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1999 Fiscal Year Final Research Report Summary

Long term follow up study and development of skin and musculocutanous flaps in lower extremities, effects of wound healing using omental flap and muscle flap

Research Project

Project/Area Number 09671484
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Orthopaedic surgery
Research InstitutionNagoya University

Principal Investigator

TORII Shuhei  Nagoya University, School of Medicine, Professor, 医学部, 教授 (60115607)

Co-Investigator(Kenkyū-buntansha) KAMEI Yuzuru  School of Medicine, Associate Professor, 医学部, 助教授 (10257678)
Project Period (FY) 1997 – 1999
Keywordslower extremities / skin flap / musclocutaneous flap / omental flap / reconstruction / endoscopic harvest
Research Abstract

We studied long term follow up study and development of skin and musclocutaneous flap in lower extremities and effects of wound healing using omental flap or muscle flap at 1997 to 1999.
We investigated 122 patients that were followed up over 3 years after reconstruction of bone or soft tissue malignant tumors in extremities. Using skin/musclocutaneous skin flap with bone/artificial joint could avoid a amptation and contributed to the patient's satisfaction, the improvement of quality of life. In some cases with large bone defects, we transfered the heat-treated bone for reduction of operating invasion. In this cases, covering in the muscle flap with rich blood circulation especially was useful. And we brought up a series of protocol for chronic intractable ulcer etc. with spina bifida or diabetes. The protocol was based by long term follow up, not only surgical treatment, but also conservative treatmental and rehabilitation. Now we developed and successed new flap methods for example that vascularized fibula and omental flaps convined intractable non-union.
As for the omental flap, we investigated the effect of lipid fraction in rat omentum, and indicated the omentum lipid fraction made extension of survival area in flaps, vasodilation and vascularization in flaps and surrounding tissue. We aggressively used the omental flap had characteristic plasticity and possibility for bridging of vessel and extended the indication. By the combination of omental flap and other flaps, we obtain satisfactory results for the difficult cases in lower extremes. And, we devised new methods of harvest of omental flap. For decreasing of operation invasion and harvest time, we tried endoscopic harvest, mini-laparotomy with endoscope and endoscopic harvest with hand-port. These were announced in some meeting.

  • Research Products

    (40 results)

All Other

All Publications (40 results)

  • [Publications] 鳥居修平: "逆行性皮弁の概念と四肢再建への応用"Monthly Book Orthopedics. 10・4. 43-51 (1997)

    • Description
      「研究成果報告書概要(和文)」より
  • [Publications] Shintaro Asai: "Topical Administration of Prostaglandin E1 with lontophoresis for Skin Flap Viability"Annals of Plastic Surgery. 36・5. 514-517 (1997)

    • Description
      「研究成果報告書概要(和文)」より
  • [Publications] 加藤久和: "下肢糖尿病性潰瘍の病態と治療"形成外科. 41・4. 317-328 (1998)

    • Description
      「研究成果報告書概要(和文)」より
  • [Publications] 亀井譲: "筋弁移植術への内視鏡下手術の応用"JSES. 3・3. 216-221 (1998)

    • Description
      「研究成果報告書概要(和文)」より
  • [Publications] 鳥山和宏: "二分脊椎に合併した足底部潰瘍の治療"形成外科. 41・4. 329-336 (1998)

    • Description
      「研究成果報告書概要(和文)」より
  • [Publications] 梅本泰孝: "遊離広背筋穿通皮弁の経験"日本マイクロサージャリー学会会誌. 11・2. 123-130 (1998)

    • Description
      「研究成果報告書概要(和文)」より
  • [Publications] Kenzo Yasuura: "Results of Omental Flap Transposition for Deep Sternal Wound Infection After Cardiovascular Surgery"Annals of Surgery. 227・3. 455-459 (1998)

    • Description
      「研究成果報告書概要(和文)」より
  • [Publications] Tohru Takada: "Effect of Omental Lipid Fraction on Enhancement of Skin Flap Survival"Annals of Plastic Surgery. 41・1. 70-74 (1998)

    • Description
      「研究成果報告書概要(和文)」より
  • [Publications] Yuzuru Kamei: "Endoscopic Omental Harvest"Plastic and Reconstructive Surgery. 102・7. 2450-2453 (1998)

    • Description
      「研究成果報告書概要(和文)」より
  • [Publications] H. Kato: "The lumbar artery perforator based island flap ; anatomical study and case reports"British Journal of Plastic Surgery. 52. 541-546 (1999)

    • Description
      「研究成果報告書概要(和文)」より
  • [Publications] Yukiharu Hasegawa: "Pedicle bone grafting versus transtrochanteric rotational osteotomy for idiopathic osteonecrosis of the femoral head-four patients with both procedures-"Nagoya Journal of Plastic Surgery. 62. 47-55 (1999)

    • Description
      「研究成果報告書概要(和文)」より
  • [Publications] 鳥居修平: "下肢における骨・軟部組織の再建"東海整形外科外傷研究会誌. 12. 3-6 (1999)

    • Description
      「研究成果報告書概要(和文)」より
  • [Publications] 鳥居修平: "高齢者腫瘍広範囲切除後の再建術と注意点"関節外科. 18. 89-94 (1999)

    • Description
      「研究成果報告書概要(和文)」より
  • [Publications] 鳥居修平: "難治性潰瘍"現代医学. 47・1. 171-175 (1999)

    • Description
      「研究成果報告書概要(和文)」より
  • [Publications] 亀井譲: "形成外科領域における内視鏡手術"現代医学. 46・3. 493-496 (1999)

    • Description
      「研究成果報告書概要(和文)」より
  • [Publications] 亀井譲: "胃壁付き大網弁による頭頚部再建"頭頚部腫瘍. 25・3. 476-481 (1999)

    • Description
      「研究成果報告書概要(和文)」より
  • [Publications] 堀直博: "下肢悪性腫瘍切除に伴う血行再建後の皮弁による被覆術"日本血管外科学会雑誌. 8・5. 573-579 (1999)

    • Description
      「研究成果報告書概要(和文)」より
  • [Publications] 伊藤史郎: "ベーチェット病による下腿広範囲難治性潰瘍に対する遊離大網移植を用いた治療の経験"日本マイクロサージャリー学会会誌. 12・1. 43-48 (1999)

    • Description
      「研究成果報告書概要(和文)」より
  • [Publications] 長谷川幸治: "突発性大腿骨頭壊死症に対する血管柄付腸骨移植術の長期成績"別冊整形外科. 35. 151-155 (1999)

    • Description
      「研究成果報告書概要(和文)」より
  • [Publications] 亀井譲: "整形外科診療に役立つ形成外科治療法"Monthly Book Orthopadics. (in press).

    • Description
      「研究成果報告書概要(和文)」より
  • [Publications] Shuhei Torii: "Concent and clinical application of reverse flow flap"Monthly Book Orthopaedics. 10 (4). 43-51 (1997)

    • Description
      「研究成果報告書概要(欧文)」より
  • [Publications] Shintaro Asai: "Topical administration of prostaglandin E1 with lontophoresis for skin flap viability"Annals of Plastic Surgery. 38(5). 514-517 (1997)

    • Description
      「研究成果報告書概要(欧文)」より
  • [Publications] Hisakazu Katoh: "The pathogenesis and treatment of diabetic foot"The Japanese journal of plastic & reconstructive surgery. 41 (4). 317-328 (1998)

    • Description
      「研究成果報告書概要(欧文)」より
  • [Publications] Yuzuru Kamei: "Muscle transfer using endoscopic surgery"JSES. 3(3). 216-221 (1998)

    • Description
      「研究成果報告書概要(欧文)」より
  • [Publications] Kazuhiro Toriyama: "Planter Ulcers in spina bifida patients"The Japanese journal of plastic & reconstructive surgery. 41 (4). 329-336 (1998)

    • Description
      「研究成果報告書概要(欧文)」より
  • [Publications] Yasutaka Umemoto: "Experience with the free latissimus dorsi perforator-based flap"J.Jpn. S.R.M.. 11 (2). 123-130 (1998)

    • Description
      「研究成果報告書概要(欧文)」より
  • [Publications] Kenzo Yasuura: "Results of omental flap transposition for deep sternal wound infection after cardiovascular surgery"Annals of Surgery. 227(3). 455-459 (1998)

    • Description
      「研究成果報告書概要(欧文)」より
  • [Publications] Tohru Takada: "Effect of omental lipid fraction on enhancement of skin flap survival"Annals of Plastic Surgery. 41(1). 70-74 (1998)

    • Description
      「研究成果報告書概要(欧文)」より
  • [Publications] Yuzuru Kame: "Endoscopic omental harvest"Plastic and Reconstructive Surgery. 102(7). 2450-2453 (1998)

    • Description
      「研究成果報告書概要(欧文)」より
  • [Publications] H. Kato: "The lumbar artery perforator based island flap ; anatomical study and case reports"British Journal of Plastic Surgery. 52. 541-546 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
  • [Publications] Yukiharu Hasegawa: "Pedicle bone grafting versus transtrochanteric rotational oseteotomy for idiopathic osteonerosis of the femoral head ; four patients with both procedures"Nagoya Journal of Medical Science. 62. 47-55 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
  • [Publications] Shuhei Torii: "Reconstruction of lower extremities using tissue transfer"J. Tohkai Orthop Society Traumat.. 12. 3-6 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
  • [Publications] Shuhei Torii: "Reconstructive surgery for malignant tumor in elderly patients"Joint of Surgery. 18. 89-94 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
  • [Publications] Shuhei Torii: "Chronic ulcer"Current Medicine. 47 (1). 171-175 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
  • [Publications] Yuzuru Kamei: "Endoscopic surgery in plastic surgery"Current Medicine. 46 (3). 493-496 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
  • [Publications] Yuzuru Kamei: "Reconstruction of head and neck using the composite stomach-omental flap"Head and Neck Cancer. 25 (3). 476-481 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
  • [Publications] Naohiro Hori: "Flap coverage after vascular reconstruction in cases of malignant tumor resection in the area of the lower extremities"The Japanese journal of blood vessel surgery. 8 (5). 573-579 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
  • [Publications] Shiro Ito: "Treatment of a large lower leg ulcer associated with behcet's disease using a free omental flap"J. Jpn. S.R.M. 12 (1). 43-48 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
  • [Publications] Yukiharu Hasegawa: "Long term follow-up study of the pedicle iliac bone graft for idiopathic osteonecrosis of the femoral head"S. Orthopedics. 35. 151-157 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
  • [Publications] Yuzuru Kamei: "Fool reconstruction"Monthly Book Orthipadics. (in press). (1999)

    • Description
      「研究成果報告書概要(欧文)」より

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Published: 2001-10-23  

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