Supermicrosurgical model for training the harvesting and transplantation of free perforator flaps

Gabriyanchik M.A.; Ponomareva A.E.; Postnikova E.V.; Filatova T.A.; Aiba N.G.; Miller M.S.; Kolesnikova O.R.; Shevtsova P.S.; Zakaryan N.D.; Tamrazova M.R.

doi:https://doi.org/10.17116/plast.hirurgia202301116

Gabriyanchik M.A.

Sechenov First Moscow State Medical University

Ponomareva A.E.

Sechenov First Moscow State Medical University

Postnikova E.V.

Pirogov Russian National Research Medical University

Filatova T.A.

Sechenov First Moscow State Medical University

Aiba N.G.

Sechenov First Moscow State Medical University

Miller M.S.

Sechenov First Moscow State Medical University

Kolesnikova O.R.

Sechenov First Moscow State Medical University

Shevtsova P.S.

Sechenov First Moscow State Medical University

Zakaryan N.D.

Sechenov First Moscow State Medical University

Tamrazova M.R.

Sechenov First Moscow State Medical University

Supermicrosurgical model for training the harvesting and transplantation of free perforator flaps

Authors:

Gabriyanchik M.A., Ponomareva A.E., Postnikova E.V., Filatova T.A., Aiba N.G., Miller M.S., Kolesnikova O.R., Shevtsova P.S., Zakaryan N.D., Tamrazova M.R.

More about the authors

Journal: Plastic Surgery and Aesthetic Medicine. 2023;(1): 16‑21

DOI: 10.17116/plast.hirurgia202301116

Read: 2834 times

To cite this article:

Gabriyanchik MA, Ponomareva AE, Postnikova EV, et al. . Supermicrosurgical model for training the harvesting and transplantation of free perforator flaps. Plastic Surgery and Aesthetic Medicine. 2023;(1):16‑21. (In Russ., In Engl.)
https://doi.org/10.17116/plast.hirurgia202301116

Подписка 2026 Пластическая хирургия и эстетическая медицина (Plastic Surgery and Aesthetic Medicine)

Использование инфографики авторами научных работ

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INTRODUCTION

The DIEP flap is an essential flap in the arsenal of a reconstructive microsurgeon since it is a universal flap in breast, head, and neck reconstructive surgery. However, on biological models, the training of the harvesting of free and perforator flaps has not gained popularity.

OBJECTIVE

To establish a supermicrosurgical model for harvesting and transplantation of the flap, as well as management of complications via analysis of anatomical similarities between free perforator flaps of anterior abdominal wall in rats and humans.

MATERIAL AND METHODS

We harvested bilateral DIEP flap and bilateral SEAP flap in two different groups of male laboratory rats. After that, all flaps were transplanted on cervical vessels. Subsequent follow-up of the flaps was performed.

CONCLUSION

Original model of harvesting and transplantation of free microsurgical flaps is appropriate for training of microsurgical and supermicrosurgical techniques by young microsurgeons.

Keywords:

deep inferior epigastric perforator (DIEP) flap

superior epigastric artery perforator (SEAP) flap

microsurgery

supermicrosurgery

training model

Authors:

Gabriyanchik M.A.

Sechenov First Moscow State Medical University

Ponomareva A.E.

Sechenov First Moscow State Medical University

Postnikova E.V.

Pirogov Russian National Research Medical University

Filatova T.A.

Sechenov First Moscow State Medical University

Aiba N.G.

Sechenov First Moscow State Medical University

Miller M.S.

Sechenov First Moscow State Medical University

Kolesnikova O.R.

Sechenov First Moscow State Medical University

Shevtsova P.S.

Sechenov First Moscow State Medical University

Zakaryan N.D.

Sechenov First Moscow State Medical University

Tamrazova M.R.

Sechenov First Moscow State Medical University

Received:

28.06.2022

Accepted:

09.10.2022

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References:

Lascar I, Totir D, Cinca A, Cortan S, Stefanescu A, Bratianu R, Udrescu G, Calcaianu N, Zamfirescu DG. Training program and learning curve in experimental microsurgery during the residency in plastic surgery. Microsurgery. 2007;27(4):263-267. PMID: 17477411. https://doi.org/10.1002/micr.20352
Kao JY, Chen YR, Chang SS. A simple and novel technique for training in microvascular suturing in a rat model. Asian J Surg. 2019;42(1):409-413. https://doi.org/10.1016/j.asjsur.2018.05.005
Da Motta Mattar TG, Dos Santos GB, Mota Telles JP, de Rezende MR, Wei TH, Mattar R Jr. Structured evaluation of a comprehensive microsurgical training program. Clinics (Sao Paulo). 2021;76:e3194. PMID: 34669876; PMCID: PMC8491592. https://doi.org/10.6061/clinics/2021/e3194
Casal D, Pais D, Iria I, et al. A Model of Free Tissue Transfer: The Rat Epigastric Free Flap. J Vis Exp. 2017;119:55281. Published 2017 Jan 15. https://doi.org/10.3791/55281
Yamamoto Y, Sakurai H, Nakazawa H, Nozaki M. Effect of vascular augmentation on the haemodynamics and survival area in a rat abdominal perforator flap model. J Plast Reconstr Aesthet Surg. 2009;62(2):244-249. https://doi.org/10.1016/j.bjps.2007.11.078
Miyamoto S, Sakuraba M, Asano T, et al. Optimal technique for microvascular anastomosis of very small vessels: Comparative study of three techniques in a rat superficial inferior epigastric arterial flap model. J Plast Reconstr Aesthet Surg. 2010;63(7):1196-1201. https://doi.org/10.1016/j.bjps.2009.05.044
Seidenstuecker K, van Waes C, Munder BI, et al. DIEAP flap for safe definitive autologous breast reconstruction. Breast. 2016;26:59-66. https://doi.org/10.1016/j.breast.2015.12.005
Cappiello J, Piazza C, Taglietti V, Nicolai P. Deep inferior epigastric artery perforated rectus abdominis free flap for head and neck reconstruction. Eur Arch Otorhinolaryngol. 2012;269(4):1219-1224. https://doi.org/10.1007/s00405-011-1749-x
Depypere B, Herregods S, Denolf J, et al. 20 Years of DIEAP Flap Breast Reconstruction: A Big Data Analysis [published correction appears in Sci Rep. 2020;10(1):1398]. Sci Rep. 2019;9(1):12899. Published 2019 Sept 09. https://doi.org/10.1038/s41598-019-49125-w
Scheer AS, Novak CB, Neligan PC, Lipa JE. Complications associated with breast reconstruction using a perforator flap compared with a free TRAM flap. Ann Plast Surg. 2006;56(4):355-358. https://doi.org/10.1097/01.sap.0000201549.83738.42
Ozkan O, Coşkunfirat OK, Ozgentaş HE, Dikici MB. New experimental flap model in the rat: free flow-through epigastric flap. Microsurgery. 2004; 24(6):454-458. https://doi.org/10.1002/micr.20063
Vesce G, Micieli F, Chiavaccini L. Preclinical imaging anesthesia in rodents. Q J Nucl Med Mol Imaging. 2017;61(1):1-18. https://doi.org/10.23736/S1824-4785.16.02951-4
Tayebi Meybodi A, Aklinski J, Gandhi S, Lawton MT, Preul MC. Technical Nuances of Exposing Rat Common Carotid Arteries for Practicing Microsurgical Anastomosis. World Neurosurg. 2018;115:305-311. https://doi.org/10.1016/j.wneu.2018.04.041
Xu H, Feng S, Xia Y, et al. Prefabricated Flaps: Identification of Microcirculation Structure and Supercharging Technique Improving Survival Area [published correction appears in J Reconstr Microsurg. 2017;33(2):1]. J Reconstr Microsurg. 2017;33(2):112-117. https://doi.org/10.1055/s-0036-1593770
Zheng J, Xi S, Ding M, et al. Effects of Venous Superdrainage and Arterial Supercharging on Dorsal Perforator Flap in a Rat Model. PLoS One. 2016; 11(8):e0160942. Published 2016 Aug 11. https://doi.org/10.1371/journal.pone.0160942
Yamamoto Y, Sakurai H, Nakazawa H, Nozaki M. Effect of vascular augmentation on the haemodynamics and survival area in a rat abdominal perforator flap model. J Plast Reconstr Aesthet Surg. 2009;62(2):244-249. https://doi.org/10.1016/j.bjps.2007.11.078
Startseva OI, Filatenkov AA. Model’ diskordantnoj ksenotransplantatsii: geterotopicheskaya transplantatsiya serdtsa morskoj svinki kryse. Morfologiya ostrejshego ottorzheniya. Konferentsiya molodykh uchenykh «Rekonstruktsiya — osnova sovremennoj khirurgii». 1999:359-360. (In Russ.).
Bartolomucci A, Palanza P, Sacerdote P, et al. Individual housing induces altered immuno-endocrine responses to psychological stress in male mice. Psychoneuroendocrinology. 2003;28(4):540-558. https://doi.org/10.1016/s0306-4530(02)00039-2
Liu Y, Möller B, Wiltfang J, Warnke PH, Terheyden H. Tissue engineering of a vascularized bone graft of critical size with an osteogenic and angiogenic factor-based in vivo bioreactor. Tissue Eng Part A. 2014;20(23-24): 3189-3197. https://doi.org/10.1089/ten.TEA.2013.0653