Evidence map›Paper›PMID 32049184›Full record

ArticleActa cirurgica brasileira2020

Effect of short-term ischemia on microcirculation and wound healing of adipocutaneous flaps in the rat.

Abel Molnar, Zsuzsanna Magyar, David Belkin Nachmias, Din Mann, Balazs Szabo, Laszlo Toth, Norbert Nemeth

Open access · goldAbstract readEvaluation Study
In one paragraph

Article in Acta cirurgica brasileira, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.2field-weighted citation impact, top 38% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 2 countries.

Abel MolnarMD, Department of Operative Techniques and Surgical Research, Institute of Surgery, Faculty of Medicine, University of Debrecen, Hungary. Technical procedures, analysis and interpretation of data, manuscript preparation.ORCID http://orcid.org/0000-0002-3257-3589
Zsuzsanna MagyarPhD, Department of Operative Techniques and Surgical Research, Institute of Surgery, Faculty of Medicine, University of Debrecen, Hungary. Technical procedures, analysis and interpretation of data, manuscript preparation.ORCID http://orcid.org/0000-0003-4732-9885
David Belkin NachmiasMD, Department of Operative Techniques and Surgical Research, Institute of Surgery, Faculty of Medicine, University of Debrecen, Hungary. Technical procedures, measurements, acquisition of data.ORCID http://orcid.org/0000-0002-8369-8189
Din MannMD, Department of Operative Techniques and Surgical Research, Institute of Surgery, Faculty of Medicine, University of Debrecen, Hungary. Technical procedures, measurements, acquisition of data.ORCID http://orcid.org/0000-0002-8435-8848
Balazs SzaboMD, Department of Operative Techniques and Surgical Research, Institute of Surgery, Faculty of Medicine, University of Debrecen, Hungary. Manuscript preparation.ORCID http://orcid.org/0000-0002-0078-8614
Laszlo TothPhD, Department of Pathology, Faculty of Medicine, University of Debrecen, Hungary. Histopathological examinations.ORCID http://orcid.org/0000-0002-9362-9398
Norbert NemethPhD, DSc, Department of Operative Techniques and Surgical Research, Institute of Surgery, Faculty of Medicine, University of Debrecen, Hungary. Conception and design of the study, analysis and interpretation of data, manuscript preparation.ORCID http://orcid.org/0000-0002-1162-3778
University of Debrecen · HU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeComposite flaps used in reconstructive surgery may intra- and postoperatively suffer from hypoperfusion and/or ischemia-reperfusion influencing wound healing. We aimed to follow-up the effect of ischemia on adipocutaneous flaps' wound healing and microcirculation.

methodsIn anesthetized rats groin flaps were formed bilaterally. In Control group the flaps were repositioned and sutured back. In Ischemia-Reperfusion (I/R) group before repositioning and suturing the flap pedicles were clamped for 60 minutes. Laser Doppler (LD) fluxmetry and temperature probes were applied on the cranial, central and caudal flap regions before/after preparation and ischemia, re-suturing, and on the 1st-3rd-5th-7th-14th postoperative days, before the final examinations and biopsies for histology.

resultsFlaps' skin temperature quickly recovered after repositioning. LD values were lower in the I/R group, reaching a significant level by the 3rd postoperative day, and remained lowered till the 14th day. The magnitude of alterations differed in the flap regions. Histologically normal wound healing process was seen, except for some I/R flaps, where hypertrophized mammary glands were found.

conclusionsShort-term ischemia could influence flap microcirculation and wound healing, and may result in hypertrophized mammary glands. Laser Doppler could be used to evaluate intra- and postoperative microcirculatory changes and may have significance in predicting complications.

Indexed as

AnimalsBiopsyBody TemperatureDermatologic Surgical ProceduresDisease Models, AnimalLaser-Doppler FlowmetryMaleMicrocirculationMyocutaneous FlapPostoperative PeriodRatsReference ValuesReperfusion InjuryReproducibility of ResultsSkinTime Factors

Identifiers

PMID32049184
PMCPMC7011208
OpenAlexW3005649154

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.