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Measurement of Oxygen Pressure for Control of Isolated Muscle Grafts

  • H. P. Keller
Conference paper

Abstract

As was first reported in 1976, the transcutaneous (tc) measurement of partial oxygen pressure (PO2) is a suitable method for controlling skin grafts. Using this technique in animal experiments, the healing of skin autografts and the rejection of allografts could be followed. On pedicle skin flaps, an improvement in the oxygen supply as a result of revascularization was observed between the 4th and 8th postoperative days (Figs. 1, 2). tcPO2 measurements showed that the ischemia which results from early gradual cutting off of the circulation of so-called axial pattern flaps seems to effect a more rapid revascularization from the graft bed into the skin flap. This is clinically important because the flap’s pedicle can then be safely detached at least 1 week earlier than usual. The tcPO2 measurement also facilitates the postoperative control of free, microvascularly transplanted skin and skin muscle grafts, which in the presence of good venous drainage often make a valied clinical assessment difficult.

Keywords

Oxygen Pressure Venous Flow Tissue Glue Muscle Graft Thoracodorsal Artery 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

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    Huch, R., D. W. Lübbers, A. Huch: Quantitative continuous measurement of partial oxygen pressure on the skin of adults and newborn babies. Pflüg. Arch. 337 (1972) 185–198CrossRefGoogle Scholar
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    Keller, H. P., P. Klaue, D. W. Lübbers: Transcutaneous p02 measurement for evaluating the oxygen supply of skin alio- and autografts. Eur. Surg. Res. 10 (1978) 272–282PubMedCrossRefGoogle Scholar
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    Keller, H. P., P. Klaue: Die transkutane p02-Messung zur objektiven Verlaufskontrolle von gestielten Hautlappen. Med. Welt 15 (1980) 556–557Google Scholar
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    Stroch, P. E., G. Majno: Vascular responses to experimental tourniquet ischemia. Surg. Gyn. Obstet. (1969)309–318Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1987

Authors and Affiliations

  • H. P. Keller

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