2003, Number 1
<< Back Next >>
Cir Plast 2003; 13 (1)
Indirect revascularization of rat lower limbs by means of muscle flaps
Chávez-Abraham V, Haddad-Tame JL, Padilla-Sánchez L, Sastré-Ortiz N
Language: Spanish
References: 14
Page: 8-12
PDF size: 144.43 Kb.
ABSTRACT
Saving an ischemic limb constitutes a great challenge for the plastic surgeon. To demonstrate the efficiency of muscle flap transfer and the existence of revascularization between the transferred flap and the ischemic receiving bed, 84 white Wistar rats divided into two groups were operated on: Group I, formed by 42 rats in which ischemia of the lower limb by surgical occlusion of all the afferent arterial flow was produced, and Group II also formed by 42 rats, which after provoking total ischemia were subjected to abdominal rectus muscle flap rotation for limb revascularization. The histopathological, gammagraphic and angiographic results showed that the muscle flap rotation well perfuse provoke significant angiogenesis in the limbs with severe ischemia and therefore constitutes a useful tool for the plastic surgeon in the saving of the ischemic limbs.
REFERENCES
Schwartz SI, Shires GT, Spencer FC. Peripheral Arterial Disease. In: Principles of Surgery. Mc Graw-Hill. 5th Edition 1989: 933-1010.
Bandyk DF. Chronic Arterial Disease. In: Strandness & Van Breda. Vascular Diseases. Churchill Livingstone 1994; 1: 86-94.
Haimovici H. Vascular Surgery: Principles and Techniques. Norwalk, Conn. Appleton & Lange 3th ed. 1989: 328-345.
Casten DF, Alday ES. Omental Transfers for revascularization of the extremities. Surg Gynecol Obstet 1971; 132: 301-304.
Goldsmith HS. Salvage of end stage ischemic extremities by intact omentum. Surgery 1980; 88: 732-736.
Takmi H, Takahashi S, Ando M. Microvascular Free musculocutaneous flaps for the treatment of avulsion injuries in the lower leg. J Trauma 1983; 23: 473-477.
Briggs SE, Banis JC, Kaebnick H, Acland RD. Distal revascularization and microvascular free tissue transfer: An alternative to amputation in ischemic lesions of lower extremity. J Vasc Surg 1985; 2: 806-811.
Hartrampf CR, Scheflan M, Black PW. Breast reconstruction with transverse abdominal island flap. Plast Reconstr Surg 1982; 69: 216.
Moon HK, Taylor GI. The vascular anatomy of rectus abdominis musculocutaneous flap based on the deep superior epigastric system. Plast Reconstr Surg 1988; 82: 815-832.
Anthony JP, Mathes SJ. Update on chronic osteomyelitis. Clin Plast Surg 1991; 18: 515-524.
Colen LB. Limb Salvage in the patient with severe peripheral vascular disease: The role of microsurgical free tissue transfer. Plast Reconstr Surg 1987; 79: 389-395.
Shestak KC, Fitz DG, Newton ED. Expanding the horizons in treatment of severe peripheral vascular disease using microsurgical techniques. Plast Reconstr Surg 1990; 85: 406-411.
Shestak KC, Hendricks DL, Webster MW. Indirect revascularization of the lower extremity by means of microvascular free-muscle flap. A preliminary report. J Vasc Surg 1990; 12: 581-585.
Oishi SN, Levin LS, Pederson WC. Microsurgical management of extremity wounds in diabetics with peripheral vascular disease. Plast Reconstr Surg 1993; 92: 485-492.