Search PubMed⌕ Search

Biomedical subjects

L Hakelius

Publications and source records attributed to L Hakelius.

At least 37 records · Page 2Linked to original sources
PubMed1981

The effect of split skin allografts on wound epithelialization from autologous patch grafts. An experimental study in rabbits.

To compare the healing time of standardized wounds partly covered with autologous patch skin grafts, and wounds totally covered with a combination of allografts and autologous patch grafts 10 rabbits, each with two standardized wounds, were used. On each rabbit one wound was partially transplanted with 6 autologous patch grafts 9 mm in diameter. The patches covered 6% of the wound area. The second wound was covered with a rabbit skin allograft with six holes 7 mm in diameter. In these holes 6 autologous patch grafts, 9 mm in diameter were placed (intermingled transplantation of auto- and allografts). The average healing time for the ten wounds treated with autografts only was 39.8 days and for the wounds covered with auto- and allografts 21.6 days. This shows that the same amount of autologous skin epithelialized a wound area about 17 times larger than itself nearly twice as fast if the wound surface between the autografts was covered with allografts than if it was protected by a dressing only.

Animals↗
PubMed1980

Microsurgical replantation of an amputated penis.

The microneurovascular replantation of a completely amputated penis is described. Fifteen hours after the replantation an arterial reanastomosis was performed due to a secondary thrombosis. The result after 3 months is excellent, with returned capacity of erection.

Adult↗
PubMed1979

Free autogenous muscle transplantation in 5 children with urinary incontinence.

Five children with urinary incontinence were operated with a new method involving free autogenous muscle transplantation. Before transplantation a skeletal muscle (extensor brevis of the foot) is denervated and, 2 weeks later, it is transplanted and placed as a U-sling around the urethra in close contact with normally innervated muscles, which act as reinnervation sources. All patients showed improvement of continence and increasing bladder capacity from about 2 months after transplantation. Postoperative cine-micturition studies clearly demonstrated the functional properties of the transplanted muscle and estimation of urinary flow rate showed no signs of infravesical obstruction.

Adolescent↗
PubMed1978

A new treatment of anal incontinence in children: free autogenous muscle transplantation.

A new method is presented for the treatment of anal incontinence in children, including free autogenous muscle transplantation. The primary step is denervation of a skeletal muscle, which 2 wk later is transplanted and placed as a U-sling around the rectum, imitating the position and function of the puborectalis muscle. The transplant is placed in close contact with innervated muscles, which act as reinnervation sources. The results in five consecutive patients are highly promising. An early sign of improvement is the occurrence of a sensation of rectal fullness. All the patients reached an acceptable degree of continence, including abandonment of the use of napkins, 4-12 mo after surgery.

Adolescent↗
PubMed1978

Free autogenous muscle transplantation in the treatment of urinary incontinence in children: background, surgical technique and preliminary results.

Urinary incontinence owing to epispadias or bladder exstrophy is a difficult therapeutic problem. To improve the results a new method, including free autogenous muscle transplantation, was developed. Before transplantation a skeletal muscle (extensor brevis of the foot) is denervated and, 2 weeks later, it is transplanted and placed as a U-sling around the urethra in close contact with normally innervated muscles, which act as reinnervation sources. Two patients showed improvement of continence and increasing bladder capacity from 6 weeks after transplantation. Postoperative cine-studies of micturition demonstrated clearly the functional properties of the transplanted muscle.

Bladder Exstrophy↗
PubMed1975

Blood vessels and connective tissue in autotransplanted free muscle grafts of the cat.

After 2 weeks of denervation, whole leg muscles of adult cats were transplanted to intercostal spaces and removed at intervals from 5 days to 44 weeks after grafting. The connective tissue formation and capillary supply of the grafts were studied histologically and histochemically for connective tissue and ATPase. In addition, normal muscles, denervated muscles left in situ, and muscles transplanted without previous denervation were studied. During the denervation period of 2 weeks the capillary network increased slightly. During the first 6 weeks after grafting only a few, thick-walled, irregularly shaped capillaries were present in the grafts. At 8-12 weeks there was a pronounced increase in the vascular supply, coincident with reinnervation of the grafts, and after 40 weeks the capillary pattern appeared fairly normal. In the early stages a marked increase in perimysial and endomysial connective tissue took place. With increasing reinnervation a gradual disappearance of the endomysial connective tissue occurred and in the most mature grafts a minimal increase of perimysial connective tissue remained. In muscles transplanted without previous denervation, extensive fibrotic changes developed.

Animals↗
PubMed1975

Histochemical studies of end-plate formation in free autologous muscle transplants in cats.

End-plate formation in free autologous transplants of previously denervated whole muscles in adult cats were studied with a histochemical technique for cholinesterase. Grafts from 5 to 40 weeks old have been examined. The original end-plates degenerated and could not be seen in transplants older than 9 weeks. New, immature end-plates formed at many sites in the transplants. They were seen as early as 5 weeks after transplantation. They progressively increased in number during the first 12 weeks. In the oldest transplants the end-plates were relatively mature and appeared in clusters or were scattered.

Animals↗
PubMed1975

Histochemical and neurophysiological studies of autotransplanted cat muscle.

Free autologous transplants of previously denervated whole muscles in adult cats were studied with histochemical and electromyographical methods. The transplants were placed in contact with normal intercostal muscles in intercostal spaces and removed at intervals from 5 days to 44 weeks after transplantation. Normal muscles as well as transplanted muscles without previous denervation and muscles denervated and left in situ were also studied.. The fibres of the previously denervated grafts survived the first avascular period, but a de-differentiation of enzymatic characteristics of the red and white fibres occurred and endured during the first 6 weeks after grafting. The first signs of reinnervation could be identified with electromyography after 4 weeks and with histochemical techniques after 6. Reinnervation of most of the fibres of the transplants was completed about 14-18 weeks after grafting. No fibrillations were then found electromyographically and in the histochemical preparations most fibres had attained near-normal staining characteristics. Type grouping was apparent but less pronounced than reported after reinnervation through the motor nerve. There was conclusive evidence that previously denervated muscles survived transplantation and became structurally and enzymatically mature whereas muscles transplanted without previous denervation undergo extensive fibrotic changes.

Adenosine Triphosphatases↗