Altınel Dinçer, Serin Merdan, Erdem Havva, Biltekin Burcu, Celikten Mert, Kurt Yazar Sevgi, Toplu Gaye, Oruc Eymen
Department of Plastic and Reconstructive Surgery, Istanbul Training and Research Hospital, University of Health Sciences , Istanbul , Turkey.
Department of Pathology, Ordu University Training and Research Hospital , Ordu , Turkey.
J Plast Surg Hand Surg. 2019 Oct;53(5):260-264. doi: 10.1080/2000656X.2019.1597371. Epub 2019 Apr 23.
Random flaps are frequently used in the practice of reconstructive surgery. The aim of this experimental study was to investigate the effects of on random flap survival in rats. Fourteen Wistar rats were used for this experimental study. The subjects were divided into experiment and control groups. Rats in the experiment group received daily injections of extract for 7 d before the elevation of the flaps. Following the treatment period, elevation and reinsertion of the dorsal flaps were performed. Necrotic and total flaps areas were marked and calculated 7 d after the flap elevation. Histological examinations and microangiography were performed to evaluate the results. The mean value of the proportion of necrotic flap areas to the total flap area was 25.06 and 50.6% in the and control group, respectively ( = .0079). In the histological examination, number of vessels identified in the dermis were 23.75 ± 0.7 and 33.75 ± 9 in the and control group, respectively ( = .7457). In angiographic images, vessels formations were more noticeable in the group. We conclude that preoperative subcutaneous injection increases dorsal flap survival in rats.
随意皮瓣在重建外科手术中经常被使用。本实验研究的目的是调查[具体物质]对大鼠随意皮瓣存活的影响。十四只Wistar大鼠用于本实验研究。实验对象被分为实验组和对照组。实验组大鼠在皮瓣掀起前7天每天注射[具体物质]提取物。治疗期过后,掀起并重新植入背部皮瓣。在皮瓣掀起7天后标记并计算坏死皮瓣面积和总皮瓣面积。进行组织学检查和微血管造影以评估结果。在[具体物质]组和对照组中,坏死皮瓣面积占总皮瓣面积的比例平均值分别为25.06%和50.6%(P = 0.0079)。在组织学检查中,[具体物质]组和对照组真皮中识别出的血管数量分别为23.75 ± 0.7和33.75 ± 9(P = 0.7457)。在血管造影图像中,[具体物质]组的血管形成更明显。我们得出结论,术前皮下注射[具体物质]可提高大鼠背部皮瓣的存活率。