Pribaz J J, Maitz P K, Fine N A
Brigham/Children's/Harvard Division of Plastic Surgery, Boston, Massachusetts.
Br J Plast Surg. 1994 Jun;47(4):250-6. doi: 10.1016/0007-1226(94)90007-8.
Techniques for tissue transfer have continued to evolve. Free flap prefabrication represents a further progression of well known plastic surgery principles in the arena of tissue transfer. This report presents an experimental study demonstrating that the repeated use of a vascular pedicle to prefabricate flaps in the rabbit is possible. There is a decrease in flap viability with the second transfer. A clinical case using this repeated transfer or "crane" principle is also reported. We conclude that the repeated use of a vascular pedicle to prefabricate multiple flaps is a viable option in selected cases.
组织移植技术一直在不断发展。游离皮瓣预制代表了组织移植领域中著名整形外科学原理的进一步发展。本报告展示了一项实验研究,证明在兔子身上重复使用血管蒂来预制皮瓣是可行的。第二次移植时皮瓣的存活率有所下降。本文还报道了一个运用这种重复移植或“起重机”原理的临床病例。我们得出结论,在特定病例中,重复使用血管蒂来预制多个皮瓣是一种可行的选择。