Barros Rui Sergio Monteiro de, Reis José Maciel Caldas Dos, Santos Deivid Ramos Dos, Yamaki Vitor Nagai, Teixeira Renan Kleber Costa, Valente André Lopes
Porto Dias Hospital - Department of Orthopedics and Traumatology - Belém (PA) - Brazil.
Universidade do Estado do Pará - Postgraduate Program in Surgery and Experimental Research - Belém (PA) - Brazil.
Acta Cir Bras. 2025 Apr 28;40:e403725. doi: 10.1590/acb403725. eCollection 2025.
To develop an experimental model of microsurgical scalp reimplantation in rabbits.
Ten male albino New Zealand rabbits (Oryctolagus cuniculus) were scalped and subjected to scalp reimplantation. The rabbits' scalp regions, including their ears, were surgically amputated. Based on a previous anatomical study, the superficial temporal artery and the central auricular vein were chosen for microanastomosis. Data on the morphometric parameters (vessel weight and caliber), surgical procedure (surgical time and number of stitches), and surgical recovery parameters (venous return, patency, and necrosis) were collected for up to 30 days postoperatively (PO) using a research protocol.
Morphometric and surgical recovery parameters did not significantly differ in our sample. No animals died during the intraoperative period. Three animals were euthanized because they developed partial or total scalp necrosis. The venous return was impaired from three to ten days PO, with spontaneous regression after this period, which significantly improved (p = 0.02) after 14 days PO. Superficial necrosis was observed starting at two days PO with complete resolution by day 21 PO (p <0.01).
The rabbit provides a realistic biological model for training scalp reimplantation with high fidelity to human vascular structures.
建立兔显微外科头皮再植实验模型。
选取10只雄性白化新西兰兔(穴兔),进行头皮切除及再植手术。将兔的头皮区域,包括耳朵,进行手术截断。基于先前的解剖学研究,选择颞浅动脉和耳中央静脉进行显微吻合。使用研究方案收集术后长达30天的形态学参数(血管重量和管径)、手术过程(手术时间和缝合针数)以及手术恢复参数(静脉回流、通畅情况和坏死情况)的数据。
我们样本中的形态学和手术恢复参数无显著差异。术中无动物死亡。3只动物因出现部分或完全头皮坏死而被安乐死。术后3至10天静脉回流受损,此后自发恢复,术后14天后显著改善(p = 0.02)。术后2天开始观察到浅表坏死,至术后21天完全消退(p <0.01)。
兔为训练头皮再植提供了一个逼真的生物学模型,对人类血管结构具有高度的逼真度。