MODELS OF VENOUS FLAPS: OPTIMAL VARIANT

In the experiments on 44 white rats, we studied 4 transformation models of standard skin-fascial epigastric flapsinto venous epigastric flaps with different perfusion stage of their venous beds. The analysis of clinical status of replantstaking into account their color, capillary response, edema stage, pilosis and desquamation of skin coverings allowedus to assess both venous flap grafting process and esthetic result of this grafting. All arterialized epigastric venous flapswith «increased» and «adequate» arterial perfusion had total necrosis. Venous epigastric flaps on v. epigastrica caudalishad necrosis in 33,3 % of cases. Arterialized venous flaps with «increased» venous outflow were grafted in 100 %of cases with the development of marginal necrosis (3,6 % of cases ) and inflammation (10,7 % of cases).

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