Z-plasty and microvascular anastomosis.

Abstract:

:An experimental study in rats was designed to determine the effects of z-plasty on the patency of microvascular anastomosis. Eighty Sprague-Dawley rats of mixed sex were divided into two groups. In all animals, the left carotid arteries were used. In the first group (n = 40), a single z-plasty was done at the anterior side of the carotid artery before end-to-end anastomosis was performed. In the second group (n = 40), end-to-end anastomosis with interrupted sutures was done. Patency and the appearance of the anastomosis were evaluated 1 hr later, on the seventh postoperative day, and at the end of the third postoperative week. There was no vasospasm demonstrated in the first group. Patency rates were 100 percent for both groups after 1 hr. On the seventh postoperative day, one anastomosis in the first group (patency rate, 97.5 percent) and two anastomoses in the second group had failed (patency rate, 95 percent). Patency rates were similar at the third week. The difference was not statistically significant (p = 0.5). Histologic examinations demonstrated that z-plasty did not cause any adverse effects at the vessel wall or at the anastomosis.

journal_name

J Reconstr Microsurg

authors

Yildirim AM,Güzel MZ,Yücel A,Aygit AC

doi

10.1055/s-2007-1000153

subject

Has Abstract

pub_date

1998-02-01 00:00:00

pages

117-20

issue

2

eissn

0743-684X

issn

1098-8947

journal_volume

14

pub_type

杂志文章
  • Medium- and Large-Sized Autologous Breast Reconstruction using a Fleur-de-lys Profunda Femoris Artery Perforator Flap Design: A Report Comparing Results with the Horizontal Profunda Femoris Artery Perforator Flap.

    abstract:BACKGROUND: The volume of the profunda femoris artery perforator (PAP) flap limits its indications to small- and medium-sized breast reconstructions after modified radical mastectomy for cancer. We report a modified PAP flap design, including not only a vertical extension that increases its volume but also the skin sur...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-0038-1649508

    authors: Hunsinger V,Lhuaire M,Haddad K,Wirz FS,Abedalthaqafi S,Obadia D,Derder M,Marchac A,Benjoar MD,Hivelin M,Lantieri L

    更新日期:2019-01-01 00:00:00

  • Vessel-wall recovery after diode laser-assisted microvascular anastomosis: clinical and histologic analysis on long-term follow-up.

    abstract::The authors recently reported an experimental study on diode laser-assisted microvascular anastomosis (LAMA) in the femoral arteries and veins of rats. Good success rates and very promising histologic results obtained in this preliminary phase suggested an extension of the investigation with a larger number of rats an...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2007-1006405

    authors: Gelli R,Pini R,Toncelli F,Chiarugi C,Reali UM

    更新日期:1997-04-01 00:00:00

  • A review of local and regional flaps for distal leg reconstruction.

    abstract::Reconstruction of defects or wounds of the distal third of the leg with exposed bone, tendon, or hardware is challenging. Free tissue transfer has allowed limb salvage in many cases but requires a relatively healthy and stable patient, long operative times, and a significant expense. Small and moderate-size wounds of ...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章,评审

    doi:10.1055/s-0029-1223847

    authors: Parrett BM,Talbot SG,Pribaz JJ,Lee BT

    更新日期:2009-09-01 00:00:00

  • Pathology of the shoulder as it relates to the differential diagnosis of thoracic outlet compression.

    abstract::Shoulder pathology and its diagnosis must be considered in evaluation of the patient suspected of having thoracic outlet syndrome (TOS). Overlooking usually treatable conditions in the shoulder may lead to unfavorable results, if treatment is directed, instead, to neurolysis of the brachial plexus or first rib resecti...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2007-1006714

    authors: Levin LS,Dellon AL

    更新日期:1992-07-01 00:00:00

  • The ultra-thin, fascia-only anterolateral thigh flap.

    abstract:BACKGROUND:While many potential donor sites have been described for fascial (fascia-only) flaps, a fascial flap harvested from the anterolateral thigh (ALT) donor site has not gained popularity, likely because of concerns regarding inadequate perfusion of the deep fascia. However, recent clinical experience demonstrate...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-0033-1361843

    authors: Bhadkamkar MA,Wolfswinkel EM,Hatef DA,Albright SB,Echo A,Hsu PW,Izaddoost SA

    更新日期:2014-11-01 00:00:00

  • Single-stage maxillary and nasal floor reconstruction with the double-paddle rectus abdominis musculocutaneous free flap.

    abstract::Palatal integrity is essential for useful speech, deglutition, good oral hygiene, and prevention of nasal regurgitation. Maxillary defects after tumor extirpation, therefore, can have serious functional and cosmetic implications. Given the often disappointing results obtained with local and regional pedicled flaps for...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2007-974647

    authors: Herman CK,Benacquista T,Brindzei N,Berdichevsky M,Baum T,Strauch B

    更新日期:2007-04-01 00:00:00

  • Three-dimensional combined flaps for reconstruction of complex facial defects following cancer ablation.

    abstract::Instead of conventional multiple-paddle or folded free flaps, the authors introduce three types of free combined tissue transfers for cosmetic and functional restoration of massively large facial defects. Three cases reported here were repaired with combined flaps consisting of two or more tissues, such as combined fr...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2007-1000221

    authors: Koshima I,Hosoda M,Moriguchi T,Ishii R,Orita Y,Yamamoto H

    更新日期:1997-02-01 00:00:00

  • A simple method of controlling rotation in replanted digits.

    abstract::A method of fixation for replanted digits is described. It consists of axial fixation with a wire passed longitudinally through the replanted digit, supplemented with a transverse wire passed across all the digits. In this way, splinting is provided and rotation is controlled. The method is simple, rapidly applied, an...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2007-1007067

    authors: Vlastou C,Earle AS

    更新日期:1984-10-01 00:00:00

  • A new design for free flap reconstruction of the tongue and oropharynx.

    abstract::Radical resection of tongue and oropharyngeal carcinomas often results in complex defects that are challenging to reconstruct. Furthermore, remaining function should not be disturbed by the reconstruction. We introduce a new flap design and monitored swallowing and speech following reconstruction of complex oral defec...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2008-1078691

    authors: Yagi S,Kamei Y,Nakayama B,Toriyama K,Torii S

    更新日期:2008-04-01 00:00:00

  • Free vascularized medial femoral condyle corticocancellous flap for treatment of challenging upper extremity nonunions.

    abstract:BACKGROUND:Nonunions in the upper extremity are challenging for the reconstructive surgeon. The evolution of microsurgical techniques has allowed for the reliable use of free vascularized bone flaps. METHODS:In a retrospective study, patients with challenging upper limb nonunions who underwent free vascularized cortic...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-0034-1390045

    authors: Fei W,Danmou X,Dong R,Wei F,Eberlin KR,Yan C,Wusheng K

    更新日期:2015-02-01 00:00:00

  • Migration of schwann cells in peripheral-nerve regeneration.

    abstract::Schwann cells play a central role in peripheral-nerve regeneration, in which it has been shown that the addition of exogenous Schwann cells enhances the temporal and spatial sequence of events observed in regeneration. In this study, the authors investigated the fate of exogenous cells in this process by using fluores...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2007-1000143

    authors: Bryan DJ,Wang KK,Summerhayes C

    更新日期:1999-11-01 00:00:00

  • Acellular human dermal matrix as a small vessel substitute.

    abstract::In both vascular and microvascular surgery, there is a need for a non-thrombogenic, small-caliber, arterial substitute. Clinically, most vessel substitutes with diameters under 4 mm have low patency rates. An arterial conduit made from a biocompatible human acellular dermis may be useful as a small vessel conduit. The...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2007-1006491

    authors: Inoue Y,Anthony JP,Lleon P,Young DM

    更新日期:1996-07-01 00:00:00

  • A Retrospective Study of an Updated and Traditional Surgical Approach of the Distally Based Sural Flap.

    abstract:BACKGROUND: The distally based sural flap (DBSF) is one of the armamentarium in the lower limb reconstruction. However, the flap has not gained popularity due to concerns about its reliability and donor site morbidity. Based on the anatomy characterization, we combined and developed five modifications to improve the va...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-0040-1716744

    authors: Xu H,Cao X,Kiu-Huen S,Zhu Z,Chen J,Chi Z,Zhang Y

    更新日期:2020-09-17 00:00:00

  • Preliminary Outcomes of Distal IMAP and SEAP Flaps for the Treatment of Unstable Keloids Subject to Recurrent Inflammation and Infections in the Lower Sternal and Upper Abdominal Areas.

    abstract:BACKGROUND:We present the clinical application of the sixth internal mammary artery perforator (IMAP) and superior epigastric artery perforator (SEAP) flaps for the treatment of defects resulting from the excision of large lower sternal and upper abdominal keloids. Perforator selection and flap design were based solely...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-0035-1556078

    authors: Wang J,Min P,Grassetti L,Lazzeri D,Zhang YX,Nicoli F,Innocenti M,Torresetti M,Levin LS,Persichetti P

    更新日期:2015-11-01 00:00:00

  • Tips and Outcomes of a New DIEP Flap Inset in Delayed Breast Reconstruction: The Dual-Plane Technique.

    abstract::Purpose The dual-plane deep inferior epigastric perforator (DIEP) flap inset technique is herein presented with tips for optimizing the aesthetic outcome in delayed autologous breast reconstruction after radiation therapy. Patients and Methods A total of 42 women who underwent microsurgical reconstruction with a free ...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 临床试验,杂志文章

    doi:10.1055/s-0036-1581076

    authors: Gravvanis A,Kakagia D,Samouris G,Galani E,Tsoutsos D

    更新日期:2016-06-01 00:00:00

  • Flap monitoring by transcutaneous PO2 and PCO2: importance of transcutaneous PCO2 in determining follow-up treatment for compromised free flaps.

    abstract::The authors conducted a two-part study to determine whether transcutaneous oxygen pressure (TcPO (2)) and transcutaneous carbon dioxide pressure (TcPCO (2)) can be used to monitor flap viability after transplantation. The first part was an animal study in which TcPO (2) and TcPCO (2) were measured in 10 epigastric isl...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2007-985208

    authors: Hashimoto I,Nakanishi H,Takiwaki H,Takase MT,Yamano M,Sedo H

    更新日期:2007-07-01 00:00:00

  • A comparative study of the use of 9-0 PDS and 9-0 prolene in microvascular anastomosis.

    abstract::9-0 absorbable polydioxanone (PDS) has been compared to 9-0 nonabsorbable Prolene in order to evaluate any advantages of either suture in microvascular surgery. In each of 29 rats, one carotid artery was anastomosed end-to-end with PDS and the other with Prolene. Specimens were harvested 48 hr, 14 days, and three, and...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2007-1006833

    authors: Banic A,Francis I,Nilsson U

    更新日期:1990-07-01 00:00:00

  • Blood flow and microcirculatory changes in an ischemia-reperfusion injury model: experimental study in the rabbit.

    abstract::This is the first in a series of studies designed to investigate the simultaneous changes in blood flow and microcirculation in an island flap during ischemia, in an ischemia-reperfusion model in the rabbit. An island groin flap based on the inferior epigastric vessels was harvested in 17 rabbits. The flap was rendere...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2007-1006414

    authors: Gürlek A,Schusterman MA,Evans GR,Gherardini G

    更新日期:1997-07-01 00:00:00

  • Mechanical Allodynia Predicts Better Outcome of Surgical Decompression for Painful Diabetic Peripheral Neuropathy.

    abstract:BACKGROUND: To determine the role of mechanical allodynia (MA) in predicting good surgical outcome for painful diabetic peripheral neuropathy (DPN). MATERIALS AND METHODS: Data of 192 patients with painful DPN were collected in this study, with 148 surgical patients and 44 patients in the control group. Both groups we...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-0038-1636938

    authors: Liao C,Nickerson DS,Visocchi M,Yang M,Liu P,Zhong W,Zhou H,Zhang W

    更新日期:2018-07-01 00:00:00

  • Prospective evaluation of outcome measures in free-flap surgery.

    abstract::Free-flap failure is usually caused by venous or arterial thrombosis. In many cases, lack of experience and surgical delay also contribute to flap loss. The authors prospectively analyzed the outcome of 57 free flaps over a 28-month period (January, 1999 to April, 2001). The setting was a university hospital tertiary ...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2004-833500

    authors: Kelly JL,Eadie PA,Orr D,Al-Rawi M,O'Donnell M,Lawlor D

    更新日期:2004-08-01 00:00:00

  • Osteomyocutaneous Free Fibula Flap Prevents Osteoradionecrosis and Osteomyelitis in Head and Neck Cancer Reconstruction.

    abstract:BACKGROUND: Osteoradionecrosis (ORN) is one of the most severe complications of free fibula reconstruction after radiotherapy. The gold standard treatment of osteomyelitis involves extensive debridement, antibiotics, and sufficiently vascularized muscle flap coverage for better circulation. Therefore, we hypothesized t...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-0040-1722647

    authors: Wang KY,Liu WC,Chen CF,Chen LW,Chen HC,Yang KC

    更新日期:2021-01-31 00:00:00

  • Reconstruction of large orbital exenteration defects after resection of periorbital tumors of advanced stage.

    abstract::Orbital exenteration is a devastating procedure because of the social impact and psychological stress put upon the patient. Besides cancer ablative surgery, reconstruction after removal of the tumor constitutes a major problem and the final aesthetic result is quite important. Both obliteration of the orbital cavity a...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2006-956232

    authors: Taylan G,Yildirim S,Aköz T

    更新日期:2006-11-01 00:00:00

  • Ultrastructure of early axonal regeneration in an end-to-side neurorrhaphy model.

    abstract::The ultrastructure of the early regenerative response in an end-to-side neurorrhaphy rat model was studied using transmission electron microscopy. The ipsilateral saphenous nerve was grafted to the sciatic nerve under the following conditions: Group 1, the epineurium and perineurium of the sciatic nerve remained intac...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2000-7339

    authors: Okajima S,Terzis JK

    更新日期:2000-05-01 00:00:00

  • Reconstruction of complex radiation-induced injuries using free-tissue transfer.

    abstract::The purpose of this study was to evaluate the use of free-tissue transfers for the reconstruction of radiation-induced complex injuries. The case files for patients who underwent reconstruction for radiation-induced injuries between May 1988 and November 1995 at The University of Texas M.D. Anderson Cancer Center were...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2007-1000187

    authors: Gürlek A,Miller MJ,Amin AA,Evans GR,Reece GP,Baldwin BJ,Schusterman MA,Kroll SS,Robb GL

    更新日期:1998-07-01 00:00:00

  • Intraoperative decision making by electrophysiological detection of the origin of thoracodorsal nerve in the C7 nerve root transfer procedure.

    abstract::The objective of this article is to discuss the significance of predicting the injury degree of the thoracodorsal nerve by intraoperative electrophysiological examination in the C7 nerve root transfer for brachial plexus injury. Each trunk of the brachial plexus followed by each bundle of C7 was stimulated before the ...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-0030-1263291

    authors: Lu W,Xu J,Wang D

    更新日期:2011-01-01 00:00:00

  • Determining the maximal length of a vein conduit used as an interposition graft for nerve regeneration.

    abstract::Although autogenous veins have been used as nerve conduits (AVNCs) both experimentally and clinically for short nerve gaps up to 3 cm, investigators have not as yet determined the maximal effective length for functional nerve regeneration. In addition, the role of the distal nerve stump on subsequent nerve growth rema...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2007-1006624

    authors: Strauch B,Ferder M,Lovelle-Allen S,Moore K,Kim DJ,Llena J

    更新日期:1996-11-01 00:00:00

  • Rat ear transplantation: a feasibility study.

    abstract::The feasibility of rat ear replantation and its inherent advantages as an experimental model have previously been demonstrated. The purpose of this study was to validate the technical feasibility of rat ear transplantation. To eliminate immunologic rejection as a complicating factor, highly inbred Lewis rats (strain L...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2007-1006636

    authors: Chiu DT,Ascherman JA,Patsis MC

    更新日期:1993-01-01 00:00:00

  • Preclinical efficacy of slow-release bFGF in ischemia-reperfusion injury in a Dorsal Island skin flap model.

    abstract::The effect of slow-release basic fibroblast growth factor (bFGF) on ischemia-reperfusion injury was examined using an island skin flap model in rats. Paired rectangular island skin flaps were elevated on the dorsum of 30 Fischer rats. The flaps were subjected to 6 hours of ischemia. Before reperfusion the flaps were i...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-0033-1343830

    authors: Wang Y,Orbay H,Huang C,Tobita M,Hyakusoku H,Myamoto M,Tabata Y,Mizuno H

    更新日期:2013-06-01 00:00:00

  • A review of therapeutic nerve decompression for neuropathy in Hansen's disease with research suggestions.

    abstract::Nerve decompression surgery for leprosy neuritis has a long history and large literature. New understanding of the high frequency of spontaneous recovery from nerve function impairment requires re-evaluation of the value of decompression in acute nerve dysfunction with strong evidence-based protocols. Several reports ...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章,评审

    doi:10.1055/s-0030-1248237

    authors: Nickerson DS,Nickerson DE

    更新日期:2010-05-01 00:00:00

  • Closure of big toe defects after wrap-around flap transfer using the arterialized venous flap.

    abstract::Sixteen arterialized venous flaps, free flaps that have arterial blood only flowing through the vein of the flap, were applied to reconstruct skin defects of the big toe resulting from wrap-around flap transfers. There were seven complete successes, six partial successes, and three complete failures. The clinical cour...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2007-1006756

    authors: Inoue G,Maeda N,Suzuki K

    更新日期:1991-01-01 00:00:00