The microsurgical tissue autotransplantation as a way of local radiation skin injuries' treatmen

Milanov N.O.; Filippov V.V.; Zelianin A.S.; Nadezhina N.M.; Galstian I.A.; Kukushkina N.K.

doi:https://doi.org/

Milanov N.O.

Kafedra gospital'noĭ khirurgii #1 lechebnogo fakul'teta Pervogo MGMU im. I.M. Sechenova;
Otdelenie khirurgii aorty i ee vetveĭ RNTsKh im. akad. B.V. Petrovskogo RAMN

Filippov V.V.

Gorodskaia klinicheskaia bol'nitsa #59, Rossiĭskiĭ nauchnyĭ tsentr khirurgii im. akad. B.V. Petrovskogo RAMN, Moskva

Zelianin A.S.

Gorodskaia klinicheskaia bol'nitsa #59, Rossiĭskiĭ nauchnyĭ tsentr khirurgii im. akad. B.V. Petrovskogo RAMN, Moskva

Nadezhina N.M.

Rossiĭskiĭ nauchnyĭ tsentr khirurgii im. akad. B.V. Petrovskogo RAMN;
Kafedra plasticheskoĭ khirurgii FPPOV Pervogo Moskovskogo gosudarstvennogo meditsinskogo universiteta im. I.M. Sechenova;
Federal'nyĭ meditsinskiĭ biofizicheskiĭ tsentr im. A.I. Burnaziana FMBA Rossii, Moskva

Galstian I.A.

Kukushkina N.K.

The microsurgical tissue autotransplantation as a way of local radiation skin injuries' treatmen

Authors:

Milanov N.O., Filippov V.V., Zelianin A.S., Nadezhina N.M., Galstian I.A., Kukushkina N.K.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2012;(8): 4‑8

Read: 934 times

Download PDF (RU)

Contact the author

Table of contents

To cite this article:

Milanov NO, Filippov VV, Zelianin AS, Nadezhina NM, Galstian IA, Kukushkina NK. The microsurgical tissue autotransplantation as a way of local radiation skin injuries' treatmen. Pirogov Russian Journal of Surgery. 2012;(8):4‑8. (In Russ.)

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)

Использование инфографики авторами научных работ

Close metadata

Abstract:

The experience of 127 microsurgical autotransplantations of skin-muscular flaps in 93 patients with severe radiation skin injuries was analyzed. As free revascularized flaps the greater omentum, the skin-muscular thoracodorsal flap, the scapular, the radial flap, including flaps with a part of the radial bone, the deltoideus, the rotated skin-muscular flap of the abdominal rectus muscle, the scapular and/or serratus anterior fascia were used. The transplants' acception was registered in all cases. 31 patients demonstrated the development of late radiation ulcers during the long term follow up period, requiring further dissection and replantation.

Keywords:

microsurgical tissue autotransplantation

radiation skin injury

free flap

Authors:

Milanov N.O.

Kafedra gospital'noĭ khirurgii #1 lechebnogo fakul'teta Pervogo MGMU im. I.M. Sechenova;
Otdelenie khirurgii aorty i ee vetveĭ RNTsKh im. akad. B.V. Petrovskogo RAMN

Filippov V.V.

Gorodskaia klinicheskaia bol'nitsa #59, Rossiĭskiĭ nauchnyĭ tsentr khirurgii im. akad. B.V. Petrovskogo RAMN, Moskva

Zelianin A.S.

Gorodskaia klinicheskaia bol'nitsa #59, Rossiĭskiĭ nauchnyĭ tsentr khirurgii im. akad. B.V. Petrovskogo RAMN, Moskva

Nadezhina N.M.

Galstian I.A.

Kukushkina N.K.

Close metadata

References:

Gembitskii E.V., Kolesnik F.A., Ventsenostsev B.B. Sluchai ostroi luchevoi bolezni u cheloveka v rezul'tate vneshnego gamma-oblucheniya. Med radiol 1970; 8: 48.
Milanov N.O., Shilov B.L. Plasticheskaya khirurgiya luchevykh povrezhdenii. M: AIR-APT 1996.
Osanov D.P. Dozimetriya i radiatsionnaya biofizika kozhi. M: Energoatomizdat 1983; 152.
Petrov V., Arshambeau J.O., Bennett G.W. Response of swine skin to acute single exposure of X-rays: quantification of endothelial cell changes. Rad Research 1979; 79: 298-337.
Smirnov S.V., Shakhlamov M.B., Blidchenko Yu.A. i dr. Lechenie glubokikh ozhogov fetal'nymi tkanyami cheloveka. Byul eksper biol 1994; 4: 405-407.
Sokolina L.L., Novikova L.V., Barabanova A.V. Raspredelenie nizkoenergeticheskogo rentgenovskogo izlucheniya pri luchevom porazhenii kozhi. Med radiol 1972; 16: 5: 39-43.
Barabanova A.V. The use of dosimetric data for the assessment of the prognosis of the severity and outcome of local radiation injuries. British J Radiology 1986; Suppl 19: 73-74.
Berger M.E., Hurtado R., Dunlap J. et al. Acccidental radiation injury to the hand: anatomical and physiological considerations. Health Physics 1997; 72: 3: 343-348.
Gottlober P., Nadejina N.M., Braun-Falko O. et al. Assessment of cutaneous radiation fibrosis by 20 MHz-sonography. EUR 16544 1996; 645-647.
Hopwel J.W., Coggle J.E., Wells J. et al. The acute effects of different energy beta-emiters on pig and mouse skin. British J Radiology 1986; Suppl 19: 47-51.
IAEA. Lessons Learned from Accidents and Errors in Radiotherapy. IAEA, Vienna 1998.
Marino H. Biologic excision: its value in treatment of radionecrotic lesions. Plast Rec Surg 1967; 40: 2: 180-187.
Medical Effects of Ionizing Radiation. Second Edition, by F. Mettler, A. Upton, W.B. Saunders Company 1995.
Oliveira A.R., Valverde N., Brando-Mello C. et al. Clinical and surgical treatment in Goiania accident. Advances in the treatment of radiation injuries. Eds. T.J. MacVittie, J.F. Weiss, D. Browne. Pergamon 1996; 303.
Peter R.U., Gottlober P., Heckman et al. Treatment and follow-up of patients suffering from the cutaneous radiation syndrome. The Radiological Consequences of the Chernobyl Accident. Eds.: A. Karaoglou, G. Desmet, G Kelly, H. Menzel. EUR 16544 1996; 601-605.