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Article type: Research Article
Authors: Ranieri, M.a | Klein, S.a | Taeger, C.a | Kotrade, A.a | Nerlich, M.b | Dolderer, J.a | Prantl, L.a | Geis, S.a; *
Affiliations: [a] Center of Plastic, Hand and Reconstructive Surgery, University Hospital Regensburg, Regensburg, Germany | [b] Department of Trauma Surgery, University Hospital Regensburg, Regensburg, Germany
Correspondence: [*] Corresponding author: PD Dr. Sebastian Geis, Center of Plastic, Hand and Reconstructive Surgery, University Hospital Regensburg, Franz-Josef-Strauss Allee 11, 93053, Regensburg, Germany. Tel.: +49 9419446763; E-mail: sebastian.geis@ukr.de.
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.
Keywords: Tissue oxygenation, wound monitoring, postoperative monitoring, microcirculation
DOI: 10.3233/CH-170265
Journal: Clinical Hemorheology and Microcirculation, vol. 66, no. 2, pp. 175-182, 2017
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