A Study on the use of Abdominal Flaps to Reconstruct Upper Limb Defects

Munot, Dr Rohit

doi:10.18535/jmscr/v7i1.36

Cited by 2 publications

(5 citation statements)

References 4 publications

(4 reference statements)

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“…Among commonly used flaps are the groin flaps, abdominal flaps, free tissue transfers and paraumbilical flaps. 1,2 Groin flaps have been the workhorse flap for reconstruction of defects of the hand since its inception in 1972 by Mcgregor. 8 The flap is raised as an axial flap based on the superficial circumflex iliac artery.…”

Section: Discussionmentioning

confidence: 99%

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Two Perforators Improve the Extent and Reliability of Paraumbilical Flaps for Upper Limb Reconstruction

Shahryari

Seyedoshohadaee

Rafii

et al. 2020

wjps

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BACKGROUND Complex defects of the forearm and arm are best reconstructed with free flaps. Free flaps are however not universally available. They require long operative time and may be contraindicated in patients with extensive injuries due to a lack of good recipient vessels. The alternatives to free flaps are distant flaps such as groin flaps, random abdominal flaps, thoracoepigastric flaps and paraumbilical perforator flaps. These are axial flaps that are limited by the angiosomes supplied by a given perforator or blood vessel. To improve the extent and reliabilities of the paraumbilical flaps, we incorporated two perforators in the flap. METHODS A total of 17 patients with extensive forearm defects were managed by two vessel paraumbilical perforator flaps between January 2013 and December 2018. The perforators were identified by a hand-held Doppler and the flap was fashioned with the perforators at the base. RESULTS The mean length of the flap raised was 19.5 cm and width was 8.3 cm. The median age was 39 years. All the flaps were successful with no incidence of flap necrosis and no dehiscence. CONCLUSION Two vessel perforator flaps improved the reliability of the paraumbilical perforator flap, allowing for a bigger flap to be harvested and thus ensuring a cover of larger defects. The flaps were easy to raise and were easily tolerated by the patients.

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Section: Discussionmentioning

confidence: 99%

“…9 Another flap commonly used is the bipedicle abdominal flap. 1,2 This flap has the advantage of being an easy flap to raise. Being a random flap, it is limited by the size and is thus only has small defects.…”

Section: Discussionmentioning

confidence: 99%

Two Perforators Improve the Extent and Reliability of Paraumbilical Flaps for Upper Limb Reconstruction

Shahryari

Seyedoshohadaee

Rafii

et al. 2020

wjps

View full text Add to dashboard Cite

show abstract

“…Among commonly used flaps are the groin flaps, abdominal flaps, free tissue transfers and paraumbilical flaps. 1 , 2 Groin flaps have been the workhorse flap for reconstruction of defects of the hand since its inception in 1972 by Mcgregor. 8 The flap is raised as an axial flap based on the superficial circumflex iliac artery.…”

Section: Discussionmentioning

confidence: 99%

“…Another flap commonly used is the bipedicle abdominal flap. 1 , 2 This flap has the advantage of being an easy flap to raise. Being a random flap, it is limited by the size and is thus only has small defects.…”

Section: Discussionmentioning

confidence: 99%

“…Smaller defects can be reconstructed with local or regional flaps 1 and extensive defects may however, require large flaps. 1 , 2 The best option could be free flaps, since they allow early mobilization of the limb compared to distant flaps. 3 , 4 However, free flaps may not be available or be contraindicated in instances, where there is suspected trauma to the recipient vessels.…”

Section: Introductionmentioning

confidence: 99%

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Lateral Thoracodorsal Flap Revisited: An Underappreciated Workhorse

Nangole

Okello

Jowi

2020

wjps

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BACKGROUND Although, the lateral thoracodorsal flap is a well described technique, its utility seems to be lost in the ever evolving world of oncoplastic breast surgery. This study reviews the technique, its indications and limitations and the advantage of this technique. METHODS Between January 2016 and January 2018, data from 7 consecutive patients who underwent partial breast mastectomy with lateral thoracodorsal flap were enrolled. A wedge shaped flap was designed using the pinch test using the index finger and the thumb in small defects, while larger defects required a convex shaped incision with curved superior and inferior borders. Incision was made along the marked margins of the proposed flap and deepened to the underlying serratus anterior and latissimus dorsii muscle. The flap was transposed in the defect and the symmetry of mound between the two breasts confirmed in sitting and supine position. RESULTS All patients were satisfied by cosmetic outcomes on visual analog scale (VAS). Cosmetic results based on Harvard scale showed good to excellent scores. Evaluation by Breast Cancer Conservation Treatment (BCCT) core software illustrated good to excellent cosmetic outcomes. There was no delayed wound healing, marginal skin ornecrosis and no evidence of any fat necrosis in the follow up period. CONCLUSION The versatility of latissimus dorsii flap, good aesthetic and functional results and its simple execution made it an important option in the armamentarium of the oncoplastic breast surgeon. Also, morbidity of the donor site was minimized without sacrificing muscles or nerves.

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A Study on the use of Abdominal Flaps to Reconstruct Upper Limb Defects

Cited by 2 publications

References 4 publications

Two Perforators Improve the Extent and Reliability of Paraumbilical Flaps for Upper Limb Reconstruction

Two Perforators Improve the Extent and Reliability of Paraumbilical Flaps for Upper Limb Reconstruction

Lateral Thoracodorsal Flap Revisited: An Underappreciated Workhorse

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