Oxigenoterapia Hiperbarica para ayudar con Injertos y Colgajos Comprometidos

¿CON QUE PUEDE AYUDAR LA CÁMARA HIPERBÁRICA EN INJERTOS Y COLGAJOS COMPROMETIDOS?

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La terapia de oxígeno hiperbárico (TOHB), usando presiones mayores a 2.0 ATA, se utiliza en casos de injertos y colgajos comprometidos para:

  1. Aumento de oxígeno: Mejora el suministro de oxígeno a los tejidos en un entorno de alta presión, lo que favorece la curación.

  2. Aumento de la vascularización: Estimula la formación de nuevos vasos sanguíneos, mejorando el flujo sanguíneo.

  3. Reducción de la inflamación: Disminuye la inflamación local, facilitando la circulación.

  4. Apoyo a la resistencia a infecciones: Refuerza el sistema inmunológico, reduciendo el riesgo de infecciones.

  5. Promoción de la curación: Acelera el proceso de curación, permitiendo una regeneración más rápida de los tejidos.

LA TERAPIA HIPERBÁRICA PARA AYUDAR A SANAR INJERTOS O COLGAJOS COMPROMETIDOS

La terapia de oxígeno hiperbárico (TOHB) ha demostrado ser beneficiosa en la promoción de la curación de injertos y colgajos comprometidos. En estos procedimientos quirúrgicos, el suministro de oxígeno es esencial para garantizar la viabilidad de los tejidos trasplantados. La TOHB ofrece un ambiente enriquecido con oxígeno bajo presión, lo que aumenta significativamente la oxigenación de los tejidos afectados. Esto estimula la formación de nuevos vasos sanguíneos, acelera la regeneración del tejido y fortalece el sistema inmunológico, reduciendo el riesgo de infecciones. En última instancia, la TOHB mejora la tasa de éxito de los injertos y colgajos, promoviendo una recuperación más rápida y efectiva

¿CUÁNTAS SESIONES SE NECESITAN?

La cantidad de sesiones de terapia de oxígeno hiperbárico (TOHB) recomendadas para injertos y colgajos comprometidos puede variar según la gravedad del caso y la respuesta del paciente. Por lo general, se recomienda un curso de varias sesiones, que suele ser de 20 a 40 sesiones, usando presiones de 2.0 ATA, administradas a lo largo de varias semanas. Incluso si se toman 10-20 sesiones antes de la intervención quirúrgica y el resto después de la intervención, aumenta el porcentaje de sobrevivencia del tejido. Sin embargo, no hay que olvidar, la decisión final sobre la cantidad de sesiones y la duración del tratamiento se basará en la evaluación de un médico especializado en medicina hiperbárica, quien considerará las necesidades específicas del paciente y la evolución de su condición. Es importante seguir las recomendaciones de su equipo médico para obtener los mejores resultados.

UHMS INJERTOS Y COLGAJOS - PAGINA
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CÓMO SIRVE LA TERAPIA EN CÁMARA HIPERBÁRICA PARA INJERTOS Y COLGAJOS COMPROMETIDOS

Mas detallado con estudios de soporte

Liceaga, D. E. (2014). GUÍAS CLÍNICAS DE DIAGNÓSTICO Y TRATAMIENTO DEL SERVICIO DE CÁMARA HIPERBÁRICA. Ciudad de Mexico: Hospital General de Mexico.

Undersea and Hyperbaric Medical Society. (2021). Indications for Hyperbaric Oxygen Therapy. Retrieved from https://www.uhms.org/resources/hbo-indications.html

Chapter 5: The Effect of Hyperbaric Oxygen on Compromised Grafts and Flaps
Shawna Kleban MD, Richard C. Baynosa MD (corresponding author)
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