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Acta cir. bras ; 33(4): 296-305, Apr. 2018. tab, graf
Artigo em Inglês | LILACS | ID: biblio-886282

RESUMO

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.


Assuntos
Humanos , Animais , Masculino , Tetrazóis/uso terapêutico , Modelos Animais de Doenças , Inibidores da Fosfodiesterase 3/uso terapêutico , Avulsões Cutâneas/tratamento farmacológico , Valores de Referência , Fluxo Sanguíneo Regional/efeitos dos fármacos , Retalhos Cirúrgicos , Tetrazóis/farmacologia , Fatores de Tempo , Distribuição Aleatória , Reprodutibilidade dos Testes , Resultado do Tratamento , Ratos Wistar , Fluxometria por Laser-Doppler , Extremidade Inferior/irrigação sanguínea , Extremidade Inferior/lesões , Extremidade Inferior/patologia , Inibidores da Fosfodiesterase 3/farmacologia , Avulsões Cutâneas/cirurgia , Avulsões Cutâneas/patologia , Necrose/tratamento farmacológico
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