Evidence map›Paper›PMID 40011247›Full record

SynthesisAesthetic plastic surgery2025

Efficacy of Hyperbaric Oxygen Therapy as an Adjunct in Aesthetic Surgery: A Systematic Review and Meta-analysis of Postoperative Outcomes and Complications.

Hatan Mortada, José Emiliano González, Yousef M Husseiny, Imtinan Al Jabbar, Faris Sultan, Saad Alrobaiea, Omar Fouda Neel

Abstract readSystematic ReviewMeta-Analysis
PubMed Publisher
In one paragraph

Synthesis in Aesthetic plastic surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Hatan MortadaDivision of Plastic Surgery, Department of Surgery, King Saud University Medical City, King Saud University, Riyadh, Saudi Arabia. Hatanmortada@gmail.com.ORCID 0000-0003-1283-4136
José Emiliano GonzálezSchool of Medicine and Health Sciences, Instituto Tecnológico de Estudios Superiores de Monterrey ITESM, Campus Ciudad de México, Ciudad de México, México.
Yousef M HusseinySchool of Medicine, New Giza University, Giza, Egypt.
Imtinan Al JabbarCollege of Medicine, King Khalid University, Abha, Saudi Arabia.
Faris SultanDivision of Plastic Surgery, Department of Surgery, King Saud University Medical City, King Saud University, Riyadh, Saudi Arabia.
Saad AlrobaieaDepartment of Plastic Surgery and Burn Unit, Security Forces Hospital, Riyadh, Saudi Arabia.
Omar Fouda NeelDivision of Plastic Surgery, Department of Surgery, Mcgill University, Montreal, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAesthetic surgery has gained significant popularity due to advancements in techniques and increased societal acceptance. However, it is not without risks, including complications and delayed healing, which have sparked interest in adjunctive therapies such as hyperbaric oxygen therapy (HBOT). This systematic review and meta-analysis evaluates the efficacy of HBOT in improving postoperative outcomes in aesthetic surgery.

methodsA comprehensive literature search was conducted across multiple databases in December 2024, identifying studies involving patients who underwent aesthetic surgeries and received HBOT. Inclusion criteria focused on studies reporting outcomes related to wound healing, complication rates, and patient satisfaction. Primary outcomes assessed were healing time and complication rates, while secondary outcomes included patient satisfaction and overall aesthetic results. Study quality and risk of bias were evaluated using standardized assessment tools.

resultsEleven studies with 734 patients were included, with 416 (56.7%) receiving HBOT. Predominantly used postoperatively (90.9%), HBOT reduced healing times, with a pooled mean healing time of 11.30 days [95% CI: 10.46, 12.14]. Procedures included abdominoplasty (36.4%) and breast aesthetic surgeries (27.3%). HBOT protocols varied, with sessions lasting 45-120 minutes at pressures of 2.0-3.0 ATA. Patient satisfaction was consistently high, with early satisfaction rates up to 88.2%.

conclusionHBOT is an effective adjunct in aesthetic surgery, promoting faster recovery and greater patient satisfaction. However, the variability in study designs and HBOT protocols underscores the need for well-designed randomized controlled trials to establish standardized guidelines for its application in aesthetic and reconstructive procedures. LEVEL OF EVIDENCE II: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors  www.springer.com/00266 .

Indexed as

Hyperbaric OxygenationPlastic Surgery ProceduresPostoperative ComplicationsCombined Modality TherapyEstheticsHumansPatient SatisfactionTreatment OutcomeWound HealingAesthetic surgeryComplication ratesHyperbaric oxygen therapy (HBOT)Meta-analysisPatient satisfactionPostoperative outcomesRecovery timeSystematic reviewWound healing

Identifiers

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.