Abstract:
:Perforator flaps are widely used in reconstructive surgery, but little is known about the hemodynamic changes within these flaps. Recently, the blood velocity in the perforator artery was shown to be higher than that at the source vessel. This study was carried out to demonstrate the effect of this increased velocity within the perforators in the cutaneous microcirculation of the perforator flap. Twenty-six consecutive patients who underwent unilateral immediate breast reconstruction with deep inferior epigastric perforator (DIEP) flaps were selected. A 3-stage prospective study using 2 laser Doppler probes was carried out. Stage 1: preoperative measurements; Stage 2: immediate postoperative measurements; Stage 3: postoperative measurements after 3 months. Statistically significant increase of blood velocity in the microcirculation of DIEP flaps was demonstrated in stages 2 and 3 when compared with stage 1 (P < 0.01, Friedman and Wilcoxon tests). The higher blood velocity within the perforator flap microcirculation may be a favorable rheologic feature of perforator flaps.
journal_name
Ann Plast Surgjournal_title
Annals of plastic surgeryauthors
Figus A,Ramakrishnan V,Rubino Cdoi
10.1097/SAP.0b013e318145be31subject
Has Abstractpub_date
2008-06-01 00:00:00pages
644-8issue
6eissn
0148-7043issn
1536-3708pii
00000637-200806000-00012journal_volume
60pub_type
杂志文章abstract::Venous thromboembolism has become a target for research by the American Society of Plastic Surgery. The current article reviews the steps that plastic surgeons and the American Society of Plastic Surgery have taken for creating guidelines in our field. We summarized the current reported incidences of venous thromboemb...
journal_title:Annals of plastic surgery
pub_type: 杂志文章,评审
doi:10.1097/SAP.0b013e3181e35c79
更新日期:2011-03-01 00:00:00
abstract:BACKGROUND:Ensuring that published studies are of the highest methodological quality is a critical step in plastic surgery's transition to a more evidence-based field. Reporting guidelines and reporting of clinical trial registration may serve as promising avenues of increasing the methodological quality in plastic sur...
journal_title:Annals of plastic surgery
pub_type: 杂志文章
doi:10.1097/SAP.0000000000001476
更新日期:2018-08-01 00:00:00
abstract::Basal cell carcinoma is the most common type of malignant cutaneous neoplasm found in man. Rarely, however, is it life-threatening or does it metastasize. A review of the literature revealed 138 cases of metastatic basal cell carcinoma. We describe 3 additional patients with metastatic basal cell carcinoma who were tr...
journal_title:Annals of plastic surgery
pub_type: 杂志文章
doi:10.1097/00000637-198312000-00017
更新日期:1983-12-01 00:00:00
abstract:INTRODUCTION:Sacropelvic resection is the treatment of choice for pelvic bone tumors and can be associated with intraoperative electron radiotherapy (IOERT) to optimize local control of the disease. Reconstruction with flaps also is essential to avoid pelvic complications. There is scarcity of publications evaluating o...
journal_title:Annals of plastic surgery
pub_type: 杂志文章
doi:10.1097/SAP.0000000000002571
更新日期:2020-12-15 00:00:00
abstract::Biomechanical tests of torsional loading and cantilevered bending were used to study the effects of varying screw size design of five different titanium miniscrews and microscrews in a metacarpal spiral oblique fracture model. Sixty-six fresh frozen human cadaveric metacarpal bones were subjected to torsional loading ...
journal_title:Annals of plastic surgery
pub_type: 杂志文章
doi:10.1097/00000637-199607000-00006
更新日期:1996-07-01 00:00:00
abstract:BACKGROUND:Pulmonary complications are common among patients who have undergone major oral cancer surgery with microvascular reconstruction. Current literatures focused on early-onset pneumonia in the postoperative acute stage. In contrast, we are aiming to identify the clinical importance and the risk factors associat...
journal_title:Annals of plastic surgery
pub_type: 杂志文章
doi:10.1097/SAP.0000000000002170
更新日期:2020-01-01 00:00:00
abstract::The author addresses rippling of the breast in patients with breast implants as a result of breast reconstruction or in cases of primary or secondary breast augmentation. The technique consists of rotating a flap of scar tissue from thicker parts of the breast to the thin, affected areas. The technique is simple both ...
journal_title:Annals of plastic surgery
pub_type: 杂志文章
doi:10.1097/00000637-200205000-00009
更新日期:2002-05-01 00:00:00
abstract::The Lymphatic Microsurgical Preventing Healing Approach (LYMPHA) procedure entails performing a lymphovenous bypass (LVB) at the time of axillary lymph node dissection to reduce lymphedema risk. The two most common fluorophores utilized in LVB are blue dye and indocyanine green. We developed a novel application of flu...
journal_title:Annals of plastic surgery
pub_type: 杂志文章
doi:10.1097/SAP.0000000000001034
更新日期:2017-06-01 00:00:00
abstract:INTRODUCTION:Breast implant selection is multifactorial and must assess risk profiles of the implants. Textured implants are available in an anatomically shaped form and are thought to have lower rates of capsular contracture. However, evidence is mounting that they carry a significantly higher risk of breast implant a...
journal_title:Annals of plastic surgery
pub_type: 杂志文章
doi:10.1097/SAP.0000000000001880
更新日期:2019-04-01 00:00:00
abstract::Aggressive thinning of the muscle from the pedicle of a gastrocnemius musculocutaneous flap can change the nature of that pedicle radically. Instead of being bulky and causing contour deformity, the pedicle is reduced to a vascular leash that has virtually no effect on contour at all. Radical thinning of this type was...
journal_title:Annals of plastic surgery
pub_type: 杂志文章
doi:10.1097/00000637-198910000-00018
更新日期:1989-10-01 00:00:00
abstract::Eight patients with fronto-orbito-sphenoidal fibrous dysplasia, aged between 9 and 37 years, half of them male, were radically or nearly radically excised with immediate autogenous bone graft reconstruction. They had had frontal bulging and proptosis on the affected sides for 3 to 20 years. Four had decreased vision o...
journal_title:Annals of plastic surgery
pub_type: 杂志文章
doi:10.1097/00000637-198509000-00002
更新日期:1985-09-01 00:00:00
abstract:BACKGROUND:Chest wall reconstruction after radiation damage is a challenge in oncologic and plastic surgery. The defect can be reconstructed with laparoscopically harvested omental flap and meshed skin grafts. Our aim was to evaluate the use of vacuum-assisted closure (V.A.C.) in combination with laparoscopically harve...
journal_title:Annals of plastic surgery
pub_type: 杂志文章
doi:10.1097/01.sap.0000237644.29878.0f
更新日期:2007-02-01 00:00:00
abstract::CO2 laser has been used for the treatment of 22 patients with xanthelasma palpebrarum. This office procedure done under local anesthesia is fast and easy. The lipomatous yellow plaques are accurately photovaporized in a bloodless field, layer by layer, until the lesion is totally eradicated. The treated area heals by ...
journal_title:Annals of plastic surgery
pub_type: 杂志文章
doi:10.1097/00000637-199312000-00005
更新日期:1993-12-01 00:00:00
abstract::Crushing injuries, including electrical burns on the dorsum of the foot, result in extensive tissue loss and exposure of bone and tendon. Debridement and covering of the wound with richly vascularized tissue are necessary at an early date. Flaps for the dorsum of the foot should be thin and the donor tissue to be sacr...
journal_title:Annals of plastic surgery
pub_type: 杂志文章
doi:10.1097/00000637-198509000-00011
更新日期:1985-09-01 00:00:00
abstract::Twenty patients with capillary/cavernous hemangiomas of the periorbital area (eyelid, eyebrow, nose extending to canthus) have been treated with a variety of techniques. Six patients were treated by yttrium-aluminum-garnet (YAG) laser photocoagulation and direct injection of steroids. Rapid shrinkage of the hemangioma...
journal_title:Annals of plastic surgery
pub_type: 杂志文章
doi:10.1097/00000637-199005000-00002
更新日期:1990-05-01 00:00:00
abstract::Coronoid process hyperplasia (CPH) is an uncommon disorder characterized by an enlarged coronoid process impinging against the posterior aspect of the zygomatic arch. Young male adults are usually affected, presenting with limited mouth opening, which is typically painless and progressive in nature. The diagnosis of t...
journal_title:Annals of plastic surgery
pub_type: 杂志文章
doi:
更新日期:1999-02-01 00:00:00
abstract:BACKGROUND:Breast capsular contracture (BCC) is a commonly adverse event postmammoplastly characterized by an immune response mediated by cytokines and transforming growth factor (TGF)-β1 resulting in excessive synthesis and deposit of extracellular matrix around the breast implant. Presence of TGF-β1 polymorphisms has...
journal_title:Annals of plastic surgery
pub_type: 杂志文章
doi:10.1097/SAP.0b013e31822284f4
更新日期:2013-01-01 00:00:00
abstract::A more direct measurement of implant capsule contracture is needed for the laboratory study of this phenomenon. Most of the previous methods for quantitation of contracture rely on measurements of deformability. Because contraction of an implant capsule is in fact a decrease in the surface area of the capsule, a metho...
journal_title:Annals of plastic surgery
pub_type: 杂志文章
doi:10.1097/00000637-198311000-00008
更新日期:1983-11-01 00:00:00
abstract::Although combined suction-assisted lipectomy (SAL) and surgical abdominoplasties have been described, the surgical excisions have in general been small and limited to the lower portion of the lower abdomen (i.e., just above the pubis). For the obese patient this is an insufficient lipectomy. SAL alone is unsatisfactor...
journal_title:Annals of plastic surgery
pub_type: 杂志文章
doi:
更新日期:1990-02-01 00:00:00
abstract::The authors performed palatal mucoperiosteal grafting for contracture of the artificial eye socket in 4 patients. Mucoperiosteal grafts were collected from the paramedian area of the hard palate. After release of contracture, the grafts were sutured with absorbable thread to the defective areas on the conjunctival sid...
journal_title:Annals of plastic surgery
pub_type: 杂志文章
doi:10.1097/01.SAP.0000068115.91989.A4
更新日期:2003-09-01 00:00:00
abstract::In select cases, to prevent any functional loss and to initiate early function during the early burn period, the reconstructive procedure of choice may be flap coverage. In these circumstances, when the ideal flap donor site is burned, the clinician may be hesitant to raise this flap because of questionable flap survi...
journal_title:Annals of plastic surgery
pub_type: 杂志文章
doi:10.1097/00000637-200045040-00007
更新日期:2000-10-01 00:00:00
abstract::Only 38 cases of blunt traumatic rupture of the anterior abdominal wall musculature have been described in the literature to date. We describe a patient who sustained a complete transection of the right and a partial disruption of the left rectus abdominis muscle as well as multiple associated injuries secondary to bl...
journal_title:Annals of plastic surgery
pub_type: 杂志文章
doi:10.1097/00000637-198407000-00012
更新日期:1984-07-01 00:00:00
abstract::Of the parotid gland tumors, benign pleomorphic adenomas are the most commonly encountered. Although occurring relatively frequently in the general population, it is rare for the surgical community to encounter one that weighs more than a few ounces. The authors report a woman who avoided early surgical intervention a...
journal_title:Annals of plastic surgery
pub_type: 杂志文章
doi:10.1097/00000637-199911000-00011
更新日期:1999-11-01 00:00:00
abstract:INTRODUCTION:Over time, the operative treatment of extra-articular and intra-articular fractures of the first metacarpal base has gained significant importance, and at present, there are many operative strategies available because of the different osteosynthesis procedures in practice today. PURPOSE:In this retrospect...
journal_title:Annals of plastic surgery
pub_type: 杂志文章
doi:10.1097/SAP.0000000000001293
更新日期:2018-05-01 00:00:00
abstract:PURPOSE:The cholinergic anti-inflammatory pathway may play an important role in early burn edema. Therefore, we evaluated the influence of cdp-choline on early systemic burn edema and leukocyte activation in shock in rat mesenteries after burn plasma transfer. METHODS:Burn plasma harvested from donor rats 4 hours afte...
journal_title:Annals of plastic surgery
pub_type: 杂志文章
doi:10.1097/SAP.0000000000000605
更新日期:2015-10-01 00:00:00
abstract::This paper describes a new method of creating a natural anterior hairline using microsurgical free scalp flaps. This operative method is a one-stage procedure and the new hairline has normal hair density and natural hair direction. The donor flap is raised mainly from the parietooccipital portion of the scalp. The met...
journal_title:Annals of plastic surgery
pub_type: 杂志文章
doi:10.1097/00000637-198007000-00004
更新日期:1980-07-01 00:00:00
abstract::Angiogenesis was examined by a three-dimensional model in vitro, using human umbilical vein endothelial cells (HUVECs) cultured in a collagen gel. An abundant capillary-like network with a lumen structure was identified histologically and shown to have formed at a collagen density of 0.05% or 0.10% instead of 0.15%, f...
journal_title:Annals of plastic surgery
pub_type: 杂志文章
doi:10.1097/00000637-199303000-00008
更新日期:1993-03-01 00:00:00
abstract::Massive localized lymphedema (MLL) is rare, but as the prevalence of obesity in adults rises, it can be foreseen that cases will increase in prevalence. These patients are unable to ambulate and have uncontrollable rash and skin breakdown. Operative management for MLL is offered when nonsurgical measures are ineffecti...
journal_title:Annals of plastic surgery
pub_type: 杂志文章
doi:10.1097/SAP.0000000000001475
更新日期:2018-07-01 00:00:00
abstract::Positioning extremities after soft-tissue reconstructive procedures can be difficult, particularly when flaps or skin grafts have been placed for posterior or circumferential defects. We describe a method using the patient's existing external fixator, when present, to aid in the postoperative care and positioning of t...
journal_title:Annals of plastic surgery
pub_type: 杂志文章
doi:10.1097/00000637-199102000-00017
更新日期:1991-02-01 00:00:00
abstract::In 1994, Suzuki et al proposed the pins-and-rubbers traction system, a new dynamic distraction technique for difficult complex intra-articular fractures of the digits of the hand. From February 1999 to April 2003, we used the Suzuki frame for 15 complex fractures of the proximal interphalangeal joint of the fingers. T...
journal_title:Annals of plastic surgery
pub_type: 杂志文章
doi:10.1097/01.sap.0000244975.89885.c7
更新日期:2007-05-01 00:00:00