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高压氧舱在美容整形手术中用于恢复和预防并发症的应用经验。

Experience of Hyperbaric Chamber Usage in Aesthetic Plastic Surgery Practice for Recovery and Complication Prevention.

作者信息

Aguilar Hugo A, Ramírez Brian A, Serrano Hector M, Villabona Silvia J, Hoyos Alfredo E, Varela Agustina

机构信息

From the HAV Academy, Bucaramanga, Colombia.

Research Inc, Bogota, Colombia.

出版信息

Plast Reconstr Surg Glob Open. 2024 Nov 5;12(11):e6264. doi: 10.1097/GOX.0000000000006264. eCollection 2024 Nov.

Abstract

BACKGROUND

Hyperbaric oxygen therapy (HBOT) increases oxygen concentration in affected tissues that enhance the cellular hypoxia recovery process, neovascularization, fibroblast proliferation, increased reactive oxygen species, suppression of proinflammatory states, and vascular compression. The aim of this article is to demonstrate the experience in the use of the hyperbaric chamber as an adjunctive management for the prompt recovery of patients who underwent aesthetic plastic surgery.

METHODS

A retrospective descriptive study was conducted between 2021 and 2023, involving 296 patients who received HBOT after aesthetic surgical procedures, to demonstrate the recuperation time rate and the complication incidence in postoperative patients using HBOT.

RESULTS

Most participants were women, with a median age of 33.5 years. Surgical procedures were grouped in liposculpture, abdominoplasty, and breast interventions. Complications related to the surgical event were low (10.7%), with occurrences of hematomas (n = 14, 4.72%), anemias (n = 9, 3.04%), and wound dehiscence (n = 8, 2.70%). There were no reports of surgical site infections or necrosis. Recovery times to get back to work were 10 days for liposuction, 3 days for breast interventions, and 21 days for abdominoplasty.

CONCLUSIONS

This study demonstrated the experience of using a postoperative hyperbaric chamber in aesthetic plastic surgery to promote recovery processes. The patient cohort in this study showed shortened recovery times than the data obtained from the major international plastic surgery organizations. Also, HBOT patients had a low complication rate, without infections, indicating the potential efficacy of this adjunctive therapy. Overall, this study underscores the promising role of hyperbaric chamber therapy in facilitating postoperative recovery and mitigating complications.

摘要

背景

高压氧疗法(HBOT)可提高受影响组织中的氧浓度,从而增强细胞缺氧恢复过程、促进新血管形成、成纤维细胞增殖、增加活性氧、抑制促炎状态以及减轻血管压迫。本文旨在展示使用高压氧舱作为接受美容整形手术患者快速康复辅助治疗手段的经验。

方法

在2021年至2023年期间进行了一项回顾性描述性研究,纳入了296例美容手术后接受HBOT的患者,以证明使用HBOT的术后患者的恢复时间率和并发症发生率。

结果

大多数参与者为女性,中位年龄为33.5岁。手术程序分为抽脂术、腹部整形术和乳房手术。与手术相关的并发症发生率较低(10.7%),出现血肿(n = 14,4.72%)、贫血(n = 九,3.04%)和伤口裂开(n = 8,2.70%)。没有手术部位感染或坏死的报告。抽脂术后恢复工作的时间为10天,乳房手术后为3天,腹部整形术后为21天。

结论

本研究展示了在美容整形手术中使用术后高压氧舱促进恢复过程的经验。本研究中的患者队列显示恢复时间比从主要国际整形手术组织获得的数据缩短。此外,接受HBOT治疗的患者并发症发生率较低,无感染,表明这种辅助治疗具有潜在疗效。总体而言,本研究强调了高压氧舱治疗在促进术后恢复和减轻并发症方面的前景。

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Oxidative stress is fundamental to hyperbaric oxygen therapy.氧化应激是高压氧治疗的基础。
J Appl Physiol (1985). 2009 Mar;106(3):988-95. doi: 10.1152/japplphysiol.91004.2008. Epub 2008 Oct 9.

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