AI Article Synopsis

  • - The research on vascular and lymphatic systems is crucial in reconstructive surgery, with key historical figures like Harvey, Manchot, and Salman contributing significantly to our understanding of cutaneous vasculature and vascular territories.
  • - Key advancements in flap techniques, such as axial and random pattern flaps by McGregor and Morgan, as well as the angiosome concept by Taylor and Palmer, highlight the importance of arterial and venous systems for successful surgical outcomes.
  • - The understanding and imaging of the lymphatic system, which was discovered later, has evolved significantly, with modern techniques like photoacoustic imaging allowing for enhanced visualization and study of its architecture.

Article Abstract

Anatomies of the vascular and lymphatic systems have been vital research topics in reconstructive surgery. Harvey was a pioneer who provided the earliest descriptions of the cutaneous vasculature in the 17th century. The concept of vascular territories of the skin was first described by Manchot. The radiographic injection method in cadavers was developed by Salman, who defined more than 80 vascular territories. The arterial system has been thoroughly investigated with the development of regional and free flaps. The concept of axial and random pattern flaps was introduced by McGregor and Morgan. Manchot's vascular territories were refined by Taylor and Palmer as the angiosome concept. Detailed information about the venous circulation is essential for reconstructive surgeries. The concept of intrinsic and extrinsic venocutaneous vascular systems was introduced by Nakajima and led to the development of the venoadipofascial flap. The importance of venous augmentation in flap survival was emphasized by Chang. The lymphatic system was discovered much later than the arterial and venous systems. Aselli was credited for discovering the lacteal vessels in the 17th century; mercury was popularly used as a contrast agent to distinguish lymphatic vessels for the next three centuries. A radiographic method in cadavers was developed by Suami. Lymphatic imaging devices are constantly upgrading, and photoacoustic imaging was recently introduced for three-dimensional visualization of architecture of superficial layers of the lymphatic and venous systems.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9747288PMC
http://dx.doi.org/10.1055/s-0042-1758636DOI Listing

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