An Anatomic Review of the Delay Phenomenon

Callegari, P; Taylor, G. Ian; Caddy, Christopher M.; Minabe, Toshiharu

doi:10.1097/00006534-199203000-00001

Cited by 174 publications

(79 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…This appears to have been suggested from our present study. In regard to the mode of action in the delay phenomenon, many theories have been proposed [1,2,11]. From our present study, we still cannot indicate the mode of action of the delay phenomenon in flap survival.…”

Section: Discussioncontrasting

confidence: 64%

“…It has been recognized that the delay procedure has a positive effect on improving flap survival [1,2,11]. However, the mode of action in this procedure is vague [1,2,11].…”

Section: Discussionmentioning

confidence: 99%

“…However, the mode of action in this procedure is vague [1,2,11]. Today, the delay procedure is less frequently carried out.…”

Section: Discussionmentioning

confidence: 99%

“…Although further study is required, the present investigation suggests that increase in flap survival resulting from delay and drug administration comes about through different modes of action. It is suspected that the potential mechanism of the capsaicin is the inhibition of platelet aggregation, and the delay procedure is probably the change of vascular pattern in the flap [1]. It is suspected that through a combination of these two procedures, a remarkable increase may be seen in flap survival.…”

Section: Discussionmentioning

confidence: 99%

“…There are two main methods to increase flap survival; one is delay treatment [1,2,11], and the other is drug administration [2± 10]. However, we do not know the mode of action of surgical or pharmacological delay.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

An experimental study of the relationship between surgical delay and topical application of Sinpas hot

Sawada¹,

Yokoi²,

Tanaka³

et al. 1999

European Journal of Plastic Surgery

View full text Add to dashboard Cite

A study was undertaken to investigate the relationship between delay and drug administration as a means of improving flap survival. To evaluate the most effective delay procedure, on the dorsum of each 10 Wistar rat, a skin flap measuring 9 by 2 cm in size was raised, and various delay procedures were tested. Among these, a delay procedure, consisting of dissection of flap area and incision of only the lateral sides of the flap, resulted in significant increase in flap survival and was used in the following study. On the dorsum of each rat, a skin flap measuring 112 cm was raised, a preliminary experiment had shown a flap 92 cm to be too small. In the case of the control group, the flaps were elevated without a delay. In another group, the flaps were elevated after a two week delay. In a further group, delay was carried out for two weeks and then Sinpas hot which contains and releases a chili pepper extract was applied after flap elevation. One week later, an evaluation was made of the rate and area of flap survival. Compared to the control group, the group which had delay treatment showed a significant increase in flap survival (P`0.01). Further, in comparison to the group which received delay treatment, the group which was administered both delay and Sinpas hot, showed an even higher increase in flap survival (P`0.05).

show abstract

Section: Discussioncontrasting

confidence: 64%

“…It has been recognized that the delay procedure has a positive effect on improving flap survival [1,2,11]. However, the mode of action in this procedure is vague [1,2,11].…”

Section: Discussionmentioning

confidence: 99%

“…However, the mode of action in this procedure is vague [1,2,11]. Today, the delay procedure is less frequently carried out.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

An experimental study of the relationship between surgical delay and topical application of Sinpas hot

Sawada¹,

Yokoi²,

Tanaka³

et al. 1999

European Journal of Plastic Surgery

View full text Add to dashboard Cite

show abstract

Ischemic conditioning (delay phenomenon) improves esophagogastric anastomotic wound healing in the rat

et al. 1997

View full text Add to dashboard Cite

Free flap expansion using balloon-assisted endoscopic technique

Chen

Levin

1996

Microsurgery

View full text Add to dashboard Cite

Pre-expansion of free flaps augments flap size dimensions and provides delay of tissue by opening "choke" vessels, thus augmenting the territories of adjacent angiosomes. Pre-expansion of free tissue transfers has been used for reconstruction of large soft tissue defects. A secondary benefit is that the donor site, traditionally treated by skin graft, can be closed primarily. Using conventional techniques for free flap pre-expansion, blunt dissection may risk injury to the pedicle. Using balloon dissectors a large optical cavity can be created quickly through an avascular fascial cleft. This allows endoscopic exploration of the optical cavity and confirmation of placement of the tissue expander. In addition, balloon-assisted endoscopic tissue expander placement optimizes the hysteresis effect of skin stretching and offers the possibility of immediate fluid inflation, which ultimately shortens the time for free flap expansion prior to microsurgical transfer.

show abstract

An Anatomic Review of the Delay Phenomenon

Cited by 174 publications

References 0 publications

An experimental study of the relationship between surgical delay and topical application of Sinpas hot

An experimental study of the relationship between surgical delay and topical application of Sinpas hot

Ischemic conditioning (delay phenomenon) improves esophagogastric anastomotic wound healing in the rat

Free flap expansion using balloon-assisted endoscopic technique

Contact Info

Product

Resources

About