Lasso Vázquez, José MaríaDel Río, MarcelaGarcía, MaríaMartínez Calleja V,Nava, PaolaMuñoz-Fernández MA,Pérez Cano, Rosa2026-02-062026-02-062007Lasso, J. M., Del Río, M., García, M., Martínez Calleja, V., Nava, P., Muñoz-Fernández, M. A., & Pérez Cano, R. (2007). Improving flap survival by transplantation of a VEGF-secreting endothelised scaffold during distal pedicle flap creation. Journal of plastic, reconstructive & aesthetic surgery : JPRAS, 60(3), 279–286. https://doi.org/10.1016/j.bjps.2006.04.0021748-681510.1016/j.bjps.2006.04.002https://hdl.handle.net/20.500.14352/131818The 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.engjournal articlehttps://doi.org/10.1016/j.bjps.2006.04.00217293286https://www.sciencedirect.com/journal/journal-of-plastic-reconstructive-and-aesthetic-surgeryrestricted access617-089.844Adenovirus; VEGF; Gene therapy; Angiogenesis; FlapsCirugía32 Ciencias Médicas