Skip to main content
Annals of Surgery logoLink to Annals of Surgery
. 1983 Jul;198(1):87–90. doi: 10.1097/00000658-198307000-00017

The role of oxygen-free radicals in ischemic tissue injury in island skin flaps.

P N Manson, R M Anthenelli, M J Im, G B Bulkley, J E Hoopes
PMCID: PMC1352938  PMID: 6859996

Abstract

The contribution of free radical-mediated reperfusion injury to the ischemic damage caused by total venous occlusion of island skin flaps was investigated in a standardized rat model. Control flaps subjected to 8 hours of total venous occlusion showed complete, full thickness necrosis when followed for 7 days following release of the vascular occlusion. Treatment with superoxide dismutase, a scavenger of superoxide radicals, prior to and immediately following the onset of reperfusion, significantly enhanced island flap survival from 0/11 (0%) to 8/15 (53%), p less than 0.005, and from 0/9 (0%) to 6/12 (50%), p less than 0.02, respectively. These findings are consistent with the hypothesis that oxygen free radicals generated at the time of reperfusion following a period of ischemia contribute significantly to the ultimate damage caused by ischemic injury. Such findings are consistent with similar reported observations on other tissues and suggest a means by which ischemic tissue injury might be therapeutically modified, even after the period of ischemia.

Full text

PDF
87

Images in this article

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Del Maestro R., Thaw H. H., Björk J., Planker M., Arfors K. E. Free radicals as mediators of tissue injury. Acta Physiol Scand Suppl. 1980;492:43–57. [PubMed] [Google Scholar]
  2. Granger D. N., Rutili G., McCord J. M. Superoxide radicals in feline intestinal ischemia. Gastroenterology. 1981 Jul;81(1):22–29. [PubMed] [Google Scholar]
  3. May J. W., Jr, Chait L. A., O'Brien B. M., Hurley J. V. The no-reflow phenomenon in experimental free flaps. Plast Reconstr Surg. 1978 Feb;61(2):256–267. doi: 10.1097/00006534-197802000-00017. [DOI] [PubMed] [Google Scholar]
  4. McCord J. M., Fridovich I. Superoxide dismutase. An enzymic function for erythrocuprein (hemocuprein). J Biol Chem. 1969 Nov 25;244(22):6049–6055. [PubMed] [Google Scholar]
  5. Parks D. A., Bulkley G. B., Granger D. N., Hamilton S. R., McCord J. M. Ischemic injury in the cat small intestine: role of superoxide radicals. Gastroenterology. 1982 Jan;82(1):9–15. [PubMed] [Google Scholar]
  6. Sasaki G. H., Pang C. Y. Hemodynamics and viability of acute neurovascular island skin flaps in rats. Plast Reconstr Surg. 1980 Feb;65(2):152–158. doi: 10.1097/00006534-198002000-00005. [DOI] [PubMed] [Google Scholar]
  7. Shlafer M., Kane P. F., Kirsh M. M. Superoxide dismutase plus catalase enhances the efficacy of hypothermic cardioplegia to protect the globally ischemic, reperfused heart. J Thorac Cardiovasc Surg. 1982 Jun;83(6):830–839. [PubMed] [Google Scholar]
  8. Su C. T., Im M. J., Hoopes J. E. Tissue glucose and lactate following vascular occlusion in island skin flaps. Plast Reconstr Surg. 1982 Aug;70(2):202–205. doi: 10.1097/00006534-198208000-00014. [DOI] [PubMed] [Google Scholar]
  9. Willms-Kretschmer K., Majno G. Ischemia of the skin. Electron microscopic study of vascular injury. Am J Pathol. 1969 Mar;54(3):327–353. [PMC free article] [PubMed] [Google Scholar]

Articles from Annals of Surgery are provided here courtesy of Lippincott, Williams, and Wilkins

RESOURCES