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Oxygen and Healing Wounds: Tissue-Bone Repair Enhancement

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Handbook on Hyperbaric Medicine

Abstract

The major uses of hyperbaric oxygenation are based on its application as a therapeutic adjunct in the management of repair in tissues that are chronically hypoxic, where local oxygen tension is below optimal for healing. The injury that originally creates the wound injures local blood vessels. Injured vessels thrombose while nearby vessels dilate; thrombocytes and leukocytes adhere to the endothelium, and the leukocytes soon migrate through the vessels walls into the wounded tissue. Within a few hours the injured area becomes infiltrated with rapidly metabolizing leukocytes and macrophages that will later be r eplaced by fibroblasts, which require oxygen at high partial pressures in order to perform their functions. Consequently, the oxygen requirement of the repair process is greatest at the very time when the local circulation is least able to satisfy it. Because the requirements of inflammation and repair overwhelm the capacity of nutritional supply, the wound soon faces a local energy crisis [19].

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Authors and Affiliations

  1. Department of Surgery, University of Turku, Turku, 20520, Finland

    J. Niinikoski

  2. Department of Surgery, University of California School of Medicine, San Francisco, California, 94143-0522, USA

    T. K. Hunt

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  1. J. Niinikoski
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  2. T. K. Hunt
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Editors and Affiliations

  1. Anaesthesia, Intensive and Hyperbaric Care Department, Istituto Ortopedico Galeazzi, Via Riccardo Galeazzi 4, 20161, Milano, Italy

    G. Oriani

  2. Divers Alert Network Europe, Via Puglie 82, 64026, Roseto degli Abruzzi, Italy

    A. Marroni

  3. Service de Réanimation Mèdicale et de Médicine Hyperbare, Hôpital Albert Calmette, Blvd. du Prof. Leclercq, 59037, Lille Cedex, France

    F. Wattel

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© 1996 Springer-Verlag Italia, Milano

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Niinikoski, J., Hunt, T.K. (1996). Oxygen and Healing Wounds: Tissue-Bone Repair Enhancement. In: Oriani, G., Marroni, A., Wattel, F. (eds) Handbook on Hyperbaric Medicine. Springer, Milano. https://doi.org/10.1007/978-88-470-2198-3_15

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  • DOI: https://doi.org/10.1007/978-88-470-2198-3_15

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