Abstract:
:It is clear that the late clinical symptomatology and the patency of forearm arterial repairs have been contradictory. This study, during which the relationship between the symptomatology and patency has been studied, explores the influence of the local hemodynamic changes and the effect of microsurgical technique on patency rates. Thirty-five patients with a total of 44 arterial injuries were treated. Hemodynamic studies were done intraoperatively, and all patients were evaluated postoperatively with a neurologic, vascular, clinical examination and by radiodiagnostic methods. An overall patency of 77.2% was found. Color-Doppler ultrasonography (CDU) failed by 14.2% as compared with angiography, which did not fail. High blood pressure on the distal stump led to significantly reduced patency rates. Eight patients without nerve problems were found to be symptomatic as a result of the poor patency rate. Many factors are observed to influence patency rate. The nonpatent forearm artery can be symptomatic in anatomically and hemodynamically varied hands. CDU was more reliable for hemodynamic evaluation; conversely, angiography was more dependable for arterial morphology. The results of this study suggest that to correlate the clinical symptomatology and the patency rates, all arterial repairs should be assessed both clinically and radiodiagnostically.
journal_name
Microsurgeryjournal_title
Microsurgeryauthors
Bacakoğlu A,Ozkan MH,Coşkunol E,Ozdemir O,Ekin Adoi
10.1002/micr.1006subject
Has Abstractpub_date
2001-01-01 00:00:00pages
37-42issue
2eissn
0738-1085issn
1098-2752pii
10.1002/micr.1006journal_volume
21pub_type
杂志文章相关文献
MICROSURGERY文献大全abstract::Denuding endothelial damage at anastomoses may lead to thrombotic complications and failure of microvascular reconstructions. Confluent endothelial healing at anastomoses may reduce thrombotic and other complications. The progress of endothelial coverage of anastomotic structures in the aorta and inferior vena cava (I...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.1920151108
更新日期:1994-01-01 00:00:00
abstract::The effect of isovolemic hemodilution using dextran-60 on arterial blood flow in the rabbit ear was investigated. The animals were anesthetized and an electromagnetic flow probe was applied around the central artery of the ear. Isovolemic hemodilution was performed during a 15 min exchange period. Two degrees of hemod...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.1920110106
更新日期:1990-01-01 00:00:00
abstract:BACKGROUND:The aim of this study is to determine the minimal postoperative time required that may allow free flap survival after occlusion or ligation of the microsurgical anastomosis without surgical intervention. METHODS:All reports describing free flap survival and failure after delayed postoperative vascular compr...
journal_title:Microsurgery
pub_type: 杂志文章,评审
doi:10.1002/micr.30082
更新日期:2016-10-01 00:00:00
abstract::This study entailed direct stereomicroscopic observations of rat abdominal island flaps and the sequence of vascular events that occurred during and after occlusion by clamping of the individual femoral vessels for varying time intervals of up to 16 hours. The vascular changes and the status of the circulation in the ...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.1920040205
更新日期:1983-01-01 00:00:00
abstract::We report a case of a 24-year-old patient who sustained a mutilating crush injury to the left forearm. After thorough debridement and stabilization of the skeletal injury, the dorsal thoracic fascial flap was used to resurface the circumferential wound, protect the underlying structures, and provide a gliding surface ...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.20603
更新日期:2009-01-01 00:00:00
abstract::Despite the high success rate of free-tissue transfer, thrombosis still complicates 5-30% of cases. Meticoulous technique, careful vessel selection, and pharmacological prophylaxis are not always enough to avoid thrombosis. Early diagnosis and reintervention provide the only way to salvage a thrombosed free flap, in c...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.20147
更新日期:2005-01-01 00:00:00
abstract:BACKGROUND:Reconstructing soft tissue defect on the trochanteric area is challenging. Due to the significant complications associated with regional flap, free tissue transfer is an appropriate option. However, this area has poor recipient vessels. Therefore, we present perforators as suitable recipient vessels to facil...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.30424
更新日期:2020-01-01 00:00:00
abstract::In microvascular reconstructive surgery the patency of the recipient vessels is the key to successful outcome. In head and neck surgery there is often a lack of adequate recipient vessels as a result of chemoradiation therapy and ablative surgery. To overcome this it is crucial to identify vessels of adequate length a...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.20680
更新日期:2009-01-01 00:00:00
abstract::Five young adults between the ages of 16 and 27 years underwent mandibular reconstruction with free vascularized iliac crest bone grafts based on the deep circumflex iliac artery. These were the only patients under age 30 years in a series of over 60 patients undergoing this procedure. In all cases, the ipsilateral cr...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.1920090216
更新日期:1988-01-01 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::Single flap for complex hypopharyngoesophageal and anterior neck skin defect reconstruction is still a challenge for reconstructive surgeons. Herein, we present five patients, with advanced hypopharyngeal cancer and anterior neck skin invasion, which received a single anterolateral thigh (ALT) fasciocutaneous flap for...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.20906
更新日期:2011-10-01 00:00:00
abstract::Between July 1986 and July 1994, we studied 125 total finger amputations due to crush and avulsion type injuries at the Izmir Hand and Microsurgery Hospital. Of the 125 fingers replanted, 88 were successful, for a general survival rate of 70.4%. In the period between 1986 and 1991, we performed end-to-end anastomoses ...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.1920161107
更新日期:1995-01-01 00:00:00
abstract::Reconstruction of the foot using microvascular flaps has been widely performed in the last 15 years but the choice of flap to repair some areas in the foot remains controversial. We present a series of 128 free flaps to the foot performed during the period of 1975-1990. One hundred and seventeen had a successful outco...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.1920150110
更新日期:1994-01-01 00:00:00
abstract::The distinction between hammer toes and clawed toes is poorly emphasized. The neural origin of clawing in the foot is related to the lateral plantar nerve, and suggests that surgical treatment directed at decompression or neurolysis of the lateral plantar nerve may either reverse or prevent progression of intrinsic mo...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.20513
更新日期:2008-01-01 00:00:00
abstract::The transparent chamber technique of the hamster cheek pouch was utilized to observe the behavior of a transplanted vascular pedicle within a relatively adverse environment. Observations included direct visualization with intravital microscopy, histology, scanning electron microscopy, and alkaline phosphatase staining...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.1920100307
更新日期:1989-01-01 00:00:00
abstract::Free vascularised bone transfer (fibula, iliac crest, or rib) is an accepted method of bone grafting in malignant and non-union bone surgery. The vascular microanastomoses have transformed the bone healing by creeping substitution seen after non-vascularised grafting (a long and often insufficient process) into normal...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.1920160607
更新日期:1995-01-01 00:00:00
abstract::The purpose of this study was to evaluate the effect of wrapping bioabsorbable nerve conduit around primary suture repair on motor nerve regeneration in a rat model. Forty rats were randomly divided into two experimental groups according to the type of repair of the rat sciatic nerve: group I had primary suture repair...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.22274
更新日期:2014-10-01 00:00:00
abstract:PURPOSE:In this study, the surgical outcomes of 32 patients with ulnar nerve injuries in the Guyon canal are presented. Outcomes were analyzed in relation to various factors such as age, surgical timing, zone of injury, and type of nerve reconstruction. METHODS:Between 1990 and 2007, 32 patients with injury in Guyon c...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.21951
更新日期:2012-05-01 00:00:00
abstract::An experimental animal model of a vascularized graft is presented as an alternative to recover faster function. The technique is described and the model compared to a conventional graft in the sciatic nerve of a rabbit. Results are evaluated with histological studies and quantified using a computer to measure the thic...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.1920060205
更新日期:1985-01-01 00:00:00
abstract::Free superior gluteal artery perforator (SGAP) flaps are a reliable option for breast reconstruction in patients with insufficient abdominal tissue or abdominal scarring. Liposuction in a donor site is a relative contraindication for harvesting a free flap, despite current case reports challenging this tenet. We descr...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.21989
更新日期:2012-09-01 00:00:00
abstract::The use of bulky retractors in experimental microsurgical procedures creates interference with the limited operative field. The current article describes a small but effective retractor made from ordinary staples, which are inexpensive and easily accessible. ...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.1920080416
更新日期:1987-01-01 00:00:00
abstract::Isolated penile lymphedema is a rare but severely disabling condition due to reduced lymphatic drainage. In this area treatment opportunities are poor being that conservative management is usually not effective and surgery limited to debulking lymphangiectomy, which is indicated only in very severe cases. Lymphovenous...
journal_title:Microsurgery
pub_type:
doi:10.1002/micr.30560
更新日期:2020-09-01 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:BACKGROUND:The medial thigh is a well-hidden area. The two most common flaps from this area are the transverse upper gracilis (TUG) and profunda artery perforator (PAP) flaps. Herein, we explored the applications of combined TUGPAP flap to reconstruct large and complex defects in different regions. METHODS:Between Nov...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.30413
更新日期:2019-05-01 00:00:00
abstract::The feasibility of peripheral nerve allograft pretreatment utilizing cold storage (5 degrees C in the University of Wisconsin Cold Storage Solution) or freeze-thawing to prevent rejection was investigated. Regeneration across cold-stored (3 or 5 weeks) or freeze-thawed (FT), 3.0-cm sciatic nerve allografts were compar...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/(sici)1098-2752(1999)19:3<115::aid-micr1>3
更新日期:1999-01-01 00:00:00
abstract::Although the devices for large-caliber vessel (>2-mm diameter) anastomosis are available, there are no devices for performing anastomosis of small-caliber vessels. We designed a hooked device composed of a bioabsorbable polymer for sutureless anastomosis of small-caliber vessels. The efficacy of this device was evalua...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.20764
更新日期:2010-09-01 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::Chronic sympathetic denervation leads to the development of supersentivity to adrenergic agents. Free flap surgery results in the disruption of the autonomic nerve fibers running along the anastomosed vessels. We therefore investigated the early effect of surgical sympathectomy on the reactivity of cutaneous microcirc...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.20528
更新日期:2008-01-01 00:00:00
abstract::It is generally believed that alterations in perfusion which endanger a free flap or replant are directly related to thrombus formation and obstruction of blood flow at the anastomotic site. Recent experimental work in our laboratory suggests that the presence of platelet emboli downstream in the microcirculation migh...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.1920140612
更新日期:1993-01-01 00:00:00
abstract:INTRODUCTION:Calcaneal tumors being a rare occurrence, surgical options and outcomes are not well-known. Extensive defects following wide resection, especially in weight-bearing areas, still remain a challenge and different reconstructive techniques have been proposed. The aim of this report was to analyze the clinical...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.30452
更新日期:2019-11-01 00:00:00