Abstract:
PURPOSE:Although an increase in flap perfusion by incorporating multiple perforators has been demonstrated with free perforator flaps, whether the same efficacy can be achieved with pedicled flaps remains unclear, due to concerns regarding pedicle tension or kinking during flap transposition. The aim of this report was to investigate the reliability of multiple perforator-based pedicled flaps in a series of clinical cases. PATIENTS AND METHODS:Twenty-six patients undergoing soft tissue reconstruction using multiple perforator-based pedicled flaps from 2008 to 2012 were reviewed. The causes of the defects were oncologic (n = 15) or chronic wounds (n = 11). The defect sites were the trunk (n = 19), lower extremities (n = 4), head and neck (n = 2), and upper extremities (n = 1). Diverse flap types were used, including the superior gluteal artery perforator flap, the lateral femoral circumflex artery perforator flap, the medial femoral circumflex artery perforator flap, and the thoracodorsal artery perforator flap. The flaps were transposed in a rotation-and-advancement manner after skeletonizing each perforator and proximally dissecting the pedicle. The donor site was closed primarily. RESULTS:Mean flap size was 125.2 cm2 , and the mean number of perforators used was 2.3 (2-5). The mean angle of pivotal rotation for flap transposition was 132.8°. No rotation-related problems including pedicle kinking or twisting developed, and all flaps survived completely. No significant donor-site morbidity was observed. The mean follow-up period was 38.1 months. CONCLUSIONS:This report suggests that through meticulous dissection of pedicles of sufficient length, the multiple perforator-based pedicled flaps can be successfully transposed while minimizing the risk of pedicle tethering. © 2015 Wiley Periodicals, Inc. Microsurgery 37:105-111, 2017.
journal_name
Microsurgeryjournal_title
Microsurgeryauthors
Kwon JH,Lee KT,Lim SY,Pyon JK,Bang SI,Oh KS,Mun GHdoi
10.1002/micr.22427subject
Has Abstractpub_date
2017-02-01 00:00:00pages
105-111issue
2eissn
0738-1085issn
1098-2752journal_volume
37pub_type
杂志文章相关文献
MICROSURGERY文献大全abstract::We report a novel one-stage technique of total hepatectomy in the rat, in which the liver is replaced by an autologous prosthesis. This prosthesis is obtained from a donor rat, and consists of the subhepatic vena cava and the left renal vein harvested en block. This graft is sutured with the subdiaphragmatic cava and ...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.1920160711
更新日期:1995-01-01 00:00:00
abstract::Based on an anatomic study, a transfer of the brachialis muscle branch of the musculocutaneous nerve (BMBMCN) to finger flexor functional fascicles of the median nerve was designed. Preliminary results of clinical application of this new procedure are reported. Dissection of 32 cadaver upper limbs revealed that BMBMCN...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.20053
更新日期:2004-01-01 00:00:00
abstract::The aim of this study was to investigate the rate of disappearance of noradrenaline in arterial grafts after their transplanation. Arterial grafts were harvested from AO/Ks:OC strain rats. In each rat, a graft was harvested from the femoral artery and transplanted into the common carotid artery. A contralateral unoper...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.20004
更新日期:2004-01-01 00:00:00
abstract:PURPOSE:This study was conducted to investigate the correlation between the number of vascularized lymph nodes (LN) transferred and resolution of hind limb lymphedema in a rat model. METHODS:Unilateral hind limb lymphedema was created in 18 male Sprague-Dawley rats following inguinal and popliteal LN resection and rad...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.22388
更新日期:2016-03-01 00:00:00
abstract::This investigation initiates the quantitative, hemodynamic assessment of interpositional grafts in small rat arteries. The left femoral arteries in 16 Sprague-Dawley rats were transected at two levels, and were then repaired using interrupted suturing technique. This effectively provided an ideally sized and histologi...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.1920070207
更新日期:1986-01-01 00:00:00
abstract::It is generally known that low-intensity pulsed ultrasound (LIPUS) accelerates peripheral nerve tissue regeneration. However, the precise cellular mechanism involved is still unclear. The purpose of this study was to determine how the Schwann cells respond directly to LIPUS stimuli. Thus, we investigated the effect of...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.20644
更新日期:2009-01-01 00:00:00
abstract::Limb salvage in fungal osteomyelitis of the post-traumatic lower extremity represents a difficult clinical problem requiring aggressive management. We report lower extremity salvage by radical bony debridement, free tissue transfer, distraction osteogenesis with bone-docking, and a novel antifungal regimen in a clinic...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.20956
更新日期:2012-02-01 00:00:00
abstract::Various methods have been described in the literature to manage vascular discrepancies. In the head and neck area, where small recipient vessels are the rule, a reliable technique is needed to safely perform the anastomosis. During the past 10 years, we have carried out research (de la Peña et al., Transactions of the...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/1098-2752(2000)20:4<193::aid-micr9>3.0.co;
更新日期:2000-01-01 00:00:00
abstract::A new microvascular clamp was developed from inexpensive and readily available materials. This clamp, when properly applied, can provide many hours of vessel occlusion with minimal damage to the vessel intima. This clamp has important applications in producing prolonged experimental ischemia without significant vessel...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.1920050407
更新日期:1984-01-01 00:00:00
abstract::Several microsurgical techniques have been described for the treatment of osteonecrosis of the talus (ONT). Recently reported in children, vascularized periosteal grafts showed promising revascularizing properties. We report a novel technique using a pedicled periosteal graft from the first metatarsal bone to treat st...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.22045
更新日期:2013-01-01 00:00:00
abstract::Normal myelinated fibers are stained "red" by modified trichrome staining of the frozen section of the nerve. We have used this technique for rapid assessment of the anatomical integrity of the proximal nerve stump by identifying well-preserved myelinated fibers. This technique can also identify degenerating and degen...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.1920160302
更新日期:1995-01-01 00:00:00
abstract::Clinical and experimental studies have been conducted to improve the survival of venous flaps. As a result of these studies, although various survival mechanisms were raised, none obtained satisfactory information. Venous stasis, and the resultant venous thrombosis, is a factor that decreases the survival of venous fl...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.21801
更新日期:2001-01-01 00:00:00
abstract::Two groups of consecutive patients treated with latissimus dorsi free myocutaneous flaps to cover lower-extremity soft-tissue defects were compared for postoperative vascular occlusion. In the first group of 13 patients (group I), there were five (38%) venous occlusions and no arterial occlusions. The second group of ...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.1920120414
更新日期:1991-01-01 00:00:00
abstract:INTRODUCTION:Nerve regeneration involves multiple processes, which enhance blood supply that can be promoted by growth factors. Currently, tools are lacking to visualize the vascularization patterns in transplanted nerves in vivo. The purpose of this study was to describe three-dimensional visualization of the vascular...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.30537
更新日期:2020-03-01 00:00:00
abstract::In September 1998, a surgical team in Lyon, France, performed the first successful hand transplant. After this historic event, in January 1999, the University of Louisville performed the first hand transplant in the United States. These events sparked interest and debate concerning the justification of performing limb...
journal_title:Microsurgery
pub_type: 历史文章,杂志文章,评审
doi:10.1002/1098-2752(2000)20:8<393::aid-micr9>3.0.co;
更新日期:2000-01-01 00:00:00
abstract::We previously reported pedicled venous flap survival using the rat model, as well as venovenous, arteriovenous, and arterialized flow-through venous flap survival using the rabbit ear model. For this study, we utilized these flaps clinically. Five of seven pedicled venous flaps survived, displaying superficial necrosi...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.1920150810
更新日期:1994-01-01 00:00:00
abstract::The present study tests the hypothesis that early wound healing effects blood flow after experimental microarteriorrhaphy. Hemodynamic variables were measured in the rat femoral artery prior to and 3 weeks after both interrupted and continuous microarteriorrhaphy techniques. The hemodynamic variables (blood velocities...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.1920060212
更新日期:1985-01-01 00:00:00
abstract::Nerve regeneration using artificial biodegradable conduits is of increasing interest. The aim of this study is to evaluate the regeneration and maturation of a nerve after long-term implantation (2 years) of a biodegradable poly-L-lactide/poly-epsilon-caprolactone (PLLA/PCL) copolymeric nerve guide in the sciatic nerv...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.1920140808
更新日期:1993-01-01 00:00:00
abstract:BACKGROUND:Free tissue transfers performed in patients with hematological diseases represent significant challenges for micro-surgeons. There are rare literatures that address the outcome in these patients. Therefore, we collected our database, analyzed the outcome, reliability, and related-management of microsurgical ...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.22243
更新日期:2014-10-01 00:00:00
abstract::Histomorphometrical assessment of regenerated peripheral nerves is a very common goal of many studies in experimental microsurgery. In this paper, the main critical issues in nerve fiber sampling for quantitative morphological assessment are addressed. The equal opportunity rule, i.e., the basic paradigm of random sam...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.10199
更新日期:2004-01-01 00:00:00
abstract::This paper reviews the history of attempts to study peripheral nerve regeneration, focusing upon pharmacologic agents that may prove to be useful clinically. In particular, forskolin is described as a model for such an agent, and its mechanism of action, as a stimulator of the cyclic AMP second messenger system, is de...
journal_title:Microsurgery
pub_type: 杂志文章,评审
doi:10.1002/micr.1920100211
更新日期:1989-01-01 00:00:00
abstract:AIM:The clinical value of adipofascial flaps based on distal ulnar or radial-artery perforators is demonstrated in a series of 14 patients with severe hand injuries and significant soft tissue defects requiring coverage. MATERIAL AND METHODS:There were 10 male and 4 female patients, aged between 23 and 72 years. The d...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.20374
更新日期:2007-01-01 00:00:00
abstract:BACKGROUND:Persistent genital arousal disorder (PGAD) is a woman's perception that she is in a state of sexual arousal, without the ability of arousal to be satisfied by orgasm. It is the hypothesis of this study that PGAD results from a minimal degree of nerve compression of the dorsal branch of the pudendal nerve. If...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.30464
更新日期:2020-02-01 00:00:00
abstract:INTRODUCTION:Reconstruction of the lower leg commonly requires a free tissue transfer after Gustillo grade IIIB-IIIC injuries and severe postoncological resections, where, free musculocutaneous flaps (MCF) are preferred for their size and robust blood supply. The anastomoses are performed at more proximal levels to kee...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.20755
更新日期:2010-09-01 00:00:00
abstract::We have previously shown that the epigastric flap in Dark Agouty rats, measuring approximately 6 x 4 cm with borders related to well-defined anatomical structures, does not exhibit an all-or-none survival pattern. This study was designed to investigate the survival pattern of non-revascularized epigastric flaps in thr...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.1920140907
更新日期:1993-01-01 00:00:00
abstract::The authors report their experience of the application of microsurgical techniques in total and subtotal thyroidectomy operations from January 1984-January 1997. Four hundred and eighty-six patients with thyroid diseases were operated upon with both traditional and microsurgical techniques. The comparison of results s...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/(sici)1098-2752(1998)18:8<460::aid-micr6>3
更新日期:1998-01-01 00:00:00
abstract::Between 1986-2004, 13 patients (11 males and 2 females; mean age, 63.9 years) underwent microsurgical reconstruction after total maxillectomy in our hospital. Reconstructions using a rectus abdominis musculocutaneous flap were primarily carried out in our hospital by emphasizing soft-tissue filling. No postoperative c...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.20194
更新日期:2006-01-01 00:00:00
abstract::The iliac crest is reevaluated with respect to the rapid evolution of vascularized mandibular reconstruction. With more flaps to choose from, indications for the crest have become more specific-playing to the strengths of this particular transfer. Ideally, defects should exclude soft tissue and occupy lateral segments...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.1920150406
更新日期:1994-01-01 00:00:00
abstract::This study examines the effects of combination therapy with the nitric oxide (NO) donor S-nitroso-N-acetylcysteine (SNAC) and the iNOS inhibitor N-(3-(aminomethyl)benzyl) acetamidine (1400W) on contractile function in reperfused rat skeletal muscle. The right extensor digitorum longus (EDL) muscles of 104 rats were su...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.20122
更新日期:2005-01-01 00:00:00
abstract:OBJECTIVE:Mandibular reconstruction with a mandibular reconstruction plate (MRP) and free flap transfer can involve serious plate-related complications. The aim of our study is to present our new "no-touch-technique" which keeps an MRP not contaminated to saliva during the entire operation for the reduction of plate-re...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.22403
更新日期:2016-02-01 00:00:00