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Flap PrefabricationEffectiveness of Different Vascular Carriers

 

作者: Kwan Tark,   Robert Tuchler,   William Shaw,  

 

期刊: Annals of Plastic Surgery  (OVID Available online 1996)
卷期: Volume 37, issue 3  

页码: 298-304

 

ISSN:0148-7043

 

年代: 1996

 

出版商: OVID

 

数据来源: OVID

 

摘要:

A new experimental model of a vascular carrier to prefabricate a “secondary” island flap, the popliteal musculovascular pedicle, was developed in the rat. Using quantitative skin-surface fluorometry 30 minutes after sodium fluorescein injection and a flap survival area in the prefabricated 8 x 2.5-cm abdominal composite island flap, we compared the revascularization ability of our muscular carrier to nonrevascularized controls: the skeletonized arteriovenous pedicle and the fasciovascular pedicle. The free composite graft with no vascular carrier exhibited near-total necrosis. The skeletonized vascular pedicle demonstrated 15.2% 7.8% perfusion of normal skin on dye fluorescence index measurements and 50% flap survival. The fasciovascular pedicle exhibited better revascularization, with a dye fluorescence index of 36.2 15.5 (p< 0.01) and 90% 10% flap survival (p<0.001). India ink injection study and histological examination of our model provided visual evidence of revascularization from the musculovascular pedicle, along with preservation of the carrier's muscular architecture. The musculovascular pedicle is a reliable carrier for making new, vascularized composite flaps.

 

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