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Acta cir. bras ; 33(4): 296-305, Apr. 2018. tab, graf
Artículo en Inglés | LILACS | ID: biblio-886282

RESUMEN

Abstract Purpose: To evaluate the effect of the cilostazol on the evolution of partially avulsed flaps, using experimental model of cutaneous degloving in rat limbs. Methods: A controlled and randomized experimental study was carried out in which the blood flow and the percentage of flap necrosis were evaluated. We compared the study group, which received cilostazol, and the control group, which received enteral saline solution in the postoperative period. The blood flow in the flap was evaluated through Laser Doppler flowmetry, and a planimetry using the IMAGE J® software was employed for the calculation of the area of necrosis. Results: Enteral administration of cilostazol was associated with a higher mean blood flow in all regions of the flap, with a statistically significant difference in the proximal and middle regions (p<0.001) and a lower percentage of necrotic area in the flap (p<0.001). Conclusion: Postoperative enteral administration of cilostazol increased blood flow and decreased the total area of necrosis of avulsed cutaneous flaps of rat limbs.


Asunto(s)
Humanos , Animales , Masculino , Tetrazoles/uso terapéutico , Modelos Animales de Enfermedad , Inhibidores de Fosfodiesterasa 3/uso terapéutico , Lesiones por Desenguantamiento/tratamiento farmacológico , Valores de Referencia , Flujo Sanguíneo Regional/efectos de los fármacos , Colgajos Quirúrgicos , Tetrazoles/farmacología , Factores de Tiempo , Distribución Aleatoria , Reproducibilidad de los Resultados , Resultado del Tratamiento , Ratas Wistar , Flujometría por Láser-Doppler , Extremidad Inferior/irrigación sanguínea , Extremidad Inferior/lesiones , Extremidad Inferior/patología , Inhibidores de Fosfodiesterasa 3/farmacología , Lesiones por Desenguantamiento/cirugía , Lesiones por Desenguantamiento/patología , Necrosis/tratamiento farmacológico
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