ISSN:0738-1085    

DOI:10.1002/micr.1920140302

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1993

数据来源: WILEY

ISSN:0738-1085    

DOI:10.1002/micr.1920140303

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1993

数据来源: WILEY

摘要:

AbstractThe effect of different pre‐existing health conditions on the results of reconstructive microvascular surgery are reviewed. These conditions include: age, vital organ failure, diabetes, arterial and venous diseases, medications, smoking, wound healing disorders, epidermolysis bullosa, hematological diseases, multiple injury patients, pregnancy, and neuropsychiatric disease. © 1993 Wiley‐Liss

ISSN:0738-1085    

DOI:10.1002/micr.1920140304

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1993

数据来源: WILEY

摘要:

AbstractFree flap flow failure can be either that of an artery and/or vein(s). One approach is to ascertain precisely which vessel(s) is compromised, then figure out whether the problem is on the patient's side or the flap side or at the anastomosis itself. A well perfused patient can minimize a patient‐side problem. An anastomotic problem can be revised with or without adding a graft. There is potential to avoid further anastomotic problems with the use of some form of anticoagulant. Problems on the flap side, if limited, can be dealt with by resection or repair. Anticoagulants may be of value. Occasionally, another free flap is needed. © 1993 Wiley‐Liss

ISSN:0738-1085    

DOI:10.1002/micr.1920140305

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1993

数据来源: WILEY

摘要:

AbstractFree tissue transfer is now a commonly used reconstructive tool. Vascular compromise is still a common complication and salvage rates of compromised flaps have been in the region of 50%. Numerous monitoring techniques have been tried but there is yet no single technique which has enjoyed universal acceptance. This paper reviews the available techniques and indicates where current trends are leading. © 1993 Wiley‐Liss I

ISSN:0738-1085    

DOI:10.1002/micr.1920140306

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1993

数据来源: WILEY

摘要:

AbstractIschemia reperfusion injury is reviewed in the context of the evolution of flap research over the past decade. A description of the clinical relevance of this field is presented and the possible etiologies are reviewed. The pathophysi‐ology of this injury is then explored in some detail. Both skin and myocuta‐neous flaps, in a variety of animal models, are discussed. Research performed in vitro, as well as in other organ systems similarly affected by ischemia and reperfusion, is also examined. Particular attention is placed on the function of several newly described inflammatory mediators where it appears relevant to future research and treatment in the field of reconstructive microsurgery. © 1993 Wiley‐Li

ISSN:0738-1085    

DOI:10.1002/micr.1920140307

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1993

数据来源: WILEY

摘要:

AbstractThis article provides a concise review on the potential causes of ischemia‐induced reperfusion (I/R) injury and pharmacologic intervention in the skeletal muscle. Special emphasis is placed on the recent observation of the acute ischemic preconditioning phenomenon for prevention of I/R injury in skeletal muscle. Finally, the mechanism of ischemic preconditioning and its clinical applications for augmentation of skeletal muscle tolerance to prolonged ischemic insult are discussed. © 1993 Wiley‐Liss

ISSN:0738-1085    

DOI:10.1002/micr.1920140308

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1993

数据来源: WILEY

摘要:

AbstractThe treatment modality of choice for venous insufficiency after free tissue transfer or replantation remains surgical repair. When this is not technically possible, the use of medical leeches is a useful adjunct to treatment. This paper reviews the history of the use of leeches in medicine, the anatomy and physiology ofHirudo medicinalis, the techniques of leech therapy, and the complications and contraindications. © 1993 Wiley‐Liss I

ISSN:0738-1085    

DOI:10.1002/micr.1920140309

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1993

数据来源: WILEY

摘要:

AbstractMicrovascular surgery plays a vital role in head and neck reconstruction. This paper deals with the complications arising from this form of surgery. They can be classified as general complications, anastomotic problems, and specific problems related to particular donor and recipient sites. © 1993 Wiley‐Liss I

ISSN:0738-1085    

DOI:10.1002/micr.1920140310

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1993

数据来源: WILEY

摘要:

AbstractComplications and unsatisfactory results in the microsurgical reconstruction of lower extremities were reviewed in a chronological sequence. Perioperative complications were grouped into the following categories: improper patient or donor tissue selection, unsatisfactory choice of recipient site vessels, inadequate exposure of recipient site vessels, improper „insetting”︁ of the free tissue transfer, extralumenal obstruction, and miscellaneous adverse factors. Vascular changes in the limb as a result of free tissue transfer are discussed. Discussion of late postoperative problems includes the long‐term results of soft tissue and skeletal reconstruction. © 1993 Wiley

ISSN:0738-1085    

DOI:10.1002/micr.1920140311

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1993

数据来源: WILEY