Compromised Grafts & Flaps

Summary

When a skin graft or surgical flap is failing, HBOT can rescue it by oxygenating the healing edge.

Typical protocol

2.0–2.5 ATA × 90 min, Once–twice daily initially, 10–20 sessions · UHMS

The evidence (1)

1. [1] An evidence-based appraisal of the use of hyperbaric oxygen on flaps and grafts

   POSITIVE

   Friedman HI, Fitzmaurice M, Lefaivre JF, et al. · Plastic and Reconstructive Surgery · 2006 · PMID 16799379

   Appraisal concluding HBOT improves salvage of compromised (but not primarily well-perfused) skin grafts and flaps, supporting its FDA-recognized use in this setting.

   Quality: Supports selective use in compromised tissue.