One Stage Tubed Abdominal Flaps

Shaw, Darrel T.; Payne, Robert L.

doi:10.1097/00006534-194711000-00025

Cited by 11 publications

(6 citation statements)

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“…Moreover, it allows ap design in any direction according to the defect 2 location. Maximum size of the ap in our series was 216 cm which [3] was more than the ap described by Yilmaz et al but less than ap [28] 2…”

Section: Discussionmentioning

confidence: 63%

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Versatility of Paraumbilical Perforator Flap for Upper Limb Reconstruction

Mishra

2020

ijsr

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Background Microvascular flap and groin flap are the most commonly used flaps for upper limb reconstruction. Microvascular flap can not be done in certain situations and groin flap is not convenient for coverage of forearm defect and elbow defect. Paraumbilical perforator (pup) flaps can provide a large amount of tissue for coverage of forearm , elbow defects and mitigates the side effects of groin flap. Material and method A retrospective study was conducted for reconstruction of soft tissue defects from finger tip to elbow between January 2016 to December 2019 with PUP flaps .Demographic data, size of the defect, etiology ,flap design and flap complication were analysed . Result The age of the patients ranged from 12 years to 56 year with mean age of 29.85 years and SD = 11.073. Male to female ratio was 1.5 : 1 (M=12 , F= 8). Size of the defect varied between 20 cm2 to 288cm2 with mean of 88.1 cm 2 and SD = 29.69 .No of cases with flap dimension < 100 cm 2 (n= 13), and > 100 cm2 (n= 7) . Aetiology of injury included vehicular accidents in 10 patients, machine injury in 2 patients, electrical burns in 6 patients post snake bite ulcer 2 patients. The location of the defect included hands, forearm and the elbow, and fingers.Flap was directed Superolaterally in 18 patients , inferolaterally in one case , and combined medially and laterally in one case. There was no case of complete flap failure. Conclusion Paraumbilical perforator flap can be a safe and reliable option for soft tissue reconstruction in varied areas of upper limb.

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Section: Discussionmentioning

confidence: 63%

“…Hypogastric ap is an alternative to groin ap. However it is not [3] suitable for volar surface defect of forearm . To address these issues, [4] the pedicled paraumbilical ap based on perforators from deep inferior epigastric artery has come in to clinical practice.…”

Section: Introductionmentioning

confidence: 99%

Versatility of Paraumbilical Perforator Flap for Upper Limb Reconstruction

Mishra

2020

ijsr

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“…Alternatives to these are small distant flaps, such as groin flaps [3], abdominal wall flaps [4] and sometimes also homodigital pedicle flaps. Microsurgical reconstruction of the fingers, for example with free mini groin flaps [5] or lateral arm flaps, have been described [6].…”

Section: Discussionmentioning

confidence: 99%

Functional reconstruction of a zone one digital defect using a homodigital island flap with vascularized extensor tendon in a young musician. A worthwhile operation?

2011

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“…These are the groin flap, [22][23][24] superficial inferior epigastric artery flap, [25][26][27] paraumbilical perforator-based pedicled abdominal flap, 28,29 and lateral intercostal perforator-based pedicled abdominal flap. 30 The later 2 flaps are thick and left conspicuous donor scar 28,30 which may require skin grafting for donor site closure in up to 50% of cases.…”

Section: Discussionmentioning

confidence: 99%

Contralateral Pedicled Lateral Arm Flap for Hand Reconstruction

Ng¹,

Teoh²,

Lee³

et al. 2010

Annals of Plastic Surgery

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Large defects of the hand usually require reconstruction with flap resurfacing to provide durable coverage and preserve function. Pedicled flaps are preferred when there are no vessels available or they are of questionable quality for anastomosis. Such clinical settings may be due to the primary pathology, or when the vessels are preserved for secondary reconstruction. We introduce the contralateral pedicled lateral arm flap as a viable alternative.From 1988 to 2006, we treated 22 consecutive patients aged between 6 and 70 (18 males and 4 females). The indications for flap reconstruction included hand defects resulting from trauma (n = 16), infection (n = 3), burn (n = 2), and complication of free flap (n = 1). The flap was designed with extension into the forearm and raised based on the posterior radial collateral artery. All patients underwent intensive postoperative mobilization. The flap was divided 3 weeks later after a week of ischemic preconditioning.All the flaps survived. There was no wound infection. The flap size ranged from 18 cm to 127.5 cm. Eighteen reconstructions were fasciocutaneous and 4 were osteofasciocutaneous. Three patients underwent subsequent toe-digit transfer. All patients achieved activities of daily living independently by the third postoperative day. There was no significant shoulder and elbow joints stiffness.The contralateral pedicled lateral arm flap is a reliable option for resurfacing large defect of the hand where pedicled flap is indicated. There is minimal morbidity associated.

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One Stage Tubed Abdominal Flaps

Cited by 11 publications

References 0 publications

Versatility of Paraumbilical Perforator Flap for Upper Limb Reconstruction

Versatility of Paraumbilical Perforator Flap for Upper Limb Reconstruction

Functional reconstruction of a zone one digital defect using a homodigital island flap with vascularized extensor tendon in a young musician. A worthwhile operation?

Contralateral Pedicled Lateral Arm Flap for Hand Reconstruction

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