Prefabrication and free transfer of a tissue engineered composite flap - An experimental model in the rat

Mandlik, V. and Kehrer, A. and Jiga, L. and Hoinoiu, B. and Ionac, M. and Jung, F. and Staudenmaier, R. and Prantl, L. (2016) Prefabrication and free transfer of a tissue engineered composite flap - An experimental model in the rat. CLINICAL HEMORHEOLOGY AND MICROCIRCULATION, 64 (3). pp. 319-331. ISSN 1386-0291, 1875-8622

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Abstract

BACKGROUND: The technique of flap-prefabrication has been successfully established in tissue engineering: missing intrinsic vascularisation of engineered tissue can be generated in vivo by microsurgical vesselloop construction. It is possible to move engineered tissue into a defect with microsurgery. In the literature, the combination of engineered tissue covered with skin is not widely reported. OBJECTIVE: Aim of this study was to establish a model to investigate scaffold prefabrication with full thickness skin graft coverage with subsequent free tissue transfer. METHODS: 8Wistar rats were operated in 2 separate steps: 1) after creating an arteriovenous loop with the femoral vessels, a porous scaffold was placed on the loop and covered with an inguinally based skin flap. A control was implanted without loop into the contralateral groin. 2) 6 weeks later the prefabricated composite flaps were microsurgically transferred to the cervical region. Skin-island monitoring was performed with Laser Doppler-scanner after the transfer. RESULTS: Continuous loss of the skin islands was observed within 72 hours. Complications included wound-dehiscence, thrombosis and death from anaesthesia; in spite of consistent loop viability. CONCLUSION: Evaluation showed that modifications are necessary to maintain the skin-island cove.

Item Type: Article
Uncontrolled Keywords: SKIN FLAPS; VASCULAR CARRIER; RECONSTRUCTION; CARTILAGE; RABBITS; PRELAMINATION; ANGIOGENESIS; BUNDLE; Composite tissue; tissue engineering applications; animal models; enabling technologies; angiogenesis and vasculogenesis; fundamentals of tissue engineering
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Mund-, Kiefer- und Gesichtschirurgie
Depositing User: Dr. Gernot Deinzer
Date Deposited: 13 Mar 2019 09:52
Last Modified: 13 Mar 2019 09:52
URI: https://pred.uni-regensburg.de/id/eprint/2577

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