Nakayama Y, Soeda S, Kasai Y
Plast Reconstr Surg. 1982 Jan;69(1):61-7.
Using abdominal skin flaps in experimental rats, we created flaps that exhibited relatively constant necrosis in the distal side. The existence of arterial inflow had a marked effect on the survival of the distal part of these flaps. We postulate that the so-called delay mechanism produces the arterial inflow as a consequence, although how this occurs is still unsolved. We suggest the possibility that a large flap may be transposed in one stage with vascular anastomosis in the distal part--preferably artery and vein, or artery only.
在实验大鼠中使用腹部皮瓣，我们制作了在远端呈现相对恒定坏死的皮瓣。动脉血流的存在对这些皮瓣远端部分的存活有显著影响。我们推测，所谓的延迟机制会因此产生动脉血流，尽管其发生方式仍未解决。我们提出一种可能性，即大皮瓣可以在一期进行移位，并在远端进行血管吻合——最好是动脉和静脉吻合，或者仅进行动脉吻合。
