J.Jpn. Surg. Soc.. 60(2): 209-229, 1959
STUDIES OF BLOOD CIRCULATION OF TUBED PEDICLE FLAPS AND COMPLETELY GRAFTED SKINS
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The first Surgical Department of Tokyo University School of Medicine (Director: Prof. K. Shimizu) Shuitsu TORADA |
2) Clinical diagnostic methods to found the adequate chance when the tubed pedicle flap can be transplanted are referred. Those are as follow:
a) Test of photoelectric plethysmography.
b) Determination of the dir ction of blood flow into the tubed pedicle flaps through the photoelectric volume pulses and arterial inflow curves.
c) Measurement of the blood pressure in the tubed pedicle flaps by use of author's " compressing method " and " arterial inflow method " .
d) Evaluation of blood volume changes of tubed pedicle flaps which are strangled on each pedicle alternately.
e) Estimation of the rate of arterial inflow after empty of blood content of the tubed pedicle flap.
f) Other additional methods of measuring the skin temperature, observation of the red flash on the skin after injection of "Imidalin" solution in the arterial stem, injection of dye solution into the lymphatics of the skin and histological examination were performed.
3) Objective cases were made of 22 patients and 46 tubed pedicles. According to these studies, the periods of waiting until the next operation are at various intervals, emphasizing that we must judge the most suitable period for the operation in each case.
4) On the post-operative blood circulation (after completion of grafting) of tubed pedicle flaps from these points of view as test the volume pulses, skin temperature and lymphatics were discussed.
(author's abstract)
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