前臂桡骨游离皮瓣:一种改良的前哨皮瓣获取技术。

IF 1.9 Q3 TRANSPLANTATION
Transplantation Direct Pub Date : 2025-04-25 eCollection Date: 2025-05-01 DOI:10.1097/TXD.0000000000001798
Floris P C Kroezen, Sanne Molenkamp, Marijn A Huijing, Robert A Pol, Llewellyn Thomas, Leela Sayed, Paul M N Werker, Henk Giele
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引用次数: 0

摘要

背景:实体器官移植后的器官排斥反应仍然是一个重大挑战。前哨皮瓣(SSF)是一种从供体获得的带血管的皮瓣,与实体器官一起移植,有望早期发现排斥反应。前臂桡骨游离皮瓣(RFFF)在重建手术中有着悠久的应用历史,在器官捐赠程序(ODPs)中作为SSF具有明显的优势。到目前为止,SSF的采购一直采用传统的RFFF方式。然而,一个更简单、更快捷、更安全的方式有利于后勤和财政方面的原因。本研究提出了一种改进的用于odp的RFFF获取技术,该技术简单、快速、可重复,并且可以由不熟悉原始RFFF的外科医生执行。方法:利用已故供体模型对传统的RFFF采购技术进行改进,从而开发出适合odp期间应用的SSF技术。结果:开发并提出了一种改进的技术,使SSF的采购在40分钟内完成。在手术过程中,捐赠者的手臂被放置在头部上方或呈90度角,允许在不干扰麻醉师或器官采购团队的情况下创建无菌区。使用流动缝线实现供体部位闭合,确保最佳的美容效果。结论:我们提出了一种改良的RFFF获取技术,旨在获得odp期间的SSF,我们相信,不熟悉该皮瓣的外科医生也可以执行该技术,确保该手术不会干扰或阻碍器官获取过程。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Radial Forearm Free Flap: A Modified Technique for Procurement as a Sentinel Skin Flap.

Background: Organ rejection after solid organ transplantation remains a major challenge. The sentinel skin flap (SSF), a vascularized skin flap procured from the donor and transplanted alongside solid organs, has shown promise for early detection of rejection. The radial forearm free flap (RFFF) has a long history of use in reconstructive surgery and offers distinct advantages as SSF in organ donation procedures (ODPs). Until now, the SSF has been procured using the traditional RFFF way. However, an easier, quicker, and safer way is beneficial for logistical and financial reasons. This study presents a modified RFFF procurement technique for ODPs that is simple, quick, and reproducible and can be executed by surgeons who are not familiar with the original RFFF.

Methods: The traditional RFFF procurement technique was modified using deceased donor models, leading to the development of an SSF technique tailored for application during ODPs.

Results: A modified technique was developed and presented, enabling SSF procurement to be completed within 40 min. During the procedure, the donor's arm was positioned above the head or at a 90-degree angle, allowing the creation of a sterile field without interfering with the anesthesiology or organ procurement team. Donor-site closure was achieved using running sutures, ensuring an optimal cosmetic outcome.

Conclusions: We present a modified RFFF procurement technique, designed to obtain an SSF during ODPs, that we believe can also be executed by surgeons not familiar with this flap, ensuring that the procedure does not interfere with or impede the organ procurement procedure.

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来源期刊
Transplantation Direct
Transplantation Direct TRANSPLANTATION-
CiteScore
3.40
自引率
4.30%
发文量
193
审稿时长
8 weeks
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