scholarly journals Artificial Dermis Composite Tissue Flaps versus Traditional Prefabricated Flaps

Author(s):  
Yuchong Wang ◽  
Mengyan Sun ◽  
Haiying Dai ◽  
Chuan Lv ◽  
Jianguo Xu ◽  
...  

Objective We compared the application of artificial dermis composite tissue flaps and traditional prefabricated flaps in a rat model of exposed bone and tendon injury. Methods Sprague Dawley rats were randomly divided into two groups (n = 40 per group). Group A rats received artificial dermis composite tissue flaps and group B rats received traditional prefabricated flaps. Flap appearance, range of motion, degree of swelling, tissue histologic results, and imaging findings were compared between groups at 7, 14, 21, and 28 days. Results There was no difference in flap appearance, range of motion, or degree of swelling between groups. However, blood perfusion of the artificial dermis composite tissue flap was better than that of the traditional prefabricated flap; the artificial dermis was also found to be thicker than the traditional prefabricated flap. Conclusions The artificial dermis composite tissue flap is an ideal method for repairing exposed bone and tendon, and it displays repair effects comparable with those of the traditional prefabricated flap and may be a better alternative.

2005 ◽  
Vol 153 (2) ◽  
pp. 345-351 ◽  
Author(s):  
Leif Jansson ◽  
Birgitta Bodin ◽  
Örjan Källskog ◽  
Arne Andersson

Objectives: The aim of this study was to evaluate islet blood-flow changes during stimulated growth of the islet organ without any associated functional impairment of islet function. Design: A duct ligation encompassing the distal two-thirds of the pancreas was performed in adult, male Sprague–Dawley rats. Methods: Pancreatic islet blood flow was measured in duct-ligated and sham-operated rats 1, 2 or 4 weeks after surgery. In some animals studied 4 weeks after surgery, islet blood flow was also measured also during hyperglycaemic conditions. Results: A marked atrophy of the exocrine pancreas was seen in all duct-ligated rats. Blood glucose and serum insulin concentrations were normal. An increased islet mass was only seen 4 weeks after surgery. No differences in islet blood perfusion were noted at any time point after duct ligation. In both sham-operated and duct-ligated rats islet blood flow was increased during hyperglycaemia; the response was, however, slightly more pronounced in the duct-ligated part of the gland. Conclusions: Normal, physiological islet growth does not cause any major changes in the islet blood perfusion or its regulation. This is in contrast to findings during increased functional demands on the islets or during deteriorated islet function, when increased islet blood flow is consistently seen.


Author(s):  
Alex V. Cardinali ◽  
Thomas E. Diller ◽  
Otto Lanz ◽  
Elaine P. Scott

This work describes steps in the ongoing development of a system to noninvasively estimate blood perfusion using thermal methods. A combination thermocouple/thermopile sensor is used to record heat flux and temperature measurements on the tissue of interest. The resulting data are compared to a biothermal computer model to determine blood perfusion. The system has been tested on a canine medial saphenous fasciocutaneous free tissue flap that allows experimental control of blood flow to the measurement site. These experiments show distinct correlation between blood flow and bioprobe output demonstrating the validity of the measurement method.


Blood ◽  
2013 ◽  
Vol 122 (21) ◽  
pp. 2301-2301
Author(s):  
Jeong-A Kim ◽  
Jae-Yong Kwak ◽  
Kyoungmi Noh ◽  
Hyun-Kyung Kim ◽  
Bohee Lee ◽  
...  

Abstract There is solid evidence that myelo-monocytic cells actively contribute to angiogeneic processes. However, the specific subpopulations of myelo-monocytic cells participating in vascularization and their precise underlying mechanisms have not been well identified. Recently it has been reported that CX3CR1, a receptor for fractalkine (CX3CL1; Fkn), is highly induced at injury sites and CX3CR1 positive cells have an active role for angiogenesis in a mouse wound healing model. Therefore, we evaluated neovascularization activities of CD11b+CX3CR1+ cells during recovery of blood perfusion in a hind-limb ischemic injury mouse model and also identified their activities during the process of angiogenic sprouting in the retina of early postnatal Sprague-Dawley (SD) rat. Ischemic injuries were induced in C57BL/6 mice by femoral artery dissections. Single-cell suspensions were made from ischemic muscles using collagenase and dispase digestion. Isolated CD11b+CX3CR1+ cells and CD11b-CX3CR1- cells from ischemic muscle (5x105 cells/mouse) were injected into ischemic muscles 2 days after femoral artery dissections. Laser Doppler Perfusion (LDP) indexes were assessed as an indicator for blood perfusion. In order to block the functions of CX3CR1 and Fkn, either anti-CX3CR1 or anti-Fkn neutralizing antibody (Ab) were injected into ischemic muscles. To determine whether CX3CR1 has a role in actively growing retinal vessels, intravitreal microinjections were done with anti-CX3CR1 Ab at postnatal 2 days (P2) SD rat. P5 retinas treated with neutralizing anti-CX3CR1 Ab at P2 were used. CD11b+CX3CR1+ cells were positive for CD45 and F4/80, monocyte/macrophage marker. CD11b+CX3CR1+ cells accumulated at the injured muscles in C57BL/6 mice. We tested for contribution of CD11b+CX3CR1+ cells to neovascularization in the injury sites by injecting ischemic muscle-derived CD11b+CX3CR1+ cells or CD11b-CX3CR1- cells into the adductor muscles of C57BL/6 mice. CD11b+CX3CR1+ cells enhanced blood perfusion when compared to CD11b-CX3CR1- cells (78.0±3.2% vs 39.0±0.3% of LDP indexes at day 28, p<0.01). Both neutralizing Abs to CX3CR1 and Fkn significantly reduced blood perfusion resulting in decreased LDP indexes of 25.9±4.9% and 29.4±4.6% compared to those of the non-ischemic limbs (p<0.01). When CX3CR1 function was blocked with anti-CX3CR1-neutralizing Ab, CD11b+CX3CR1+cells were completely eliminated and any vessel-like structures were not observed in the ischemic muscles. By staining of isolectin for P5 retina, well-organized primitive vascular plexus was observed. However, blocking the function of CX3CR1 resulted in formation of peripheral plexus that was more highly interconnected. Additionally, vessels coalesced to form a syncytium in some areas. Thus, CD11b+CX3CR1+ cells accumulate at sites of ischemic injury and enhance recovery of blood flow via new vascular structure formation. Furthermore, CX3CR1 acts to prevent overexuberant vascular growth and promotes formation of well-differentiated vascular network. In summary, CD11b+CX3CR1+ cells are a newly identified subset of myelomonocytic cells for vessel formation, capable of regulating vascular formation. CD11b+CX3CR1+ cells may be an attractive clinical tool to accelerate tissue vasculature development in various ischemic diseases. Disclosures: No relevant conflicts of interest to declare.


2017 ◽  
Vol 11 (1) ◽  
pp. 704-713
Author(s):  
Xiaohua Pan ◽  
Guangyao Wang ◽  
Tun Hing Lui

This article reported the ultilization of cross-bridge flap transplantation and combined free-tissue flap transplantation to treat a 54-year-old male with Gustilo type III-C injuries. Thorough debridement, external fixation and vacuum sealing drainage were performed in the fist-stage treatment. After the removal of negative pressure on VSD devices, the joined free-tissue flaps and the cross-bridge flap were performed to repair the extensive soft-tissue defects. One month later the pedicle of cross-bridge flap was divided and the external fixator connecting both the lower legs was removed. In 3-month follow-up, the extensive defects was completely covered by a nearly normal skin and radiograph showed tibia and talus healing.


2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Xiujun Fu ◽  
Xianyu Zhou ◽  
Di Sun ◽  
Chuan Gu

2007 ◽  
Vol 293 (3) ◽  
pp. R1438-R1443 ◽  
Author(s):  
Michael Hultström ◽  
Leif Jansson ◽  
Birgitta Bodin ◽  
Örjan Källskog

The aim of the study was to characterize the effects of induced moderate hypothermia on splanchnic blood flow, with particular reference to that of the pancreas and the islets of Langerhans. We also investigated how interference with the autonomic nervous system at different levels influenced the blood perfusion during hypothermia. For this purpose, hypothermia (body temperature of 28°C) was induced by external cooling, whereas normothermic (37.5°C) anesthetized Sprague-Dawley rats were used as controls. Some rats were pretreated with either propranolol, yohimbine, atropine, hexamethonium, or a bilateral abdominal vagotomy. Our findings suggest that moderate hypothermia elicits complex, organ-specific circulatory changes, with increased perfusion noted in the pylorus, as well as the whole pancreas and the pancreatic islets. The pancreatic islets maintain their high blood perfusion through mechanisms involving both sympathetic and parasympathetic mediators, whereas the increased pyloric blood flow is mediated through parasympathetic mechanisms. Renal blood flow was decreased, and this can be prevented by ganglionic blockade and is also influenced by β-adrenoceptors.


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