MICROVASCULAR SURGERY IN RECONSTRUCTIVE PLASTIC SURGERY

The distant transfer of the free skin flap by microvascular anastomosis opens a new era in reconstructive plastic surgery and herein the author's personal experiences regarding to the microvascular surgery are described in details in the following subjects; introduction, concept of microsurgery...

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Published inKeio journal of medicine Vol. 23; no. 3; pp. 137 - 163
Main Author FUJINO, TOYOMI
Format Journal Article
LanguageEnglish
Published Japan The Keio Journal of Medicine 1974
Subjects
Adult
Animals
Dogs
Female
Humans
Male
Microsurgery - instrumentation
Microsurgery - methods
Skin Transplantation
Surgery, Plastic
Transplantation, Autologous
Transplantation, Homologous
Vascular Surgical Procedures - methods
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Abstract The distant transfer of the free skin flap by microvascular anastomosis opens a new era in reconstructive plastic surgery and herein the author's personal experiences regarding to the microvascular surgery are described in details in the following subjects; introduction, concept of microsurgery, microvascular instruments, fundamental techniques of microvascular anastomosis, experimental study in dogs, one staged transfer of free skin flap in clinical cases, and advantages and disadvantages of microvascular transfer of skin flap.
AbstractList The distant transfer of the free skin flap by microvascular anastomosis opens a new era in reconstructive plastic surgery and herein the author's personal experiences regarding to the microvascular surgery are described in details in the following subjects; introduction, concept of microsurgery, microvascular instruments, fundamental techniques of microvascular anastomosis, experimental study in dogs, one staged transfer of free skin flap in clinical cases, and advantages and disadvantages of microvascular transfer of skin flap.
Author FUJINO, TOYOMI
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References 32. Fujino, T., Harashina, T., Nakayama, R., Tokura, Y., Kimura, Y., Nomoto, S. & Ohtsuka, H.: Changes of blood volume and blood gases in free island skin flap. Jap. J. Plast. Reconst. Surg. 13: 88-89, 1970
37. McGregor, I. A. & Jackson, I. T.: The groin flap. Brit. J. Plast. Surg. 25: 3-16, 1972
23. Acland, R.: Prevention of thrombosis in microvascular surgery by the use of Magnesium sulphate. Brit. J. Plast. Surg. 25: 292-299, 1972
30. Fujino, T., Harashina, T. & Mikata, A.: Autogenous en bloc transplantation of the mammary gland in dogs. Using microsurgical technique. Plast. Reconst. Surg. 50: 376-381, 1972
6. Millesi, H.: Microsurgery of peripheral nerve. Hand 5: 157-160, 1973
8. Fujino, T.: Contribution of the axial and perforator vasculatures to circula tion in flaps. Plast. Reconst. Surg. 39: 125-137, 1967
27. Acland, R.: Thrombus formation in microvascular surgery. An experimental study of the effects of surgical trauma. Sup. 73: 766-771, 1973
36. Millard, R. D. Jr.: Total reconstructive rhinoplasty and a missing link. Plast. Reconst. Surg. 37: 167-183, 1966
18. Malis, L. I.: Bipolar coagulation in microsurgery. In. Microvascular Surgery, Ed. by R. M. P. Donaghy, M. G. Yasargil, pp. 126-130, Thiem. Stuttgart, 1967
22. Jacobson, J. H.: Counterpressor (Microfork). In. Microsurgery. Ed. by M. G. Yasargil, p. 39. Thiem. Stuttgart, 1969
14. Parel, J. M., Crock, G. W., McC. O'Brien, B. & Galbraith, J. E. K.: Prototype electromicrosurgical instruments. Med. J. Austr. 1: 709-714, 1970
15. Tamai, S.: Vascular trauma. Geka Chiryo (Jap.) 30: 427-436, 1974
5. Sunderland, S.: Funicular suture and funicular exclusion in repair of severed nerve. Brit. J. Surg. 40: 580-587, 1953
10. Krizek, T. J., Tani, T., Des Prez, J. D. & Kiehn, C. L.: Experimental trans plantation of composite grafts by microsurgical vascular anastomosis. Plast. Reconst. Surg. 36: 538-546, 1965
26. McLean, D. H., and Buncke, H. J. Jr.: Use of the saran wrap cuff in micro surgical arterial repairs. Plast. Reconst. Surg. 51: 624-627, 1973
33. Goldwyn, R. M., Lamb, D. L. & White, W. L.: An experimental study of large island flaps in dogs. Plast. Reconst. Surg. 31: 528-536, 1963. Follow up clinic 47: 495, 1971
34. Daniel, R. K. & Taylor, G. I.: Distant transfer of an island flap by micro vascular anastomosis. Plast. Reconst. Surg. 52: 111-117, 1973
39. Miyake, H., Sato, Y., Ogino, Y., Akiyama, T., Takeda, C., Yamashita, I., Fujino, T., Kaneko, T., Iwai, H., Sato, T., Matsuura, H., Iizuka, K. & Kitamura, T.: Management of head and neck cancer after primary failure for cure. J. Jap. Cancer Th. 9: 22-34, 1974
13. Assimacopoulos, C. A. & Salmon, P. A.: A modified pneumatic needle holder suitable for fine suture techniques: Surg. Gyn. Obst. 119: 356-358, 1964
38. Tai, Y. & Hasegawa, H.: A transverse abdominal flap for reconstruction after radical operations for recurrent breast cancer. Plast. Reconst. Surg. 53: 52-54, 1974
2. Holmgren, G.: Some experiences in surgery of otosclerosis. Acta Otolaryng. 5: 460-466, 1923
28. Tamai, S.: Personal communication
4. Langley, J. N. & Hashimoto, M.: On suture of separate nerve bundles in a nerve trunk and on internal nerve plexuses. J. Physiol. 51: 318-346, 1917
29. Fujino, T. & Harashina, T.: Study of transplantation of free island flap with the aid of Inokuchi's microvascular stapler machine. Jap. J. Plast. Reconst. Surg. 11: 234-238, 1968
24. Ketchum, L. D., Wennen, W. W., Masters, F. W. & Robinson, D. W.: Experi mental use of Pluronic F68 in microvascular surgery. Plast. Reconst. Surg. 53: 288-292, 1974
17. Bunche, H. J. & McLean, D. H.: The advantage of a straight needle in microsurgery. Plast. Reconst. Surg. 47: 602-603, 1971
9. Bakamjian, V. Y., Culf, N. K. & Bales, H. W.: Versality of the deltopectral flap in reconstruction following head and neck cancer surgery. In. Trans. Fourth Internal. Gong. Plast. Reconst. Surg. p. 808 Excerpta Medica, Am sterdam, 1967
11. Buncke, H. J. & Schultz, W. P.: The suture repair and of one millimeter vessels, in Donaghy, R. M. P. and Yasargil, M. G. Microvascular Surgery p. 24, St. Louis, Mosby, 1967
7. Carrel, A. & Guthrie, C. C.: Uniterminal and biterminal venous transplanta tion. Surg. Gyn. Obst. 2: 266-286, 1906
3. Jacobson, J. H. & Suarez, E. L.: Microsurgery in anastomosis of small vessels. Surg. Forum 11: 243-245, 1960
40. Jackson, I. T. & Lang, W.: Secondary esophagoplasty after pharyngolaryn gectomy using a modified deltopectral flap. Plast. Reconst. Surg. 48: 155-159, 1971
19. Morohashi, T., Yamanaka, K., Nemoto, K., Nakayama, K. & Furuta, H.: Studies on the blood flow in fetoplacental circuit by a directional Doppler flowmeter. Med. Ultrason. 10: 35-38, 1972
25. Cobbet, J.: Small vessel anastomosis. A comparison of suture technique. Brit. J. Plast. Surg. 20: 16-20, 1967
16. O'Brien, B. M. & Hayhurst, J. W.: Metallized microsutures and a new micro needle holder. Plast. Reconst. Surg. 52: 673-676, 1973
20. Murray, G. D. W.: Heparin in thrombosis and embolism. Brit. J. Surg. 27: 567-598, 1940
21. Acland, R. D.: New instruments for microvascular surgery. Brit. J. Surg. 59: 181-184, 1972
12. Acland, R.: New instruments for microvascular surgery. Brit. J. Surg. 59: 181-184, 1972
1. Yasargil, M. G.: Microsurgery applied to neurosurgery. pp230, George Thieme Verlag, Stuttgart, 1969
31. Harashina, T., Mikta, A., Epstein, L. I. & Fujino, T.: Rejection phenomena after homotransplantation of skin flaps in dogs by microvascular technique. Plast. Reconst. Surg. 52: 390-393, 1973
35. Fujino, T., Harshina, T., Tanino, R., Ohshiro, T. & Aoyagi, F.: Clinical success of distant transfer of free skin flap in head and neck regions by microvascular anastomosis. Keio J. Med. 23: 47-52, 1974
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SubjectTerms Adult
Animals
Dogs
Female
Humans
Male
Microsurgery - instrumentation
Microsurgery - methods
Skin Transplantation
Surgery, Plastic
Transplantation, Autologous
Transplantation, Homologous
Vascular Surgical Procedures - methods
Title MICROVASCULAR SURGERY IN RECONSTRUCTIVE PLASTIC SURGERY
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