Use of hyperbaric oxygen therapy for tissue ischemia after breast reconstruction. (Record no. 4626)

MARC details
000 -LEADER
fixed length control field 02683nam a22003497a 4500
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 191010s20192019 xxu||||| |||| 00| 0 eng d
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER
International Standard Serial Number 1066-2936
040 ## - CATALOGING SOURCE
Original cataloging agency Ovid MEDLINE(R)
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC)
PMID 31509902
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Title Use of hyperbaric oxygen therapy for tissue ischemia after breast reconstruction.
251 ## - Source
Source Undersea & Hyperbaric Medicine. 46(4):461-465, 2019 Jun-Jul-Aug - Third Quarter.
252 ## - Abbreviated Source
Abbreviated source Undersea Hyperb Med. 46(4):461-465, 2019 Jun-Jul-Aug - Third Quarter.
253 ## - Journal Name
Journal name Undersea & hyperbaric medicine : journal of the Undersea and Hyperbaric Medical Society, Inc
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Year 2019
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Manufacturer FY2019
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE]
Publication status ppublish
266 ## - Date added to catalog
Date added to catalog 2019-10-10
520 ## - SUMMARY, ETC.
Abstract Conclusions: A short course of HBO2 may be sufficient to successfully rescue at risk post-mastectomy breast flaps. ICGA is a useful adjunct for evaluating post-mastectomy breast flap perfusion before and after HBO2 therapy. Copyright(c) Undersea and Hyperbaric Medical Society.
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Abstract Introduction: Mastectomy skin flap necrosis represents a significant complication of breast reconstructive procedures and is reported to occur in 30%-52% of patients undergoing breast reconstruction. Early identification of ischemia and early initiation of hyperbaric oxygen (HBO2) therapy can mitigate the effects of ischemia and rescue otherwise non-viable breast flap tissue.
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Abstract Methods: We retrospectively examined the outcomes of HBO2 therapy in eight breasts with compromised mastectomy skin flaps between September 2015 and January 2017. Indocyanine green angiography (ICGA) was used to assess perfusion intraoperatively and post-HBO2 administration.
520 ## - SUMMARY, ETC.
Abstract Results: Seven patients were referred for HBO2 within 24 hours of mastectomy. One patient failed to improve despite starting hyperbaric treatment within 24 hours. All other patients manifested successful healing of their mastectomy skin flaps with acceptable cosmesis after 10 HBO2 treatments. The mean relative perfusion of the at-risk area was 13.8% (+/-3.7%) pre-HBO2 and 101.6% (+/-37.3%) post-HBO2. The average area at-risk pre-HBO2 was 17.1 cm2 and reduced to zero post-HBO2. Relative perfusion values after HBO2 were found to be 6.8 (+/-3.4) times greater than those measured prior to HBO2.
546 ## - LANGUAGE NOTE
Language note English
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element IN PROCESS -- NOT YET INDEXED
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME
Institution MedStar Washington Hospital Center
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Department Surgery/Plastic Surgery
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Department Surgery/Podiatric Surgery
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Medline publication type Journal Article
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Local Authors Elmarsafi, Tammer
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Local Authors Walters, Elliot T
790 ## - Authors
All authors Elmarsafi T, Johnson-Arbor KK, Pittman TA, Rajpal N, Walters ET
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type Journal Article
Item type description Article
Holdings
Withdrawn status Lost status Damaged status Not for loan Collection Home library Current library Date acquired Total Checkouts Full call number Barcode Date last seen Price effective from Koha item type
          MedStar Authors Catalog MedStar Authors Catalog 10/10/2019   31509902 31509902 10/10/2019 10/10/2019 Journal Article

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