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   <dc:title>Improving flap survival by transplantation of a VEGF-secreting endothelised scaffold during distal pedicle flap creation</dc:title>
   <dc:creator>Lasso Vázquez, José María</dc:creator>
   <dc:creator>Del Río, Marcela</dc:creator>
   <dc:creator>García, María</dc:creator>
   <dc:creator>Martínez Calleja V,</dc:creator>
   <dc:creator>Nava, Paola</dc:creator>
   <dc:creator>Muñoz-Fernández MA,</dc:creator>
   <dc:creator>Pérez Cano, Rosa</dc:creator>
   <dcterms:abstract>The benefits of a VEGF-secreting endothelised scaffold on the survival of distal flaps with early pedicle flap division were evaluated in a rabbit model. We bioengineered a scaffold based on a fibrin matrix in which endothelial cells, genetically modified with a VEGF-encoding adenoviral vector were embedded. We distributed subjects in four groups.
Control:Eight rabbits conditioned with endothelial cells embedded in a fibrin scaffold. The pedicle was divided after a period of 5 days; and eight rabbits conditioned with endothelial cells embedded in a fibrin scaffold but in this group the pedicle was divided after a period of 2 days.
Treatment:Eight rabbits conditioned with VEGF-secreting endothelial cells embedded in a fibrin scaffold; the pedicle was divided after a period of 5 days. And eight rabbits conditioned with VEGF-secreting endothelial cells but the pedicle was divided after a period of 2 days. The percentages of survival were 95.62+/-4.95% for the VEGF-producing scaffold vs. 51.25+/-45.88% for a non-VEGF secreting scaffold when sectioning the pedicle after 5 days. The percentage of survival of flaps in the group grafted with the VEGF-secreting scaffold was 55.62% compared to 2.5% in the group receiving the non-VEGF scaffold when the pedicle was sectioned after 2 days. The CD 31 immunostaining studies showed a dramatic increase in angiogenesis in the flaps conditioned by the VEGF-producing scaffolds. These data revealed that endothelised VEGF-secreting scaffold during flap creation could be a suitable approach in reconstructive surgery.</dcterms:abstract>
   <dcterms:dateAccepted>2026-02-06T12:39:12Z</dcterms:dateAccepted>
   <dcterms:available>2026-02-06T12:39:12Z</dcterms:available>
   <dcterms:created>2026-02-06T12:39:12Z</dcterms:created>
   <dcterms:issued>2007</dcterms:issued>
   <dc:type>journal article</dc:type>
   <dc:identifier>https://hdl.handle.net/20.500.14352/131818</dc:identifier>
   <dc:identifier>1748-6815</dc:identifier>
   <dc:identifier>10.1016/j.bjps.2006.04.002</dc:identifier>
   <dc:language>eng</dc:language>
   <dc:relation>Lasso, J. M., Del Río, M., García, M., Martínez Calleja, V., Nava, P., Muñoz-Fernández, M. A., &amp; Pérez Cano, R. (2007). Improving flap survival by transplantation of a VEGF-secreting endothelised scaffold during distal pedicle flap creation. Journal of plastic, reconstructive &amp; aesthetic surgery : JPRAS, 60(3), 279–286. https://doi.org/10.1016/j.bjps.2006.04.002</dc:relation>
   <dc:rights>restricted access</dc:rights>
   <dc:publisher>Elsevier</dc:publisher>
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