When a doctor applies a skin graft or flap for conditions such as traumatic wounds, burns, infections or skin cancer wounds, they can at times have trouble healing. When such a graft or flap becomes compromised and is not salvageable, hyperbaric oxygen treatments (HBOT) can be crucial as an urgent intervention. Numerous studies have been conducted over the last 45 years clarifying the value of HBOT for the survival of threatened or compromised grafts and flaps.
Time is of the essence in starting HBOT for threatened grafts or flaps, so start HBOT immediately. In fact, the typical protocol for compromised skin grafts or flaps is to start with two treatments per day to salvage as much tissue as early as possible.
Situations requiring HBOT include venous or arterial insufficiency, irradiated or hypoxic (lacking oxygen) wound beds, random flap ischemia, ischemia-reperfusion injuries, excessively large harvested grafts and grafts or flaps secondary to trauma.
We have 20 years of experience helping patients with compromised grafts or flaps heal and get back to living normal lives. Call us, so we can help.
Tomas, a genial man, had suffered from compartment syndrome and had been in the hospital for three different surgeries on his abdomen. He had a graft that was not healing and not getting the oxygen and the blood supply it needed to heal. His vascular surgeon called Bay Area Hyperbarics to get him in ASAP because it was not healing and the graft was not thriving. With HBOT, Tomas’s belly healed up completely without any further surgeries– to his great relief!
Christopher was a happy, cheerful and active boy when he came to Bay Area Hyperbarics. Christopher’s parents had a farm in the central valley of California. Unfortunately, Christopher got too close to a tractor one day, which ran over his five toes and crushed them. After surgery, he healed and ran around just fine.
However, when the toes healed, they healed with webbing between them. There was concern that as he grew, the webbing would cause difficulties. So, the surgeon separated the toes, but because of the prior trauma, they would not heal. In essence, the blood supply was limited, and thus not enough oxygen was being carried into the toes. Christopher came to us and watched his favorite movies while sitting in the hyperbaric oxygen chamber with his Dad. His toes healed up just fine. The hyperbaric oxygen treatments grew new microscopic blood vessels, which in turned delivered more oxygen to his toes. Everyone was pleased with the way Christopher’s toes healed up.
Lisa St John MS, Clinic Director; Dr Jeffrey Kaplan, Medical Director; Laura Jean RN, Director of Patient Care
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