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Biomedical subjects

K Harii

Publications and source records attributed to K Harii.

15 recordsLinked to original sources

Microvasular free flap transfer in reconstructive surgery.

The perfection of micro-suture of small vessels has enabled trnasplantation of various large composite tissues by anastomosing their nutrient vessels directly to suitable vessels in the recipient site. Among them, the so-called free skin flap has many advantages over the conventional flap methods for covering the complicated defects of the skin and subcutaneous tissues. In this paper, the author introduces the representative free skin flaps on the basis of his 300 clinical free flap experiences.

Adult

Clinical application of free omental flap transfer.

In the field of reconstructive surgery, the greater omentum has been used as a transposed flap for the treatment of chronic lymphedema, radionecrosis, and so forth. Its transferable range was limited by the length of its pedicle. Microvascular anastomosis allows for free transplantation of this organ and has vastly expanded its usefulness.

Adult

Microvascular surgery and its clinical applications.

Experience with a surgical technique of microvascular anastomosis for free tissue transfers and digital replantations has been applied in 184 cases, and demonstrates that complications such as total flap necrosis are avoidable by experience and technical skill.

Adult

The youngest free groin flap yet?

A successful free groin flap transfer to the arm in a 3-month-old baby is described. The vessels were large enough for microvascular anastomosis and we believe that there is no minimum age restriction for free flap transfer.

Age Factors

The free musculocutaneous flap.

We report the transfer of a free musculocutaneous compound flap, including the gracilis muscle, in one stage by microvascular surgery. The advantages of this free flap are discussed.

Adult

Free dorsalis pedis sensory flap to the hand, with microneurovascular anastomoses.

Since 1973 we have transferred various kinds of free flaps by microvascular surgery. In hand reconstruction, the free flap is less often required than in repairs of other sites, such as the leg. However, the importance of restoring sensibility in the hand is evident. Recently, we have transferred thin dorsalis pedis flaps as sensory free flaps in 5 cases of hand reconstruction, and we describe our experiences with them.

Adolescent

Treatment of chronic osteomyelitis by transplantation of autogenous omentum with microvascular anastomosis. A preliminary report.

Free omental transplantation with vascular anastomosis was attempted in three clinical cases as a new method of treatment for chronic osteomyelitis. The bone cavity produced by debridement was completely eliminated by the transplanted omentum. Furthermore, the omentum, because of its biological characteristics, formed good vascular anastomoses with the adjacent bone tissue. Although sufficient time has not yet elapsed to prove the existence of healthy bone regeneration and therefore, further evaluation for a longer period is necessary, this therapeutic method would seem to have considerable potential in the treatment of chronic osteomyelitis.

Adult

Free skin flap transfer.

In this article we have described general considerations relative to free flap transfers, introduced our operative technique of free flap transfers and outlined some of our representative cases. We also set forth the advantages and disadvantages of free flap transfers as we have experienced them.

Adult