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Updated: Mar 20, 2026

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
Published on: May 17, 2024
Hyperbaric Oxygen following Bilateral Skin-sparing Mastectomies: A Case Report
Libby R Copeland-Halperin1, Sarah B Bruce1, Ali N Mesbahi1
1Department of Surgery, Inova Fairfax Hospital, Fairfax, Va.; and Department of Plastic Surgery, Georgetown University Hospital, Wash.
Hyperbaric oxygen therapy can successfully salvage ischemic skin flaps following nipple-sparing mastectomy. This treatment offers a potential solution for complications after breast cancer surgery.
Area of Science:
- Plastic Surgery
- Oncology
- Hyperbaric Medicine
Background:
- Nipple-sparing mastectomy is a breast cancer surgery with potential complications like skin flap ischemia.
- Ischemic complications can lead to flap necrosis and impact aesthetic outcomes.
Observation:
- A case study involving a patient who developed ischemic skin flaps post-nipple-sparing mastectomy.
- The patient received hyperbaric oxygen therapy (HBOT) as an intervention.
Findings:
- Hyperbaric oxygen therapy was effective in salvaging the compromised skin flaps.
- HBOT promoted tissue viability and successful flap survival.
Implications:
- Hyperbaric oxygen therapy may be a valuable adjunct treatment for managing ischemic complications after nipple-sparing mastectomy.
- This approach could improve patient outcomes and reduce the need for reconstructive surgery.
- Further research is warranted to establish HBOT protocols for this indication.
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