Transepidermal oxygen flux measurement - First clinical application for postoperative wound monitoring

Ranieri, M. and Klein, S. and Taeger, C. and Kotrade, A. and Nerlich, M. and Dolderer, J. and Prantl, L. and Geis, S. (2017) Transepidermal oxygen flux measurement - First clinical application for postoperative wound monitoring. CLINICAL HEMORHEOLOGY AND MICROCIRCULATION, 66 (2). pp. 175-182. ISSN 1386-0291, 1875-8622

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Abstract

BACKGROUND: Measurement of skin oxygen is of great interest in diverse fields of medicine. Different pathologies, e.g. infection, ischemia cancer or chronic wounds show a characteristic oxygen distribution and skin oxygen tension. Additionally diverse operative procedures require a reliable postoperative monitoring in order to ensure success of the therapy. OBJECTIVE: Aim of this study was to assess transepidermal oxygen flux for postoperative wound monitoring after operative treatment of fractures close to the hip. METHODS: 22 patients underwent transepidermal oxygen flux measurement at the first postoperative day. Transepidermal oxygen flux measurement was performed using ratiometric luminescence imaging. Examination was conducted in close proximity to the operation wound. The corresponding area at the contralateral side served as reference. RESULTS: Oxygen flux in the operation area was higher (0.084 +/- 0.021) than the contralateral side (0.071 +/- 0.029). CONCLUSIONS: Transepidermal oxygen flux imaging by ratiometric luminescence imaging seems to be a reliable tool to assess postoperative wound healing. However further investigations in greater populations and under pathologic conditions have to be performed to prove these first results.

Item Type: Article
Uncontrolled Keywords: FREE FLAPS; TISSUE; HYPOXIA; TENSION; PRESSURE; CLAUDICATION; ISCHEMIA; MUSCLE; CANCER; Tissue oxygenation; wound monitoring; postoperative monitoring; microcirculation
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Unfallchirurgie
Medicine > Lehrstuhl für Mund-, Kiefer- und Gesichtschirurgie
Depositing User: Dr. Gernot Deinzer
Date Deposited: 14 Dec 2018 12:57
Last Modified: 21 Feb 2019 13:11
URI: https://pred.uni-regensburg.de/id/eprint/7

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