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Research Article| Volume 33, ISSUE 3, P353-360, July 1980

The effects of cooling on experimental free flap survival

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      Abstract

      Cooling to 6–7° significantly increases ischaemic tissue survival to 48 and, probably, 72 hours. Inflammatory changes develop in direct proportion to the duration of the cold ischaemia time. The skin and vessels within the flap appear to be minimally affected by cold ischaemia while fat and muscle demonstrate significant necrosis, inflammation and ultimate fibrosis. Very little, if any, muscle survives the ischaemic insult studied in this model.

      References

        • Anderl H.
        Storage of a free groin flap.
        Chirurgica Plastica. 1977; 4: 42
        • Hayhurst J.W.
        • O'Brien B.McC.
        • Ishida H.
        • Baxter T.J.
        Experimental digital replantation after prolonged cooling.
        The Hand. 1974; 6: 134
        • Lapchinsky A.G.
        Recent results of experimental transplantation of preserved limbs and kidneys and possible use of this technique in clinical practice.
        Annals of the New York Academy of Science. 1960; 87: 539
        • McNeill I.F.
        • Wilson J.S.
        The problem of limb replacement.
        British Journal of Surgery. 1970; 57: 365
        • Malt R.A.
        • Remensnyder J.P.
        • Harris W.H.
        Long term utility of replanted arms.
        Annals of Surgery. 1972; 176: 334
        • May Jr., J.W.
        • Chait L.A.
        • O'Brien B.McC.
        • Hurley J.V.
        The no-reflow phenomenon in experimental free flaps.
        Plastic and Reconstructive Surgery. 1978; 61: 256
        • O'Brien B.McC.
        Replantation Surgery of Limbs.
        in: Microvascular Reconstructive Surgery. Churchill Livingstone, Edinburgh, London and New York1977 (Chapter 9)
        • Torii S.
        • et al.
        Factors influencing free flap survival. 1. Ischaemic time (Japanese).
        Japanese Journal of Plastic and Reconstructive Surgery. 1977; 20: 234