Experimental cutaneous free flap transfers in the horse.
Abstract: Equine limb wounds often heal slowly by epithelialization, and large scars are a frequent end result. In some ways, they resemble the wound associated with human tibial injuries. The literature indicates that previous investigators have failed to transfer free skin flaps successfully in the horse. In this paper, we review our experimental work with the deep circumflex iliac flap in the horse. Dissections of 20 cadavers confirmed the anatomical consistency of the flap. Four flaps survived well when elevated as island flaps, but five orthotopic and nine heterotopic free flap transfers all failed. The cause of failure is still unknown, but our experiments suggested that the horse must be highly susceptible to ischemic reperfusion injury.
Publication Date: 1991-01-01 PubMed ID: 2011064DOI: 10.1002/micr.1920120214Google Scholar: Lookup
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- Journal Article
- Research Support
- Non-U.S. Gov't
Summary
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This research scrutinizes the intricate process of skin flaps transfer in horses, concentrating on the deep circumflex iliac flap. Albeit free skin flaps transfer has been widely unsuccessful in the past, the study shows some survival when elevated as island flaps, although further understanding is required.
Objective of the Research
- The primary intent of the study was to probe into the possibilities and complications of free skin flaps transfers in horses, specifically focusing on the deep circumflex iliac flap. The researchers aimed at finding a viable method to improve wound healing in horses, utilizing the potential benefits of free skin flaps transfer.
Anatomical Consistency of the Deep Circumflex Iliac Flap
- The dissections carried out on 20 cadavers confirmed the sound anatomical consistency of the deep circumflex iliac flap. Hence, this flap was further considered for the transfer experiments.
Island Flaps Experiment
- In this study, the deep circumflex iliac flap was elevated as island flaps in few cases. Surprisingly, four flaps showed promising survival rates. This unexpected result indicated the possible potential in using island flaps elevation to transfer the skin flaps in equines, thereby improving wound healing.
Orthotopic and Heterotopic Free Flap Transfers
- Despite the apparent success with island flaps, both orthotopic and heterotopic free flap transfers failed. Among the transfers, five were orthotopic and nine were heterotopic, all failing to survive post-operatively.
Cause of Failure
- One of the striking findings of the study was the consistent failure of orthotopic and heterotopic free flap transfers. The cause remains elusive but the researchers speculate that horses might exhibit high susceptibility to ischemic reperfusion injury. This susceptibility might interfere with the survival and successful integration of transferred free flaps.
Final Thoughts
- The research offers valuable insights into the challenging endeavor of free skin flap transfers in horses. It calls for further research to conclusively understand the reasons for the consistent failure of free flap transfers.
Cite This Article
APA
Lees MJ, Fretz PB, Bowen CV, Leach DH.
(1991).
Experimental cutaneous free flap transfers in the horse.
Microsurgery, 12(2), 130-135.
https://doi.org/10.1002/micr.1920120214 Publication
Researcher Affiliations
- Division of Applied Veterinary Medicine, School of Veterinary Studies, Murdoch University, Western Australia.
MeSH Terms
- Animals
- Follow-Up Studies
- Graft Survival
- Hindlimb
- Horses / surgery
- Ischemia / physiopathology
- Regional Blood Flow
- Skin / blood supply
- Skin Transplantation / methods
- Surgical Flaps / methods
- Wound Healing
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