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Updated: Oct 14, 2025

In situ Transverse Rectus Abdominis Myocutaneous Flap: A Rat Model of Myocutaneous Ischemia Reperfusion Injury
Published on: June 8, 2013
Effect of hyperbaric oxygenation on random rat skin flaps vascularization
Fabricio Valandro Rech1, Ricardo Santos Simões2, Jefferson André Pires3
1Fellow PhD degree. Postgraduate Program in Interdisciplinary Surgical Sciences - Universidade Federal de São Paulo (UNIFESP) - Sao Paulo (SP), Brazil.
Hyperbaric oxygenation (HBO) enhanced blood vessel growth (angiogenesis) and improved skin flap survival in rats. This study demonstrates HBO
Area of Science:
- Regenerative Medicine
- Wound Healing Research
- Vascular Biology
Background:
- Skin flap viability is crucial for reconstructive surgery.
- Angiogenesis, or new blood vessel formation, is vital for tissue survival.
- Vascular Endothelial Growth Factor A (VEGF-A) is a key regulator of angiogenesis.
Purpose of the Study:
- To investigate the impact of hyperbaric oxygenation (HBO) on angiogenesis in a rat skin flap model.
- To assess the expression of VEGF-A in relation to skin flap viability under HBO treatment.
Main Methods:
- Forty rats were divided into four groups, including control and HBO-treated groups with and without skin flaps.
- Skin flaps were harvested, sectioned, and analyzed using immunohistochemistry for VEGF-A.
- The number of VEGF-A-immunostained blood vessels was quantified to evaluate angiogenesis.
Main Results:
- HBO treatment did not alter normal skin morphology in control groups.
- Skin flaps in the HBO-treated group showed reduced tissue damage and inflammation compared to controls.
- Significantly higher numbers of VEGF-A-immunostained blood vessels were observed in HBO-treated skin flaps, particularly in distal regions.
Conclusions:
- Hyperbaric oxygenation significantly promotes angiogenesis in rat skin flaps.
- HBO treatment improves the viability of random skin flaps, likely through enhanced vascularization.
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