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Septum-based cervical lymph-node free flap in rat: a new model.

Giuseppe Visconti¹, Chiara Brunelli², Antonino Mulè²

¹Department of Plastic and Reconstructive Surgery, Università Cattolica del "Sacro Cuore"-University Hospital "A. Gemelli", Rome, Italy; Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan.

The Journal of Surgical Research

|February 7, 2016

Summary

Researchers developed a new cervical lymph node-adipo-cutaneous flap in rats, incorporating a skin paddle. This versatile supermicrosurgical model shows reliable lymphatic flow restoration and minimal donor-site morbidity for future experimental studies.

Keywords:

Experimental microsurgery Lymph node flap Lymph node transfer Lymph node transplantation Lymphedema Supermicrosurgery VLNT Vascularized lymph node flap

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Area of Science:

Microsurgery
Surgical Innovation
Experimental Models

Background:

Existing rat lymph node flap models lack skin paddles.
A need exists for versatile lymph node flap models in rats for research.

Purpose of the Study:

To describe a novel cervical lymph node-adipo-cutaneous flap model in rats.
To evaluate its suitability for future experimental studies.

Main Methods:

Anatomical investigation of rat cervical lymph nodes.
Harvesting and transfer of a lymph node flap with a skin paddle (1.5 × 0.5 cm).
Assessment of lymphatic flow restoration and histological analysis at 30 days post-operation.

Main Results:

The flap is based on a consistent adipofascial structure (innominate septum).
Flap microvascular and lymph node anatomy (2-3 nodes) was constant.
All flaps survived with minimal donor-site morbidity; lymphatic flow restoration was observed.

Conclusions:

The described flap is safe, reliable, and versatile.
It offers constant anatomy and includes a skin paddle.
This supermicrosurgical model is suitable for autologous lymph node transplantation in rats.