Microsurgery in infrapopliteal revascularization of lower limb.
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Biomedical subjects
Publications and source records attributed to Mihai Ionac.
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Major experimental surgery on laboratory animals requires adequate anesthesia and ventilation to keep the animal alive throughout the procedure. A ventilator is a machine that helps the anesthesized animal breathe through an endotracheal tube by pumping a volume of gas (oxygen, air, or other gaseous mixtures), comparable with the normal tidal volume, into the animal's lungs. There are two main categories of ventilators for small laboratory rodents: volume-controlled and pressure-controlled ones. The volume-controlled ventilator injects a preset volume into the animal's lungs, no matter the airways' resistance (with the peak inspiratory pressure allowed to vary), while the pressure ventilator controls the inspiratory pressure and allows the inspiratory volume to vary. Here we show a rat pressure ventilator with a simple expiratory valve that allows gas delivery through electronic expiration control and offers easy pressure monitoring and frequency change during ventilation.
Experimental induction of ventricular fibrillation in animals yields valuable information about this deadly arrhythmia. Human adult or pediatric defibrillators and their paddles can be used easily in larger animals such as dogs and pigs, but these animals are more difficult to house and handle, and available biochemical assays may be limited. In contrast, rats are easy and relatively inexpensive to house and handle, and numerous biochemical tests are available. However, in most cases, even pediatric electrodes are impractical for use in rats. Proper placement of defibrillation electrodes on the thorax requires that the electrical axis of the heart be situated between the defibrillator paddles. The most common approach to defibrillation in rats uses 2 electrodes: one is built into a board that underlies and touches the rat's back, and another is positioned manually on the anterior thorax. The aim of this study was to produce electrodes that are 1) easy to handle, 2) specifically designed for rats, 3) efficiently deliver defibrillation shocks along the electric axis of the heart, and 4) can be used for both in vivo defibrillation and on isolated heart preparations.
The aim of this study was to apply the hypothesis of ischemic preconditioning (IP) on free skeletal muscle (rat thigh flap). Five groups of Sprague-Dawley rats (n = 6) were used. In group A (control group), standard free autologous flap transfers were performed. Flaps in groups B and C underwent 4 and 6 h, respectively, of ischemia before transfer. In groups D and E, muscle flaps were preconditioned (3 x 10 min ischemia interrupted by 10 min of reperfusion, clip applied on the dissected artery of the flap) and subjected to 4 and 6 h, respectively, of ischemia before transfer. After 48 h of reperfusion, the muscle flaps were evaluated macroscopically as well as by histological and immunohystochemical staining. In group A, the viability was 100%, whereas in groups D and E the viability was 83.3% and 100%, respectively. Groups B and C had undergone macroscopically parceled to total necrosis, further confirmed by histological findings (fragmentation and disappearance of muscle striations, combined with tissue necrosis and intravascular thrombosis). The beneficial effect of IP demonstrated in the heart, liver, and small bowel extends to skeletal muscle, which can be used in free-flap transfers, if the transfer includes a long period of predictable ischemia.
The present study describes a standardized experimental model of whole-uterus-and-ovaries heterotopic allotransplantation in the laboratory rat. Fifteen transplantation procedures were done. The anatomy of the pelvic region was studied with an additional 20 dissections, noting the topographical and vascular anatomy of the uterus, fallopian tubes, and ovarian vessels. Recipients were randomized into three groups. The average operative time was 150 min. The postoperative survival rate was 100%. Postoperative vascular anastomosis patency was 100%, and 26% at 72 hr. Recipients were euthanized at 24 hr (group I), 48 hr (group II), and 72 hr (group III); grafts were harvested and examined macroscopically, and fixed in formaline for histopathological and immunocytochemical analysis. Failure in 74% of the grafts at 72 hr was due to early thrombosis, starting from the capillary bed and progressing towards the main feeding pedicles. More studies must be undertaken to further understand the rejection mechanisms in transplanted reproductive organs. The efficiency, feasibility, and safety for such an operation in humans remain to be proven. We consider the present model a suitable tool to study all the above-mentioned goals.
Experimental studies in immunology, pharmacology, or hematology require the sampling of the total thoracic duct lymph in awake and unrestrained rats or mice. Several approaches have been described for cannulation of the thoracic duct, but they are characterized by a modest reproducibility and a low lymph flow rate. An improved technique for obtaining thoracic duct lymph is described here, emphasizing the similarities and differences concerning both rats and mice (average weights of 305 and 15 g, respectively). Rats yielded a mean of 55.6 ml/day thoracic duct lymph, while lymph output in mice reached unexpected volumes of 29.3 ml/day. The use of an operating microscope and silicone cannula, and maintenance of mobility of the animals during lymph collection, offer a reliable method for a high and constant output of thoracic duct lymph. Relevant aspects of the murine thoracic duct anatomy are also identified.
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