The Combination of Tissue Dissection and External Volume Expansion Generates Large Volumes of Adipose Tissue

2017 ◽  
Vol 139 (4) ◽  
pp. 888e-899e ◽  
Author(s):  
Yunfan He ◽  
Ziqing Dong ◽  
Gan Xie ◽  
Tao Zhou ◽  
Feng Lu
2019 ◽  
Vol 39 (2) ◽  
Author(s):  
Xihang Chen ◽  
Yunfan He ◽  
Anqi Xu ◽  
Zilong Deng ◽  
Jingwei Feng ◽  
...  

AbstractBackground: There is a clinical need for the use of engineered adipose tissue in place of surgical reconstruction. We previously found that the external volume expansion (EVE) device increased special cell clusters in well-vascularized connective stroma during adipose regeneration. However, the origin of these cell clusters and their role in adipose tissue regeneration remain unknown. Aim: In the present study, we evaluated EVE in the construction of expanded prefabricated adipose tissue (EPAT) in a rat model. Methods: Rats were randomized into an EVE suction group and a control group, with 24 rats in each group. The structure and origin of the special cell clusters were determined by hematoxylin and eosin staining, and immunohistochemistry; their role in adipose tissue regeneration was investigated by immunohistochemistry and Western blot analyses. Results: Special cell clusters began to increase at week 1 with a peak at week 4, and then receded from weeks 8 to 12. Clusters were identified as glandular epithelial cells as determined by their gland-like structure and expression of specific markers. The cell clusters induced significant infiltration of macrophage antigen-2 (Mac-2) positive macrophages by secreting monocyte chemoattractant protein-1 (MCP-1) at the early stage of suction. Subsequently, these infiltrated macrophages expressed massive vascular endothelial growth factor (VEGF) to promoted angiogenesis. Conclusion: EVE generated glandular epithelial cell clusters, which recruited macrophages to promote angiogenesis and subsequent adipose tissue regeneration. These findings shed light on the mechanisms underlying the effects of EVE devices on adipose tissue regeneration.


2019 ◽  
Vol 143 (1) ◽  
pp. 99e-110e ◽  
Author(s):  
Shuyi Wei ◽  
Wenyue Liu ◽  
Buket Gundogan ◽  
Andrea V. Moscoso ◽  
Dennis P. Orgill ◽  
...  

2017 ◽  
Vol 139 (5) ◽  
pp. 1129-1137 ◽  
Author(s):  
Yi Yuan ◽  
Shuifa Yang ◽  
Yangyan Yi ◽  
Jianhua Gao ◽  
Feng Lu

2016 ◽  
Vol 49 (02) ◽  
pp. 151-158 ◽  
Author(s):  
Raghuveer Reddy ◽  
Subramania Iyer ◽  
Mohit Sharma ◽  
Sundeep Vijayaraghavan ◽  
P. Kishore ◽  
...  

ABSTRACT Introduction: External volume expansion (EVE) is one method, which has been utilised for increasing the survival of adipose tissue grafts. EVE releases positive pressure from the graft and also induces intense levels of edema that decreases diffusion of metabolites essential for graft survival initially. The ideal timing of external volume expansion in relation to the injection of the fat to facilitate survival is not yet clear. Aims and Objectives: This study was undertaken to evaluate and compare the efficacy of external volume expansion applied at variable time points in relation to the injection of the fat. Materials and Methods: Athymic mouse was the animal model and human lipo-aspirate mixed with PRP was used as graft. An indigenous dome shaped silicone device was fabricated to deliver a negative pressure of -30 mm of Hg. The EVE was applied at variable time intervals. At the end of 4 weeks visual, histological and radiological features of the injected fat were compared. The adipose tissue was stained with human vimentin to ascertain the origin of the retained fat. Results: All the grafts, which had EVE, had significantly better volume retention and vascularity. The groups which underwent a delayed EVE or prior expansion followed by concomitant graft injection and expansion showed the most optimal vascularity and graft retention. Conclusions: A delayed EVE or prior expansion followed by concomitant graft injection and expansion may be the most ideal combinations to optimize graft take. However, on account of the relatively small sample size, there was a limitation in drawing statistically significant conclusions for certain variables.


2020 ◽  
Vol 26 (1-2) ◽  
pp. 66-77 ◽  
Author(s):  
Ziang Zhang ◽  
Junrong Cai ◽  
Ye Li ◽  
Yunfan He ◽  
Ziqing Dong ◽  
...  

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