The Ewha Medical Journal
Ewha Womans University School of Medicine
Original Article

The Effect of Survival of Distal Side of a Flap after Anastomosing of Epigastric Artery by Microscope : An Experimental Investigation

Han Joong Kim
Corresponding author: Han Joong Kim. Department of Plastic Sugery, College of Medicine, Ewha Womans University, Korea.

Copyright ⓒ 1982. Ewha Womans University School of Medicine. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Published Online: Jul 24, 2015

Abstract

Recent advances in microsurgery and myocutaneous flaps have induced many surgerns to consider skin flaps from a new point, and this has produced an interest in the fundamentals governing flaps. If the flap is longer and larger, it should be delayed for complete survival,but delay requeires considerable time . Therefore, as a substitute for delay, vascular anastomosis in the distal part of a flap will theoretically give the same effect. In this study, we investigated the importance of arterial inflow in the distal side of a flap in a rat. The experiment was done in 3 groups according to design of flaps and in each group, 3 subgroups was made. In A flap, the superficial epigastric artery was preserved or anastomosis. In B flap, both superficial epigastric artery and vein was preserved or anastomosis. In C flap, both artery and vein was severed. In result, C flap in all 3 groups were completely survived. In conclusion, we suggest the possibility that a large flap may be transposed in oen stage with vascular anastomosis in the distal part - preferably artery and vein, or artery only.