Attestation committee
Accreditation committee
Expert committee
Dispositions, instructions
Normative acts
MANPOWER TRAINING
Nomenclature
Institutions
Scientific councils
Seminars
Theses		 Scientific advisers
Scientists
Doctoral students
Postdoctoral students
CNAA logo

 română | русский | english


Flaps raised on perforator vessels of the leg in the treatment of tissular defects


Author: Feghiu Leonid
Degree:doctor of medicine
Speciality: 14.00.22 - Orthopedics and Traumatology
Year:2016
Scientific adviser: Grigore Verega
doctor habilitat, associate professor (docent), Nicolae Testemitanu State University of Medicine and Pharmacy of the Republic of Moldova
Scientific consultant: Boris Topor
doctor habilitat, professor, Nicolae Testemitanu State University of Medicine and Pharmacy of the Republic of Moldova
Institution: Nicolae Testemitanu State University of Medicine and Pharmacy of the Republic of Moldova

Status

The thesis was presented on the 3 December, 2015
Approved by NCAA on the 25 February, 2016

Abstract

Adobe PDF document – 0.62 Mb / in romanian

Keywords

perforator flap, corticoperiosteocutaneous flap, perforator vessels, leg, Doppler ultrasound, angiosome, perfarosome

Summary

The thesis is exposed on 136 pages of typed text, involves 16 tables and 76 figures, comprises introduction and 5 chapters, synthesis of the results, conclusions and practical recommendations, has 211 references and 12 annexes. There were obtain 2 innovations and one bronze medal.

The field of research: The work represents a research of 101 patients with tissular defects at the level of inferior limb attended and operated within septic surgical department of Medico-Sanitary Public Institution Clinical Hospital of Traumatology.

The aim and objectives of the research was to underline the donator potential of lateral and posterior surface of the leg for tailoring vascularized flaps on the basis of perforators of the leg as well as to show osteogenic potential of corticoperiosteocutaneous flap raised from anterior surface of the tibia.

Scientifical originality. In the anatomical study was shown the interperforant relation on the tibia periosteum which allowed for the first time to harvest the tibial posterior corticoperiosteocutaneous perforator flap. As well there was performed reconstruction with peroneal tendinofasciocutaneous perforator flap.

Important scientifical problem solved by the research. Was finding of the preferential intervals of leg perforators distribution which allowed discovering and implementation of the new surgical techniques, important for the medical science and practice.

Theoretical significance and applicative value of the thesis. There were studied the anatomical characteristics of perforator vessels which arise from the 3 main arteries of the leg and where compared with the results of the Doppler study for identifying the exacticity of preoperative Doppler angiography in the perforant flap surgery.

Implementation of the scientifical results. Surgical techniques for harvesting perforator flaps are used in the medical practice in the department of Septic, Plastic and Reconstructive Surgery of the Medico-Sanitary Public Institution Clinical Hospital of Traumatology and in the Department of Septic Traumatology in the Institute of Emergent Medicine.