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Experimental study of ischemia time influencing free skin flap survival

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Summary

The relationship between the ischemia time of the isolated skin flap and its survival after transfer by microvascular anastomosis was studied in rat. Our result would confirm that warm ischemia of under 9 h will not adversely affect survival of transplanted skin flap while cool ischemia of under 48 h also will not have an adverse effect. Based on our histological findings, the degeneration of vessels and fatty tissue were the most important change in skin flaps resulting from ischemia.

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References

  1. Anderl, H.: Storage of a free groin flap. Chir. Plastica (Berl.) 4, 41 (1977)

    Google Scholar 

  2. Daniel, R.K., Taylor, G.I.: Distant transfer of an island flap by microvascular anastomoses. Plast. Reconstr. Surg. 52, 111 (1973)

    Google Scholar 

  3. Eiken, O., Nabseth, D.C., Mayer, R.F., Deterling, R.A.: Limb replantation: The pathophysiological effects. Arch. Surg. 88, 76 (1964)

    Google Scholar 

  4. Engber, D.E., Hardin, C.A.: Replantation of extremities. Surg. Gynecol. Obstet. 132, 901 (1971)

    Google Scholar 

  5. Harii, K., Ohmori, K., Ohmori, S.: Successful transfer of ten free flaps by microvascular anastomoses. Plast. Reconstr. Surg. 53, 259 (1974)

    Google Scholar 

  6. Hayhurst, J.W., O'Brien, B.McC., Ishida, H., Baxter, T.J.: Experimental digital replantation after prolonged cooling. Hand 6, 134 (1974)

    Google Scholar 

  7. Willms-Kretschmer, K., Majno, G.: Ischemia of the skin-electron microscopic study of vascular injury. Am. J. Pathol. 54, 327 (1969)

    Google Scholar 

  8. May, J.W., Chait, L.A., O'Brien, B.M.McC., Hurley, J.V.: The no-reflow phenomenon in experimental free flaps. Plast. Reconstr. Surg. 61, 256 (1978)

    Google Scholar 

  9. Shaw Wilgis, E.F.: Observation on the effect of tourniquet ischemia. J. Bone Joint Surg. Am. 53, 1343 (1971)

    Google Scholar 

  10. Strauch, B., Murray, D.E.: Transfer of composite graft with immediate suture anastomosis of its vascular pedicle measuring less than 1 mm in external diameter, using microsurgical technique. Plast. Reconstr. Surg. 40, 325 (1967)

    Google Scholar 

  11. Torii, S., Harii, K., Ohmori, K., Sekiguchi, J.: Factors influencing free skin flap survival: Ischemia time. Japan. J. Plast. Reconstr. Surg. 20, 234 (1977) (in Japanese only)

    Google Scholar 

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Authors and Affiliations

  1. Department of Plastic and Reconstructive Surgery, Tokyo Metropolitan Police Hospital, 2-10-41, Fujimi Chiyoda-ku, Tokyo, Japan

    Sh. Torii M.D., K. Harii & K. Ohmori

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  1. Sh. Torii M.D.
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  2. K. Harii
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  3. K. Ohmori
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Torii, S., Harii, K. & Ohmori, K. Experimental study of ischemia time influencing free skin flap survival. Chir Plastica 4, 225–233 (1977). https://doi.org/10.1007/BF00277800

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  • DOI: https://doi.org/10.1007/BF00277800

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