Hyperbaric Oxygen Preconditioning Can Reduce Postabdominoplasty Complications: A Retrospective Cohort Study
Tali Friedman1,2, Shaked Menashe1,2, Geva Landau1,2
1Department of Plastic Surgery, Assaf Harofeh Medical Center, Zerifin, Israel.
Plastic and Reconstructive Surgery. Global Open
|November 28, 2019
Summary
Preoperative hyperbaric oxygen therapy (HBOT) significantly reduced abdominoplasty complications, including necrosis. This finding suggests HBOT is a valuable preconditioning treatment for surgical patients.
Area of Science:
- Plastic Surgery
- Hyperbaric Medicine
- Wound Healing
Background:
- Abdominoplasty has a high complication rate.
- Hyperbaric oxygen therapy (HBOT) shows promise in wound healing and preconditioning.
- Preoperative HBOT may mitigate postsurgical complications.
Purpose of the Study:
- To evaluate the efficacy of preoperative HBOT in reducing abdominoplasty complications.
- To assess HBOT's role as a preconditioning treatment for surgical outcomes.
Main Methods:
- Retrospective cohort study of 356 abdominoplasty patients (2012-2017).
- Comparison of patients receiving preoperative HBOT versus those who did not.
- Collection of complication, demographic, and clinical data.
Main Results:
- Preoperative HBOT reduced overall complications from 32.6% to 8.4% (P <0.001).
- Necrosis rates decreased significantly, with 0 cases in the HBOT group versus 6.2% in the control group (P = 0.016).
- Multivariate analysis confirmed HBOT as an independent protective factor (OR, 0.188; P < 0.001).
Conclusions:
- Preoperative HBOT is effective in lowering postoperative complication rates for abdominoplasty.
- Further prospective research is needed to confirm findings and identify optimal patient candidates for HBOT.
