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BD-2 and BD-3 Increase Skin Flap Survival in a Model of Ischemia and Pseudomona...

Casal, D; Iria, I; Ramalho, JS; Alves, S; Mota-Silva, E; Mascarenhas-Lemos, L; Pontinha, C; Guadalupe-Cabral, M; Ferreira-Silva, J; Ferraz-Oliveira, M

The main aim of this work was to study the usefulness of human β-defensins 2 (BD-2) and 3 (BD-3), which are part of the innate immune system, in the treatment of infected ischemic skin flaps. We investigated the effect of transducing rat ischemic skin flaps with lentiviral vectors encoding human BD-2, BD-3, or both BD-2 and BD-3, to increase flap survival in the context of a P. aeruginosa infection associated w...


Reconstruction of a Long Defect of the Ulnar Artery and Nerve with an Arteriali...

Casal, D; Pais, D; Mota-Silva, E; Pelliccia, G; Iria, I; Videira, P; Mendes, MM; Goyri-O'Neill, J; Mouzinho, MM

There is evidence that nerve flaps are superior to nerve grafts for bridging long nerve defects. Moreover, arterialized neurovenous flaps (ANVFs) have multiple potential advantages over traditional nerve flaps in this context. This paper describes a case of reconstruction of a long defect of the ulnar artery and nerve with an arterialized neurovenous free flap and presents a literature review on this subject. A...


A Stab Wound to the Axilla Illustrating the Importance of Brachial Plexus Anato...

Casal, D; Cunha, T; Pais, D; Iria, I; Almeida, MA; Millan, G; Videira e Castro, J; Goyri-O'Neill, J

BACKGROUND:Although open injuries involving the brachial plexus are relatively uncommon, they can lead to permanent disability and even be life threatening if accompanied by vascular damage. We present a case report of a brachial plexus injury in which the urgency of the situation precluded the use of any ancillary diagnostic examinations and forced a rapid clinical assessment. CASE PRESENTATION: We report a ca...


Optimization of an Arterialized Venous Fasciocutaneous Flap in the Abdomen of t...

Casal, D; Mota-Silva, E; Pais, D; Iria, I; Videira, P; Tanganho, D; Alves, S; Mascarenhas-Lemos, L; Martins Ferreira, J; Ferraz-Oliveira, M

BACKGROUND: Although numerous experimental models of arterialized venous flaps (AVFs) have been proposed, no single model has gained widespread acceptance. The main aim of this work was to evaluate the survival area of AVFs produced with different vascular constructs in the abdomen of the rat. METHODS: Fifty-three male rats were divided into 4 groups. In group I (n = 12), a 5-cm-long and 3-cm-wide conventional ...


Blood Supply to the Integument of the Abdomen of the Rat: A Surgical Perspective

Casal, D; Pais, D; Iria, I; Videira, P; Mota-Silva, E; Alves, S; Mascarenhas-Lemos, L; Pen, C; Vassilenko, V; Goyri-O'Neill, J

BACKGROUND: Many fundamental questions regarding the blood supply to the integument of the rat remain to be clarified, namely the degree of homology between rat and humans. The aim of this work was to characterize in detail the macro and microvascular blood supply to the integument covering the ventrolateral aspect of the abdominal wall of the rat. METHODS: Two hundred five Wistar male rats weighing 250-350 g w...


A Model of Free Tissue Transfer: The Rat Epigastric Free Flap

Casal, D; Pais, D; Iria, I; Mota-Silva, E; Almeida, MA; Alves, S; Pen, C; Farinho, A; Mascarenhas-Lemos, L; Ferreira-Silva, J; Ferraz-Oliveira, M

Free tissue transfer has been increasingly used in clinical practice since the 1970s, allowing reconstruction of complex and otherwise untreatable defects resulting from tumor extirpation, trauma, infections, malformations or burns. Free flaps are particularly useful for reconstructing highly complex anatomical regions, like those of the head and neck, the hand, the foot and the perineum. Moreover, basic and tr...


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