Povećanje površine novog arterijalizovanog venskog režnja metodom hirurškog odlaganja

  • Mikica Lalković Clinic for Plastic Surgery and Burns, Military Medical Academy, Belgrade, Serbia; Faculty of Medicine of the Military Medical Academy, University of Belgrade, Belgrade, Serbia
  • Jefta Kozarski Clinic for Plastic Surgery and Burns, Military Medical Academy, Belgrade, Serbia; Faculty of Medicine of the Military Medical Academy, University of Belgrade, Belgrade, Serbia
  • Ljubomir Panajotović High Medical College of Vocationas Studies “Milutin Milanković”, Belgrade, Serbia
  • Milan Višnjić Faculty of Medicine, University of Niš, Niš, Serbia
  • Dragan Djurdjević Faculty of Medicine of the Military Medical Academy, University of Belgrade, Belgrade, Serbia; Institute for Medical Research, Military Medical Academy, Belgrade, Serbia
  • Boban Djordjević Clinic for Plastic Surgery and Burns, Military Medical Academy, Belgrade, Serbia; Faculty of Medicine of the Military Medical Academy, University of Belgrade, Belgrade, Serbia
  • Goran Šijan Clinic for Plastic Surgery and Burns, Military Medical Academy, Belgrade, Serbia
  • Milomir Gačević Clinic for Plastic Surgery and Burns, Military Medical Academy, Belgrade, Serbia; Faculty of Medicine of the Military Medical Academy, University of Belgrade, Belgrade, Serbia
  • Saša Milićević Clinic for Plastic Surgery and Burns, Military Medical Academy, Belgrade, Serbia
  • Vladimir Stojiljković Clinic for Plastic Surgery and Burns, Military Medical Academy, Belgrade, Serbia
  • Igor Maljković Department of Surgery, Medical Center Bor, Bor, Serbia
DOI: https://doi.org/10.2298/1834
Ključne reči: surgical flaps||, ||režnjevi, hirurški, reconstructive surgical procedures||, ||hirurgija, rekonstruktivna, procedure, methods||, ||metodi, rabbits||, ||zečevi,

Sažetak


Uvod/Cilj. Metoda odlaganja je hirurška, farmakološka i kombinovana metoda koja obuhvata dve ili više vremenski razdvojenih faza, što daje veću površinu režnju. U istraživanju je ispitivano povećanje površine novog arterijalizovanog venskog režnja (AVR) na eksperimentalnom modelu uha kunića metodom hirurškog odlaganja. Cilj rada bio je da se utvrdi vitalna površina našeg AVR i utvrdi da li postoji razlika u veličini vitalne površine AVR sa ili bez primene metode hirurškog odlaganja. Metode. U eksperimentalnom istraživanju upotrebljena su oba uha kunića rase Big Chinchila u 10 eksperimentalnih životinja muškog pola, težine od 3–3,5 kg, starosti 8–12 meseci podeljenih u dve grupe. U prvoj (eksperimentalnoj) grupi, arterijalizovan je venski režanj po našoj metodi, a u drugoj (kontrolnoj) grupi arterijalizovan je venski režanj nakon 14 dana od metode hirurškog odlaganja. Površina AVR određivana je 1. i 14. dana metodom trapezoidnog pravila. Rezultati. Vitalna površina AVR na našem ekperimentalnom modelu nakon metode hirurškog odlaganja bila je veća od 87% površine odignutog režnja. Vitalna površina AVR koja nije odložena na našem eksperimentalnom modelu iznosila je više od 30% površine odignutog režnja. (p < 0,001). Zaključak. Analizom dosadašnjih eksperimentalnih modela AVR na uhu kunića, neodloženih i onih kod kojih je radi povećanja vitalne površine primenjena metoda odlaganja režnja, utvrdili smo da su dosadašnji kreirani modeli neodloženih AVR hemodinamski nepovoljniji. Naš eksperimentalni model neodloženog AVR je hemodinamski povoljniji od prethodno kreiranih modela neodloženog AVR i omogućava povoljnije uslove za preživljavanje AVR i povećanje vitalne površine odignutog režnja. S druge strane, metodahirurškog odlaganja značajno povećava vitalnu površinu AVR

Biografija autora

Mikica Lalković, Clinic for Plastic Surgery and Burns, Military Medical Academy, Belgrade, Serbia; Faculty of Medicine of the Military Medical Academy, University of Belgrade, Belgrade, Serbia
Clinic for plastic surgery and burns

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Objavljeno
2015/04/23
Broj časopisa
Vol. 71 Br. 6 (2014)
Rubrika
Originalni članak