## Abstract Heparin is commonly included in the irrigation solution used during microvascular surgery. Evidence has accumulated to indicate a beneficial effect of heparin on anastomotic patency, implying that its topical use is critical to success even in routine microvascular repairs. This investi
Flushing the vessel ends: The effect on ischemic free flap survival
β Scribed by Dr. Henk P. Giele; Morris Ritz; Wayne A. Morrison; Bernard Mcc. O'Brien
- Publisher
- John Wiley and Sons
- Year
- 1994
- Tongue
- English
- Weight
- 207 KB
- Volume
- 15
- Category
- Article
- ISSN
- 0738-1085
No coin nor oath required. For personal study only.
β¦ Synopsis
Abstract
During vascular anastomosis of experimental ischemic free flaps it is common to observe that stagnant blood in the vessel ends has clotted. A study was performed to investigate if flushing away the stagnant blood on division of the vessels would increase flap survival. Flushing did not influence flap survival. Clinically, clot is rarely seen, except in conditions of prolonged ischemia or damaged vessels. Current surgical practice does not involve flushing the vessel ends upon division of the vessels and this approach is affirmed by our results. Β© 1994 WileyβLiss, Inc.
π SIMILAR VOLUMES
Since vein grafting is often required during transplantation of free muscle flaps but is associated with a higher failure rate than those flaps transplanted with primary anastomoses, we sought to compare primary repair with the use of vein grafting in an experimental setting. We transplanted the gra
## Abstract Extended groin flaps in rats were used to explore the relationship of time and temperature of ischemic storage to the ultimate survival of free flaps. The maximum period of ischemia with 100% survival was found to be six hours for storage at a normothermic range (20β 25β C) and 48 hours
## Abstract Cell transplantation offers a potential new treatment for stroke. Animal studies using models that produce ischemic damage in both the striatum and the frontal cortex have shown beneficial effects when hNT cells (postmitotic immature neurons) were transplanted into the ischemic striatum
## Abstract Free groin flaps taken from rats were preserved by refrigeration at 4Β°C in either lactated Ringers solution or tissue culture medium for various periods of time. The results indicate that a high survival rate can be expected at periods up to 72 hours, but there was no success in preserv