Evidence map›Paper›PMID 42037844›Full record

ReviewCureus2026

Hyperbaric Oxygen Therapy in Surgical Wound Healing and Tissue Salvage: A Structured Narrative Review.

José Emiliano González Flores, Aarón Gonzalez Espinosa, Manuel Esaú Tamayo-Gómez, Stephanie Johanna Chon Pineda, Dalia Azucena de Luna Vega, Patricia Gomez Roblero, Juan Hiram Marquez Moreno, Aline Gonzalez Martinez, Emilio Godínez Lazarini, Jeffrey Barragan Ortega and 2 more

Abstract readReview
In one paragraph

Review in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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

12 authors.

José Emiliano González FloresSchool of Medicine and Health Sciences, Tecnológico de Monterrey - Campus Ciudad de Mexico, Mexico City, MEX.
Aarón Gonzalez EspinosaDepartment of General and Plastic Surgery, Universidad Nacional Autónoma de México (UNAM), Mexico City, MEX.
Manuel Esaú Tamayo-GómezDepartment of General Surgery, Hospital General de Especialidades "Dr. Javier Buenfil Osorio", Campeche, MEX.
Stephanie Johanna Chon PinedaSchool of Medicine and Health Sciences, Tecnológico de Monterrey - Campus Ciudad de México, Mexico City, MEX.
Dalia Azucena de Luna VegaDepartment of Investigation, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, MEX.
Patricia Gomez RobleroSchool of Medicine, Universidad Juárez Autónoma de Tabasco, Villahermosa, MEX.
Juan Hiram Marquez MorenoSchool of Medicine, Universidad Autónoma de Guadalajara, Guadalajara, MEX.
Aline Gonzalez MartinezDepartment of Investigation, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, MEX.
Emilio Godínez LazariniDepartment of Internal Medicine, Hospital Central Norte de PEMEX, Mexico City, MEX.
Jeffrey Barragan OrtegaDepartment of Investigation, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, MEX.
Diego RuizDepartment of Investigation, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, MEX.
Andrea Navalón CalzadaDepartment of Surgery, Hospital Español, Mexico City, MEX.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Surgical wound complications remain a major source of postoperative morbidity, particularly in the setting of tissue hypoxia, ischemia, and impaired perfusion. Hyperbaric oxygen therapy (HBOT) has emerged as an adjunctive modality aimed at enhancing tissue oxygen delivery and optimizing wound healing dynamics across diverse surgical contexts. A structured narrative review of the literature was conducted using PubMed/MEDLINE to identify clinical studies, systematic reviews, and translational investigations evaluating the role of HBOT in surgical wound healing and tissue salvage. The search included articles published from January 2000 to February 2026. Evidence was synthesized descriptively, focusing on mechanistic pathways, clinical indications, reconstructive applications, and reported outcomes. HBOT exerts therapeutic effects through multiple physiological mechanisms, including enhanced plasma-dissolved oxygen delivery, angiogenesis stimulation, fibroblast proliferation, collagen synthesis, and immunomodulation. Clinical evidence supports its use in chronic ischemic wounds, such as diabetic foot ulcers, venous leg ulcers, burn injuries, and radiation-induced tissue damage, demonstrating improved wound closure rates and reduced infection risk. In reconstructive surgery, HBOT has shown benefit in compromised grafts, ischemic flaps, traumatic soft-tissue injuries, and breast reconstruction salvage. Reported outcomes include enhanced tissue viability, reduced necrosis progression, improved graft integration, and decreased amputation rates in high-risk populations. HBOT represents a biologically active adjunct capable of enhancing surgical wound healing and tissue salvage through multifactorial regenerative mechanisms. As its applications continue to expand into reconstructive and aesthetic surgical domains, HBOT is positioned to play an increasingly integrative role within multidisciplinary perioperative care and complex wound management strategies.

Indexed as

angiogenesischronic woundsdiabetic foot ulcersflap ischemiagraft survivalhyperbaric oxygen therapypostoperative complicationsreconstructive surgerysurgical wound healingtissue salvage

Identifiers

PMID42037844
PMCPMC13109970

What OpenQuestion holds

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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.