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J Reconstr Microsurg 2016; 32(04): 256-261
DOI: 10.1055/s-0036-1571807
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

The Effect of Epigallocatechin Gallate on Flap Viability of Rat Perforator Abdominal Flaps

İbrahim Alper Aksakal
1   Department of Plastic, Reconstructive and Aesthetic Surgery, Samsun Education and Research Hospital, Samsun, Turkey
,
İsmail Küçüker
2   Department of Plastic, Reconstructive and Aesthetic Surgery, Faculty of Medicine, Ondokuz Mayis University, Samsun, Turkey
,
Mehmet Emin Önger
3   Department of Histology and Embryology, Faculty of Medicine, Ondokuz Mayis University, Samsun, Turkey
,
Murat Sinan Engin
2   Department of Plastic, Reconstructive and Aesthetic Surgery, Faculty of Medicine, Ondokuz Mayis University, Samsun, Turkey
,
Musa Kemal Keleş
4   Deartment of Plastic, Reconstructive and Aesthetic Surgery, Diskapi Yildirim Beyazit Training and Research Hospital Ankara, Turkey
,
Ahmet Demir
2   Department of Plastic, Reconstructive and Aesthetic Surgery, Faculty of Medicine, Ondokuz Mayis University, Samsun, Turkey
› Author Affiliations
Further Information

Publication History

29 September 2015

21 December 2015

Publication Date:
26 February 2016 (online)

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Abstract

Background Epigallocatechin gallate (EGCG) is a substance abundant in green tea. In this study, the effects of EGCG on perforator flap viability were investigated.

Methods A total of 40 rats were assigned to four groups of 10 each. In each subject, a 4 × 6 cm abdominal skin flap was raised and adapted back onto its place. In the control group, no further procedures were taken. In the flap group, 40 mg/kg/d EGCG was injected into the flap. In the gavage group, 100 mg/kg/d EGCG was given through a feeding tube. In the intraperitoneal group, 50 mg/kg/d EGCG was injected intraperitoneally. On the 7th postoperative day, flaps were photographed and the viable areas were measured and compared via a one-way analysis of variance.

Results The ratios of viable and contracted flap area were 9.15/12.01, 4.59/16.46, 11.56/11.20, and 11.65/10.77 cm2 for the control, flap group, gavage group, and intraperitoneal group, respectively. While the flap group yielded the worst results in the sense of flap contraction and viability (p < 0.001), the gavage and intraperitoneal groups were significantly better than those of the control group (p = 0.03). Histologically, epidermal, papillary dermal, and capillary tissue volumes were evaluated. In comparison to the control group, the flap group yielded significantly increased epidermal and dermal volumes (p = 0.03), however, these values were significantly decreased (p = 0.04) in the gavage and intraperitoneal groups. Capillary volumes were significantly decreased in EGCG treatment groups (p < 0.01).

Conclusion Our experiment has shown that oral and intraperitoneal administration of EGCG increases the perforator flap viability when compared with controls, while direct injection decreases the viability.

Keywords

perforator flap - epigallocatechin gallate - flap viability - EGCG
 

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