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PubMed Central
Other literature type . 2017
License: CC BY NC ND
Data sources: PubMed Central
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Journal of Visualized Experiments
Article . 2017 . Peer-reviewed
Data sources: Crossref
Journal of Visualized Experiments
Article . 2017 . Peer-reviewed
Data sources: Crossref
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A Model of Free Tissue Transfer: The Rat Epigastric Free Flap

Authors: Casal, D; Pais, D; Iria, I; Mota-Silva, E; Almeida, MA; Alves, S; Pen, C; +7 Authors

A Model of Free Tissue Transfer: The Rat Epigastric Free Flap

Abstract

Free tissue transfer has been increasingly used in clinical practice since the 1970s, allowing reconstruction of complex and otherwise untreatable defects resulting from tumor extirpation, trauma, infections, malformations or burns. Free flaps are particularly useful for reconstructing highly complex anatomical regions, like those of the head and neck, the hand, the foot and the perineum. Moreover, basic and translational research in the area of free tissue transfer is of great clinical potential. Notwithstanding, surgical trainees and researchers are frequently deterred from using microsurgical models of tissue transfer, due to lack of information regarding the technical aspects involved in the operative procedures. The aim of this paper is to present the steps required to transfer a fasciocutaneous epigastric free flap to the neck in the rat. This flap is based on the superficial epigastric artery and vein, which originates from and drain into the femoral artery and vein, respectively. On average the caliber of the superficial epigastric vein is 0.6 to 0.8 mm, contrasting with the 0.3 to 0.5 mm of the superficial epigastric artery. Histologically, the flap is a composite block of tissues, containing skin (epidermis and dermis), a layer of fat tissue (panniculus adiposus), a layer of striated muscle (panniculus carnosus), and a layer of loose areolar tissue. Succinctly, the epigastric flap is raised on its pedicle vessels that are then anastomosed to the external jugular vein and to the carotid artery on the ventral surface of the rat's neck. According to our experience, this model guarantees the complete survival of approximately 70 to 80% of epigastric flaps transferred to the neck region. The flap can be evaluated whenever needed by visual inspection. Hence, the authors believe this is a good experimental model for microsurgical research and training.

Country
Portugal
Keywords

Femoral Vein, Epigastric Arteries, Free Tissue Flaps, Surgical Flaps, Rats, Femoral Artery, CHLC PAT CLIN, Carotid Arteries, Adipose Tissue, Medicine, Animals, CHLC CPR, Jugular Veins, Muscle, Skeletal, Neck

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
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