Oblique Pedicled Paraumbilical Perforator–Based Flap for Reconstruction of Complex Proximal and Mid-Forearm Defects: A Report of Two Cases

O’Shaughnessy, Kristina; Rawlani, Vinay; Hijjawi, John B.; Dumanian, Gregory A.

doi:10.1016/j.jhsa.2010.03.036

Cited by 19 publications

(18 citation statements)

References 27 publications

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“…Its length/width ratio can be up to 4:1, which is obviously higher than that of the traditional abdominal random flap. The design of flap is flexible and the transfer is very convenient [7]. The distal part of the flap can be trimmed to create a thin flap to get better color and texture [8].…”

Section: Resultsmentioning

confidence: 99%

Paraumbilical Perforator Flap: A Good Choice for the Repair of the Deep Soft Tissue Defects in the Hand and Forearm

Wang¹,

Min²,

Xu³

et al. 2017

J Gen Pract

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Objective: Severe trauma to the hand or forearm often results in the deep soft tissue defect with the exposure of tendon or bone, which needs to be repaired by skin flaps. In this study, we introduced the use of paraumbilical perforator flap in the repair of such defects, and discussed its advantages and disadvantages.Methods: From Jan. 2006 to Dec. 2016, 14 patients with deep soft tissue defects in the hand and forearm were admitted into our clinic. The defects were caused by hot-crush injury (n=2), electrical injury (n=4), severe burn (n=2), crush injury (n=3), and avulsion injury (n=3). After admission, the patients underwent the debridement, vacuum suction, and skin graft to repair partial wound. The deep defects with the exposure of tendon and bone were repaired by paraumbilical perforator flap finally.Results: All of the 14 flaps survived after the transfer in the first-stage operation. The width of the flap's pedicle ranged from 6 cm to 8 cm, and the length ranged from 16 cm to 20 cm. 1620 days later, the second-stage operation was done to divide the pedicle. After the division, 11/14 of the flaps survived well. The remaining 3/14 flaps had the partial necrosis of the margin, which healed with changing dressing. In the follow-up period, most of the flaps had satisfying appearance. 2 flaps were bulky and thinned by surgery. Conclusions:The paraumbilical perforator flap has reliable blood supply, good texture, sufficient area, and is convenient to transfer. It's an ideal choice for the repair of the deep soft tissue defect in the hand and forearm.

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Section: Resultsmentioning

confidence: 99%

Paraumbilical Perforator Flap: A Good Choice for the Repair of the Deep Soft Tissue Defects in the Hand and Forearm

Wang¹,

Min²,

Xu³

et al. 2017

J Gen Pract

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“…In the current era of microsurgery, pedicled 10 This has been documented by the experience of several authors with abdominal and groin flaps. 1,2,10,11 Since the initial description of TUF by Taylor et al, 4 many authors have described its clinical utility in various regions of the upper limb. [12][13][14][15] It was termed as paraumbilical flap by several authors.…”

Section: Discussionmentioning

confidence: 99%

“…[12][13][14][15] It was termed as paraumbilical flap by several authors. 2,16,17 Though this flap is well known, the authors aimed to highlight the acceptable use of pedicled TUF in this era of microsurgery.…”

Section: Discussionmentioning

confidence: 99%

“…18 The authors selected TUF as it is better over the groin and abdominal flaps for proximal and mid-forearm defects and allows better comfort. 2 Pedicled flaps are preferred over the free flaps in frail elderly patients with multiple life-threatening comorbid illnesses. Free flaps are associated with more number of postoperative complications in spite of their success in these particular patients.…”

Section: Discussionmentioning

confidence: 99%

“…1 Thoracoumbilical flap (TUF) being an axial flap with better length-to-width ratio, it has several distinct advantages over the groin and abdominal flaps. 2 For forearm and wrist soft tissue defects, higher length-to-breadth ratio facilitates maximum flap inset, and a narrow bridge segment of the flap provides better comfort and facilitates physiotherapy. 3 On the other hand, coverage of proximal and mid-forearm defects with groin/abdominal flap is cumbersome.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Thoracoumbilical Flap: Anatomy, Technique, and Clinical Applications in Upper Limb Reconstruction in the Era of Microvascular Surgery

Naalla

Dawar

et al. 2018

J Hand Microsurg

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Reconstruction of extensive upper extremity defects using pre-expanded oblique perforator-based paraumbilical flaps

Zang¹,

Zhu²,

Song³

et al. 2012

Burns

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Oblique Pedicled Paraumbilical Perforator–Based Flap for Reconstruction of Complex Proximal and Mid-Forearm Defects: A Report of Two Cases

Cited by 19 publications

References 27 publications

Paraumbilical Perforator Flap: A Good Choice for the Repair of the Deep Soft Tissue Defects in the Hand and Forearm

Paraumbilical Perforator Flap: A Good Choice for the Repair of the Deep Soft Tissue Defects in the Hand and Forearm

Thoracoumbilical Flap: Anatomy, Technique, and Clinical Applications in Upper Limb Reconstruction in the Era of Microvascular Surgery

Reconstruction of extensive upper extremity defects using pre-expanded oblique perforator-based paraumbilical flaps

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