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Published in: European Journal of Plastic Surgery 2/2003

01-05-2003 | Original Paper

Efficacy of postoperative steroids on ischemic skin flap survival in rats

Authors: Bekir Kuru, Soykan Dinç, Mithat Çamlibel, Engin Durmuş, Haluk Alagöl

Published in: European Journal of Plastic Surgery | Issue 2/2003

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Abstract

Necrosis of skin flaps remains a significant clinical problem. This study examined whether steroids improve skin flap survival in rats. Random skin flaps were raised in 30 male Sprague-Dawley rats. Intramuscular methylprednisolone (n=15) or saline solution (n=15) were administered 1, 24, and 48 h after flap elevation. Surviving flap areas were measured after 7 days. The mean surviving flap area in the methylprednisolone group was greater than that in controls (916 vs. 675 mm). These results suggest that postoperative methylprednisolone improves skin flap viability in the ischemic rat flap model.
Literature
1.
go back to reference Angel M, Wanebo J, Bardakjian V, Amiss LR, Morgan RF (1990) The dorsal rat flap: a discussion of the model and the salutary effect of cimetidine on flap survival. Otolaryngol Head Neck Surg 103:719PubMed Angel M, Wanebo J, Bardakjian V, Amiss LR, Morgan RF (1990) The dorsal rat flap: a discussion of the model and the salutary effect of cimetidine on flap survival. Otolaryngol Head Neck Surg 103:719PubMed
2.
go back to reference Bean D, Rees RS, O'Leary JP, Lynch JB (1984) Comparison of blood flow and cell function in ischemic skin flaps. J Surg Res 37:69PubMed Bean D, Rees RS, O'Leary JP, Lynch JB (1984) Comparison of blood flow and cell function in ischemic skin flaps. J Surg Res 37:69PubMed
3.
go back to reference Esclamado RM, Larrabee WF, Zel GE (1990) Efficacy of steroids and hyperbaric oxygen on survival of dorsal skin flaps in rats. Otolaryngol Head Neck Surg 102:41PubMed Esclamado RM, Larrabee WF, Zel GE (1990) Efficacy of steroids and hyperbaric oxygen on survival of dorsal skin flaps in rats. Otolaryngol Head Neck Surg 102:41PubMed
4.
go back to reference Gribbe O, Lundeberg T, Samuelsen UE, Wiklund PN (1999) Dexamethasone increases survival and attenuates induction of inducible nitric oxide synthase in experimental skin flaps. Ann Plast Surg 42:180PubMed Gribbe O, Lundeberg T, Samuelsen UE, Wiklund PN (1999) Dexamethasone increases survival and attenuates induction of inducible nitric oxide synthase in experimental skin flaps. Ann Plast Surg 42:180PubMed
5.
go back to reference Habal MB, Powell RD (1978) Experimental facial edema: treatment with methylprednisolone. J Surg Res 24:353PubMed Habal MB, Powell RD (1978) Experimental facial edema: treatment with methylprednisolone. J Surg Res 24:353PubMed
6.
go back to reference Hammond DC, Brooksher RD, Mann RJ, Beernink JH (1993) The dorsal skin-flap model in the rat: factors influencing survival. Plast Reconstr Surg 91:316PubMed Hammond DC, Brooksher RD, Mann RJ, Beernink JH (1993) The dorsal skin-flap model in the rat: factors influencing survival. Plast Reconstr Surg 91:316PubMed
7.
go back to reference Kerrigan LC (1985) Effect of glucocorticoid treatment on skin capillary blood flow and viability in cutaneous and myocutaneous flaps in the pigs. Plast Reconstr Surg 76:384 Kerrigan LC (1985) Effect of glucocorticoid treatment on skin capillary blood flow and viability in cutaneous and myocutaneous flaps in the pigs. Plast Reconstr Surg 76:384
8.
go back to reference Motsay GJ, Alho A, Jaeger T, Dietzman RH, Lillehei RC (1970) Effects of corticosteroids on the circulation in shock: experimental and clinical results. Fed Proc 29:1861PubMed Motsay GJ, Alho A, Jaeger T, Dietzman RH, Lillehei RC (1970) Effects of corticosteroids on the circulation in shock: experimental and clinical results. Fed Proc 29:1861PubMed
9.
go back to reference Mendelson BC, Wood JE (1978) Effect of corticosteroids on the surviving length of skin flaps in pig. Br J Plast Surg 31:293PubMed Mendelson BC, Wood JE (1978) Effect of corticosteroids on the surviving length of skin flaps in pig. Br J Plast Surg 31:293PubMed
10.
go back to reference Mes LGB (1980) Improving flap survival by sustaining cell metabolism within ischemic cells: a study using rabbits. Plast Reconstr Surg 65:56PubMed Mes LGB (1980) Improving flap survival by sustaining cell metabolism within ischemic cells: a study using rabbits. Plast Reconstr Surg 65:56PubMed
11.
go back to reference Nakatsuka T, Pang CY, Neligan P, Lindsay WK, Zuker RM (1985) Effect of corticosteroid treatment on skin capillary blood flow and viability in cutaneous and myocutaneous flaps in the pig. Plast Reconstr Surg 76:374PubMed Nakatsuka T, Pang CY, Neligan P, Lindsay WK, Zuker RM (1985) Effect of corticosteroid treatment on skin capillary blood flow and viability in cutaneous and myocutaneous flaps in the pig. Plast Reconstr Surg 76:374PubMed
12.
go back to reference Nieto CS, Garcia MJS, Garcia PB (1992) A comparative study on the effect of various pharmacological agents on the survival of skin flaps in the rats. Br J Plast Surg 45:113PubMed Nieto CS, Garcia MJS, Garcia PB (1992) A comparative study on the effect of various pharmacological agents on the survival of skin flaps in the rats. Br J Plast Surg 45:113PubMed
13.
go back to reference Rees R, Powers T, Lynch JB, O'Leary JP (1982) Thallium distribution in ischemic skin flaps. J Surg Res 32:507PubMed Rees R, Powers T, Lynch JB, O'Leary JP (1982) Thallium distribution in ischemic skin flaps. J Surg Res 32:507PubMed
14.
go back to reference Schmidt JH, Caffee HH (1990) The efficacy of methylprednisolone in reducing flap edema. Plast Reconstr Surg 86:1148PubMed Schmidt JH, Caffee HH (1990) The efficacy of methylprednisolone in reducing flap edema. Plast Reconstr Surg 86:1148PubMed
15.
go back to reference Shalom A, Herbert M, Westreich M (2000) Effect of aspirin on random pattern flap survival in rats. Eur J Plast Surg 23:21CrossRef Shalom A, Herbert M, Westreich M (2000) Effect of aspirin on random pattern flap survival in rats. Eur J Plast Surg 23:21CrossRef
16.
go back to reference Shin MS, Angel MF, Im MJ, Manson PN (1994) Effects of 21-aminosteroid U74389F on skin-flap survival after secondary ischemia. Plast Reconstr Surg 94:661PubMed Shin MS, Angel MF, Im MJ, Manson PN (1994) Effects of 21-aminosteroid U74389F on skin-flap survival after secondary ischemia. Plast Reconstr Surg 94:661PubMed
17.
go back to reference Tellioğlu AO, Uras KA, Yılmaz T, Alagözlü H, Tekdemir I, Karabağ O (2001) The effect of carnitine on random-pattern flap survival in rats. Plast Reconstr Surg 108:959PubMed Tellioğlu AO, Uras KA, Yılmaz T, Alagözlü H, Tekdemir I, Karabağ O (2001) The effect of carnitine on random-pattern flap survival in rats. Plast Reconstr Surg 108:959PubMed
18.
go back to reference Willemart G, Knight KR, Morrison WA (1998) Dexamethasone treatment prior to reperfusion improves the survival of skin flaps subjected to secondary venous ischaemia. Br J Plast Surg 51:624CrossRefPubMed Willemart G, Knight KR, Morrison WA (1998) Dexamethasone treatment prior to reperfusion improves the survival of skin flaps subjected to secondary venous ischaemia. Br J Plast Surg 51:624CrossRefPubMed
19.
go back to reference Willemart G, Knight KR, Ayad M, Wagh M, Morrison WA (1999) The beneficial anti-inflammatory effect of the dexamethasone administration prior to the reperfusion on the viability of cold-stored skin flaps. Int J Tissue React 21:71PubMed Willemart G, Knight KR, Ayad M, Wagh M, Morrison WA (1999) The beneficial anti-inflammatory effect of the dexamethasone administration prior to the reperfusion on the viability of cold-stored skin flaps. Int J Tissue React 21:71PubMed
20.
go back to reference Zarem HA, Soderberg R (1982) Tissue reaction to ischemia in the rabbit ear chamber: effects of prednisolone on inflammation and microvascular flow. Plast Reconstr Surg 70:667PubMed Zarem HA, Soderberg R (1982) Tissue reaction to ischemia in the rabbit ear chamber: effects of prednisolone on inflammation and microvascular flow. Plast Reconstr Surg 70:667PubMed
go back to reference 21 Zarem HA, Hayden B, Soderberg R, Ringham JM, Gabriel K (1998) Effect of corticosteroid administration in ischemia-ischemic injury. Plast Reconstr Surg 82:865 21 Zarem HA, Hayden B, Soderberg R, Ringham JM, Gabriel K (1998) Effect of corticosteroid administration in ischemia-ischemic injury. Plast Reconstr Surg 82:865
Metadata
Title
Efficacy of postoperative steroids on ischemic skin flap survival in rats
Authors
Bekir Kuru
Soykan Dinç
Mithat Çamlibel
Engin Durmuş
Haluk Alagöl
Publication date
01-05-2003
Publisher
Springer-Verlag
Published in
European Journal of Plastic Surgery / Issue 2/2003
Print ISSN: 0930-343X
Electronic ISSN: 1435-0130
DOI
https://doi.org/10.1007/s00238-003-0484-y

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