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首页> 外文期刊>Undersea and Hyperbaric Medicine: Journal of the Undersea and Hyperbaric Medical Society >Skin-sparing mastectomy flap ischemia salvage using urgent hyperbaric chamber oxygen therapy: A case report
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Skin-sparing mastectomy flap ischemia salvage using urgent hyperbaric chamber oxygen therapy: A case report

机译：紧急高压氧舱保全保皮乳房切除术皮瓣缺血一例

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摘要

Since its introduction in 1991, skin-sparing mastectomy has emerged as an acceptable surgical technique in the management of breast cancer patients, providing optimal oncological safety and efficacy with favorable aesthetic results. Rates of native skin flap ischemia and necrosis after skin-sparing mastectomy are 2%-30% and result in a decreased aesthetic outcome and delay of necessary adjuvant treatment. Hyperbaric oxygen therapy has been advocated for the management of various compromised flaps, and when instituted immediately postoperatively, may prevent progression of ischemia into necrosis. We report the case of a 41-year-old female who developed skin flap ischemia after undergoing skin-sparing mastectomy and was immediately treated with hyperbaric oxygen. The patient received a total of five hyperbaric oxygen therapy sessions, achieving full resolution of the ischemia without any complications. Further research is essential to determine the role of hyperbaric oxygen therapy in managing skin flap ischemia post skin-sparing mastectomy. Until such studies exist, hyperbaric oxygen therapy may be considered a preferred option in the management of native skin flap ischemia after skin-sparing mastectomy.
机译：自从1991年推出以来，保留皮肤的乳房切除术已成为乳腺癌患者管理中可以接受的外科手术技术，它提供了最佳的肿瘤学安全性和疗效，并具有良好的美学效果。保留皮肤的乳房切除术后自然皮瓣缺血和坏死的发生率为2％-30％，这会导致美学效果下降并延迟必要的辅助治疗。高压氧疗法已被提倡用于处理各种受损的皮瓣，并且在术后立即实施时，可防止缺血发展为坏死。我们报道了一名41岁女性，在进行保留​​皮肤的乳房切除术后出现皮瓣缺血并立即接受高压氧治疗的情况。该患者总共接受了五次高压氧治疗，从而完全消除了缺血，没有任何并发​​症。进一步的研究对于确定高压氧疗法在保留皮肤保留乳房切除术后处理皮瓣缺血中的作用至关重要。在进行此类研究之前，高压氧治疗可能在保留皮肤的乳房切除术后自然皮瓣缺血的治疗中被视为首选方案。

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