The use of prefabication technique in microvascular reconstructive surgery

Łukasz Krakowczyk; Adam Maciejewski; Cezary Szymczyk; Janusz Wierzgoń; Ryszard Szumniak; Piotr Jędrzejewski; Maciej Grajek; Mirosław Dobrut; Rafał Ulczok; Stanisław Półtorak

doi:10.5114/wo.2012.32488

eISSN: 1897-4309
ISSN: 1428-2526

Contemporary Oncology/Współczesna Onkologia

Current issue Archive Manuscripts accepted About the journal Supplements Addendum Special Issues Editorial board Reviewers Abstracting and indexing Subscription Contact Instructions for authors Publication charge Ethical standards and procedures

Editorial System

Submit your Manuscript

Editorial Policies

Sarajevo Declaration on Integrity and Visibility of Scholarly Publications

6/2012
vol. 16

Send email

Copy url:

abstract:

Original paper

The use of prefabication technique in microvascular reconstructive surgery

Łukasz Krakowczyk

,

Adam Maciejewski

,

Cezary Szymczyk

,

Janusz Wierzgoń

,

Ryszard Szumniak

,

Piotr Jędrzejewski

,

Maciej Grajek

,

Mirosław Dobrut

,

Rafał Ulczok

,

Stanisław Półtorak

Wspolczesna Onkol 2012; 16 (6): 546–550

DOI: https://doi.org/10.5114/wo.2012.32488

Online publish date: 2013/01/04

View full text Get citation

PlumX metrics:

Aim of the study: The aim of the study was to develop standards for the prefabrication of free microvascular flaps in an animal model, followed by their application in clinical practice, and quantitative/qualitative microscopic assessment of the extent of development of a new microvascular network.

Material and methods: The study was carried out in 10 experimental pigs. As the first stage, a total of 20 prefabricated flaps were created using polytetrafluoroethylene (PTFE) as a support material, placed horizontally over an isolated and distally closed vascular pedicle based on superficial abdominal vessels. After completing the animal model study, one patient was selected for the grafting of the prefabricated free flap.

Results: All 20 free flaps prefabricated in the animal model were analyzed microscopically, exhibiting connective tissue rich in fibroblasts and small blood vessels in the porous areas across the entire thickness of the PTFE element.

Conclusions: Flap prefabrication is a new and fast developing reconstruction technique. The usefulness of prefabrication techniques and their status in reconstructive surgery still needs to be investigated experimentally and clinically. The method based on prefabricated free flaps is the first step towards anatomical bioengineering that will make it possible to replace missing organs with their anatomically perfect equivalents.

keywords:

The use of prefabication technique in microvascular reconstructive surgery

Łukasz Krakowczyk , Adam Maciejewski , Cezary Szymczyk , Janusz Wierzgoń , Ryszard Szumniak , Piotr Jędrzejewski , Maciej Grajek , Mirosław Dobrut , Rafał Ulczok , Stanisław Półtorak

prefabrication techniques, reconstructive surgery, free flaps

Łukasz Krakowczyk

,

Adam Maciejewski

,

Cezary Szymczyk

,

Janusz Wierzgoń

,

Ryszard Szumniak

,

Piotr Jędrzejewski

,

Maciej Grajek

,

Mirosław Dobrut

,

Rafał Ulczok

,

Stanisław Półtorak