PREFABRICATION OF FREE FLAPS USING THE OMENTUM IN RATS

被引：11

作者：

ZHANG, L ^{[1
]}

TUCHLER, RE ^{[1
]}

CHANG, B ^{[1
]}

BAKSHANDEH, N ^{[1
]}

SHAW, WW ^{[1
]}

SIEBERT, JW ^{[1
]}

机构：

[1] NYU MED CTR,INST RECONSTRUCT PLAST SURG,MICROSURG RES LAB,NEW YORK,NY 10016

来源：

MICROSURGERY | 1992年 / 13卷 / 04期

关键词：

D O I：

10.1002/micr.1920130414

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

The omentum used as a vascular carrier is a new experimental model for prefabrication of free flaps in the rat. A 2.5 x 4 cm patch of omentum with gastroepiploic vessels and its rich vascular arcades was transferred under a bipedicled 2.5 x 6 cm right abdominal panniculocutaneous flap. At subsequent time intervals (postoperative days 0, 3, 5, 7, and 14), the skin pedicles were divided and the skin flap was raised as a composite island flap vascularized only by the underlying omental patch. The composite flap was then sutured back in place. Prefabricated flaps examined postoperatively demonstrated a dye fluorescence index (DFI) of 4.60% +/- 2.82% and 1.67% +/- 4.08% flap survival (FS) in the day 0 group; in the day 3 group, 9.83% +/- 1.47% of DFI and 15.00% +/- 10.35% of FS; in the day 5 group, 28.39% +/- 5.25% of DFI and 86.0% +/- 12.74% of FS (P < 0.05); in the day 7 group, 38.19% +/- 7.52% of DFI and 98.13% +/- 3.72% of FS (P < 0.05); and, in the day 14 group, 49.55% +/-6.70% of DFI and 100% of FS (P < 0.05). India-ink injection and histologic examination confirmed revascularization of the overlying skin by day 5.

引用

页码：214 / 219

页数：6

共 16 条

[1]

McLean DH, Buncke HJ, Autotransplant of omentum to a large scalp defect with microsurgical revascularization, Plast Reconstr Surg, 49, pp. 268-274, (1972)

[2]

Erol OO, Spira M, Development and utilization of a composite island flap employing omentum: Experimental investigation, Plast Reconstr Surg, 64, pp. 405-418, (1980)

[3]

Chang DS, Et al., Report of homotransplantation of omentum of dogs, Chinese J Organ Transplant, 2, pp. 86-88, (1981)

[4]

Buncke HJ, Free flap surgery‐scope and techniques, Scand J Plast Reconstr Surg (Supp), 19, pp. 81-93, (1982)

[5]

Irons GB, Witzke DJ, Arnold PG, Wood MB, Use of the omentum free flap for soft‐tissue reconstruction, Ann Plast Surg, 11, pp. 501-507, (1983)

[6]

Cheng HH, Chia SL, Ji SY, pp. 84-92, (1984)

[7]

Clement RW, Young VL, Marsh JL, Use of the greater omentum as a vascular supply for free flap transfer, Plast Reconstr Surg, 74, pp. 131-132, (1984)

[8]

Barrow DL, Nahai F, Tindall GT, The use of greater omentum vas‐cularized free flaps for neurosurgical disorders requiring reconstruc tion, J Neurosurg, 60, pp. 305-311, (1984)

[9]

Watkins RM, Thomas JM, The role of greater omentum in recon structing skin and soft tissue defects of the groin and axilla, fir, J Surg, 72, pp. 925-926, (1985)

[10]

Ohtsuka H, Shioya N, The fate of free omental transfers, fir, J Plast Surg, 38, pp. 478-482, (1985)

← 1 2 →