, C.; De la Hoz-Valle, J.A. Hyperbaric Oxygen Therapy in Plastic, Aesthetic, and Reconstructive Surgery: Systematic Review. Surg. Tech. Dev. 2023, 12, 43-52. https://doi.org/10.3390/std12010003
Ríos-Gómez M, Gómez-Ortega V, Cardona C, De la Hoz-Valle JA. Hyperbaric Oxygen Therapy in Plastic, Aesthetic, and Reconstructive Surgery: Systematic Review. Surgical Techniques Development. 2023; 12(1):43-52. https://doi.org/10.3390/std12010003
Chicago/Turabian StyleRíos-Gómez, Mariana, Viviana Gómez-Ortega, Cesar Cardona, and Jose A. De la Hoz-Valle. 2023. "Hyperbaric Oxygen Therapy in Plastic, Aesthetic, and Reconstructive Surgery: Systematic Review" Surgical Techniques Development 12, no. 1: 43-52. https://doi.org/10.3390/std12010003