PDF(Pubmed)
Abstract：
UNASSIGNED: Hyperbaric oxygen therapy (HBOT) has shown potential in salvaging compromised flaps, although its application has primarily been focused on local flaps rather than free flaps.
UNASSIGNED: In this case report, we present the successful use of HBOT in a 76-year-old man who underwent free flap reconstruction for calcaneal osteomyelitis. Despite undergoing 2 reoperations on the second and third days post reconstruction, no thrombosis was observed at the anastomotic site. Following the second reoperation, HBOT was promptly initiated and continued for a total of 9 sessions. Notably, after the sixth HBOT session, fresh bleeding occurred upon flap puncture. Eventually, the flap developed epidermal necrosis, which was conservatively treated.
UNASSIGNED: It is crucial to first rule out mechanical causes of compromised free flaps through surgical exploration, with HBOT serving as an adjunctive rather than a primary treatment option--even considered as the last resort. Nevertheless, in cases where mechanical causes have been ruled out, HBOT may significantly enhance flap survival rates in compromised free flaps.
UNASSIGNED: In this case report, we present the successful use of HBOT in a 76-year-old man who underwent free flap reconstruction for calcaneal osteomyelitis. Despite undergoing 2 reoperations on the second and third days post reconstruction, no thrombosis was observed at the anastomotic site. Following the second reoperation, HBOT was promptly initiated and continued for a total of 9 sessions. Notably, after the sixth HBOT session, fresh bleeding occurred upon flap puncture. Eventually, the flap developed epidermal necrosis, which was conservatively treated.
UNASSIGNED: It is crucial to first rule out mechanical causes of compromised free flaps through surgical exploration, with HBOT serving as an adjunctive rather than a primary treatment option--even considered as the last resort. Nevertheless, in cases where mechanical causes have been ruled out, HBOT may significantly enhance flap survival rates in compromised free flaps.
摘要：
■高压氧疗法（HBOT）显示出挽救受损皮瓣的潜力，尽管它的应用主要集中在局部皮瓣而不是游离皮瓣。
■在此案例报告中，我们介绍了HBOT在一名76岁男性中的成功应用，该男性接受了跟骨骨髓炎的游离皮瓣重建。尽管在重建后的第二天和第三天进行了两次重新手术，在吻合部位未观察到血栓形成.第二次再操作后，HBOT迅速启动，并继续进行了总共9次会议。值得注意的是,在第六届HBOT会议之后，皮瓣穿刺时出现新鲜出血。最终,皮瓣出现表皮坏死，这是保守治疗。
首先通过手术探查排除游离皮瓣受损的机械原因至关重要，HBOT作为辅助而不是主要的治疗选择-甚至被认为是最后的手段。然而，在排除机械原因的情况下，HBOT可以显着提高受损游离皮瓣的皮瓣存活率。
■在此案例报告中，我们介绍了HBOT在一名76岁男性中的成功应用，该男性接受了跟骨骨髓炎的游离皮瓣重建。尽管在重建后的第二天和第三天进行了两次重新手术，在吻合部位未观察到血栓形成.第二次再操作后，HBOT迅速启动，并继续进行了总共9次会议。值得注意的是,在第六届HBOT会议之后，皮瓣穿刺时出现新鲜出血。最终,皮瓣出现表皮坏死，这是保守治疗。
首先通过手术探查排除游离皮瓣受损的机械原因至关重要，HBOT作为辅助而不是主要的治疗选择-甚至被认为是最后的手段。然而，在排除机械原因的情况下，HBOT可以显着提高受损游离皮瓣的皮瓣存活率。
