Saving Skin Grafts and Flaps

By · March 21, 2012 · Filed in HBOT

--Diabetic --6 month non-healing wound --One failed graft

Compromised skin grafts and skin flaps stand for a problem involving inadequate oxygen supply to tissue. Skin grafts typically survive as oxygen disperses into them from the original wound bed. Skin grafts can partially or fully have fail when there is not enough oxygen supplied. There are a few types of skin grafts which are: full-thickness grafts where all the layers of skin are used, split-thickness grafts in which only the top layers and some of the deep layers are used, as well as pedicle grafts where part of the skin remains to the donor site. Factors such as age, nutritional status, smoking, and previous radiation result in an erratic pattern of blood flow to the skin.

Hyperbaric oxygen therapy can be used to promote the development in new blood vessels tissues affected by a burn, radiation therapy or in patients with decreased perfusion or hypoxia.

Hyperbaric oxygen therapy is helpful in saving the failing grafts and flaps. However, it can also be used prior to surgery in order to prevent skin grafts and flaps from failing in the first place. Hyperbaric oxygen therapy also reduces swelling of the graft or flap by reducing edema. Hyperbaric oxygen therapy has a success rate of over 75% when dealing in compromised skin grafts and flaps.

< After 25 Tx / 5 Weeks Healthy (beefy / red) granulation tissue

< Then split thickness graft placed 100% acceptance

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