Topical Vasodilators in Microsurgery: What Is the Evidence?

abstract：:The ideal monitoring tool to evaluate free flap success should be noninvasive, continuous, and reliable. A new device, the ViOptix Tissue Oximeter (ODISsey) based on near-infrared spectroscopy was evaluated in 30 patients undergoing autologous tissue perforator free flap breast reconstruction with continuous monitorin...

journal_title：Journal of reconstructive microsurgery

authors： Keller A

更新日期：2007-05-01 00:00:00

abstract：:A modified, two-stage arteriovenous flow-through venous flap was designed to repair skin defects due to third-degree burns on the dorsum of the hand in four patients. Two weeks after plasty of an arteriovenous (A-V) shunt between the greater saphenous vein and dorsalis pedis artery, the arterialized flow-through venou...

journal_title：Journal of reconstructive microsurgery

authors： Ueda Y,Mizumoto S,Hirai T,Doi Y,Fukui A,Tamai S

更新日期：1997-10-01 00:00:00

abstract：:Reconstruction of the pharyngoesophagus and pharynx can be especially challenging in patients with prior irradiation, recurrent disease, and compromised or deficient anterior neck skin. The authors report their experience with seven patients who underwent pharyngoesophageal reconstruction with a new flap design that a...

journal_title：Journal of reconstructive microsurgery

authors： Agarwal JP,Stenson KM,Gottlieb LJ

更新日期：2006-02-01 00:00:00

abstract：:Controversy surrounds the question whether free flaps remain dependent for blood supply on their vascular pedicle or if there is an autonomization by neovascularization from the surrounding wound bed. This becomes important when flap shaping or repositioning are performed. Our study involved 23 patients who received a...

journal_title：Journal of reconstructive microsurgery

authors： Heitland AS,Markowicz MP,Koellensperger E,Schoth F,Pallua N

更新日期：2009-02-01 00:00:00

abstract：:Although often a life-saving therapeutic maneuver, there is minimal data available that details the effects of intraoperative packed red blood cell transfusion (IOT) after microvascular free tissue transfer. The National Surgical Quality Improvement Program database was queried to identify all patients who underwent m...

journal_title：Journal of reconstructive microsurgery

authors： Kim BD,Ver Halen JP,Mlodinow AS,Kim JY

更新日期：2014-02-01 00:00:00

abstract：:To assist nascent microsurgeons in the initial practices of handling instruments and tying knots before using an animal model, the authors discuss surgical gauze, which will be of benefit to all trainees. In this model, the nascent microsurgeon can familiarize himself or herself with the operating microscope, correct ...

journal_title：Journal of reconstructive microsurgery

authors： Demirseren ME,Tosa Y,Hosaka Y

更新日期：2003-08-01 00:00:00

abstract：BACKGROUND: Subfascial anterolateral thigh (ALT) flap thickness can be problematic with regards to bulk, oral competence, shoe-fit, or as a potential source of recurrent wound breakdown. We have utilized distinct upper thigh fascial planes to fashion thin (suprafascial) or super-thin (periscarpal) ALT flaps to improve ...

journal_title：Journal of reconstructive microsurgery

authors： Diamond S,Seth AK,Chattha AS,Iorio ML

更新日期：2018-03-01 00:00:00

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

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

更新日期：2016-06-01 00:00:00

abstract：:Twenty patients with intractable diseases in the upper extremity were treated using free vascularized fibula grafts. There were 13 men and seven women. Three patients had traumatic bone defects, five had post-traumatic nonunions, two had congenital pseudoarthroses, seven had defects after tumor resection, and three ha...

journal_title：Journal of reconstructive microsurgery

authors： Yajima H,Tamai S,Ono H,Kizaki K,Yamauchi T

更新日期：1999-10-01 00:00:00

abstract：:The authors present two cases in which the venous drainage of transferred flaps was compromised and the flaps were salvaged by vein grafts. Traditionally, once transferred free flaps had become congestive, surgeons would re-anastomose the thrombosed veins, and administer anticoagulants or carry out peripheral vessel d...

journal_title：Journal of reconstructive microsurgery

authors： Namba Y,Takahashi Y,Ito S,Koshima I

更新日期：2003-11-01 00:00:00

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

authors： Chiu DT,Ascherman JA,Patsis MC

更新日期：1993-01-01 00:00:00

abstract：:Injury to the radial nerve is not uncommonly associated with fractures of the humerus. Despite a considerable amount of information and literature regarding management of these associated injuries, a universally accepted algorithm for treatment remains elusive. This article assimilates the data and provides evidence-b...

journal_title：Journal of reconstructive microsurgery

authors： Elton SG,Rizzo M

更新日期：2008-11-01 00:00:00

abstract：:Multidetector-row computed tomography angiography (MDCTA) can be used to visualize small vessels and has been used to search for perforators in deep inferior epigastric artery perforator flaps and anterolateral thigh flaps. Fibula osteocutaneous flaps are often used for mandibular reconstruction, but questions remain ...

journal_title：Journal of reconstructive microsurgery

authors： Satoh T,Kimata Y,Hasegawa K,Namba Y

更新日期：2011-01-01 00:00:00

abstract：:Ischemia/reperfusion (I/R) injury is one of the factors determining tissue survival in replantation and transplantation surgery. However, more than 20 methods have been used to evaluate I/R injury in muscle. The aim of this study was to examine I/R injury in muscle tissue in a model of composite tissue allotransplanta...

journal_title：Journal of reconstructive microsurgery

authors： Baumeister SP,Ofer N,Kleist C,Rebel M,Dohler B,Terness P,Gebhard MM,Germann G

更新日期：2004-04-01 00:00:00

abstract：:Apolipoprotein E (apo E) is thought to mediate the reutilization of myelin cholesterol for nerve regeneration. Prior research suggests that apo E is not essential for nerve regeneration following a nerve crush injury. This study was conducted to determine if apo E is essential for nerve regeneration after nerve transe...

journal_title：Journal of reconstructive microsurgery

authors： Genden EM,Watanabe O,Mackinnon SE,Hunter DA,Strasberg SR

更新日期：2002-08-01 00:00:00

abstract：:The authors examined the effects of end-to-side neurorrhaphy for reinnervation of the musculocutaneous nerve (Group A) which innervates the biceps muscle, compared to reinnervation of the median nerve which innervates multiple muscles in a rat model. Additionally, end-to-end neurorrhaphy to the musculocutaneous nerve ...

journal_title：Journal of reconstructive microsurgery

authors： Lutz BS,Ma SF,Chuang DC,Wei FC

更新日期：2000-08-01 00:00:00

abstract：:The authors present 20 microvascular flaps based on arteriovenous perfusion, harvested from the distal anterior forearm, and configured in three different designs. Indications were small palmar, dorsal, and commissural defects, when other conventional procedures were not available; problematic cases of open reduction ...

journal_title：Journal of reconstructive microsurgery

authors： Reynoso R,Espinosa A,Mendoza M,Clifton J

更新日期：1997-05-01 00:00:00

abstract：:A free-flap model in rats is presented, that consists of gracilis and semitendinosus muscles pedicled on the femoral vessels, in continuation with deep femoral and saphenous vessels. This flap was transferred to the contralateral side in 40 rats and yielded a 95 percent survival rate. The weight of the flaps averaged ...

journal_title：Journal of reconstructive microsurgery

authors： Ionac M,Geishauser M

更新日期：1998-05-01 00:00:00

abstract：:The rat model is commonly utilized in peripheral nerve research. Due to the short length of the rat limb and the animal's inherent neuroregenerative capacity, the timing of assessment of nerve regeneration is critical, and significant differences between groups can be lost if assessment is done too late. Additionally,...

journal_title：Journal of reconstructive microsurgery

authors： Calvert GT,Doolabh VB,Grand AG,Hunter DA,Mackinnon SE

更新日期：2001-04-01 00:00:00

abstract：:This study examined the efficacy of gene therapy on wound healing. The authors investigated whether delivery of the gene encoding a particular cytokine, known to be important in angiogenesis, could affect ischemic skin flaps. Anterior abdominal skin flaps, based solely on the epigastric artery and vein, were created i...

journal_title：Journal of reconstructive microsurgery

authors： Taub PJ,Marmur JD,Zhang WX,Senderoff D,Urken ML,Silver L,Weinberg H

更新日期：1998-08-01 00:00:00

abstract：:A case of right lower-leg replantation after 42-hr ischemia is presented. Revascularization of the other foot with circulatory decompensation after 36-hr ischemia was carried out simultaneously. The replanted lower leg survived. Following its shortening in replantation by 12 cm, right lower-leg lengthening by 8 cm was...

journal_title：Journal of reconstructive microsurgery

authors： Datiashvili RO,Chichkin VG

更新日期：1992-11-01 00:00:00

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

authors： Taylan G,Yildirim S,Aköz T

更新日期：2006-11-01 00:00:00

abstract：:A case of degloving injury of the whole hand reconstructed by a combination of an anterolateral thigh (ALT) flap and a groin flap applied as a pedicled distant flap was reported. Despite complications of congestion of the ALT flap and superficial infection, both flaps were severed at 4 weeks after transplantation, and...

journal_title：Journal of reconstructive microsurgery

authors： Senda H,Muro H,Terada S,Okamoto H

更新日期：2011-06-01 00:00:00

abstract：:The preoperative identification of perforators can facilitate the appropriate design of perforator flaps from the lower extremity. Although computed tomographic arteriography can now be considered the gold standard in this regard, this technology is not universally available or inexpensive, with a nonnegligible risk f...

journal_title：Journal of reconstructive microsurgery

authors： Hallock GG

更新日期：2009-07-01 00:00:00

abstract：:Sixteen rats underwent two procedures to test the efficacy of oblique vs. transverse nerve repair. On the left, the peroneal nerve was transected at an oblique angle (30-degree) with subsequent oblique end-to-end repair performed. On the right, the peroneal nerve was transected at a transverse angle (90-degree) with s...

journal_title：Journal of reconstructive microsurgery

authors： Yan YH,Yan JG,Sanger JR,Zhang LL,Riley DA,Matloub HS

更新日期：2002-11-01 00:00:00

abstract：BACKGROUND: The distal lower extremity poses unique reconstructive challenges due to its requirements for durability of the load-bearing plantar surface and for thin, pliable contour in the dorsal foot and ankle region. This study compares outcomes between muscle and fasciocutaneous flaps in patients with foot and ankl...

journal_title：Journal of reconstructive microsurgery

authors： Lee ZH,Abdou SA,Daar DA,Anzai L,Stranix JT,Thanik V,Levine JP,Saadeh PB

更新日期：2019-11-01 00:00:00

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

authors： Levin LS,Dellon AL

更新日期：1992-07-01 00:00:00

abstract：:From August 1996 to June 2000, 33 free thoracoumbilical flaps were transferred to reconstruct a variety of soft-tissue defects. The size of the flaps ranged from 10 to 40 cm in length and 8 to 25 cm in width. The blood supply to the skin island came from the largest periumbilical perforator of the deep inferior epigas...

journal_title：Journal of reconstructive microsurgery

authors： Zhang XQ,Wang SD,Fan QY,Mao BA,Zhou Y,Zhang MH

更新日期：2004-02-01 00:00:00

abstract：:Considerable controversy persists regarding the optimal technique for hypopharyngeal reconstruction. The ideal procedure should provide low mortality and morbidity, short hospitalization, a high success rate, few complications, and the greatest potential for neopharyngeal speech and deglutition. In this study, a varie...

journal_title：Journal of reconstructive microsurgery

authors： Amin AA,Bassiouny M,Elsebai H,Riffat M,Fakhry S,Hewidi S,Khafagy M

更新日期：2002-01-01 00:00:00

abstract：:Promoting neurological recovery requires strategies that simultaneously provide protection to injured neurons and increase the numbers of neurons that extend axons while inducing more rapid and extensive axon regeneration across long nerve gaps. An agent that facilitates the speed and success of reinnervation will hav...

journal_title：Journal of reconstructive microsurgery

authors： Konofaos P,Terzis JK

更新日期：2013-03-01 00:00:00