Document Detail

Devices for ischemic preconditioning of the pedicled groin flap.
MedLine Citation:
PMID:  10744305     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Early division of the pedicled groin flap can be achieved by using ischemic preconditioning. The goal of this study was to investigate the devices available for ischemic preconditioning and determine which device is the most effective and results in lowest patient discomfort. METHODS: Rubber bands, custom-made Orthoplast sheets, long-nose locking pliers, intestinal clamps, and a pneumatic tourniquet device were used for ischemic preconditioning on 13 patients who sustained severe hand injuries with reconstruction of pedicled groin flaps. The devices were compared by using laser Doppler flowmetry and the patient's local pain levels. RESULTS: Twelve of 13 flaps were successfully divided at a mean period of 8.3 days by using a custom-made Orthoplast sheet or a pneumatic tourniquet device. All devices except the rubber bands could result in a biologic zero flow level. CONCLUSION: The pneumatic tourniquet device is the most desirable ischemic preconditioning device, having the advantages of excellent ischemic effect, easy application, and minimal discomfort.
M H Cheng; H C Chen; F C Wei; S W Su; S H Lian; E Brey
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of trauma     Volume:  48     ISSN:  0022-5282     ISO Abbreviation:  J Trauma     Publication Date:  2000 Mar 
Date Detail:
Created Date:  2000-04-11     Completed Date:  2000-04-11     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0376373     Medline TA:  J Trauma     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  552-7     Citation Subset:  AIM; IM    
Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, College of Medicine, Chang Gung University, Tao-Yuan, Taiwan, Republic of China.
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MeSH Terms
Blood Flow Velocity / physiology
Hand Injuries / surgery*
Ischemic Preconditioning / instrumentation*
Laser-Doppler Flowmetry
Pain Measurement
Surgical Flaps / blood supply*
Surgical Instruments*

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