The pedicled thoraco-umbilical flap: A versatile technique for upper limb coverage
Injuries to upper limb has been on the increase and is invariably associated with significant soft tissue loss requiring a flap cover. Local tissue may not be available for cover in a majority of situations, necessitating import of tissue from a distant source. We have utilized the thoraco-umbilical...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Thieme Medical Publishers, Inc.
2009-07-01
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| Series: | Indian Journal of Plastic Surgery |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1699338 |
| _version_ | 1818960930672738304 |
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| author | Sharad Mishra Ramesh Kumar Sharma |
| author_facet | Sharad Mishra Ramesh Kumar Sharma |
| author_sort | Sharad Mishra |
| collection | DOAJ |
| description | Injuries to upper limb has been on the increase and is invariably associated with significant soft tissue loss requiring a flap cover. Local tissue may not be available for cover in a majority of situations, necessitating import of tissue from a distant source. We have utilized the thoraco-umbilical flap taken from the trunk for this purpose. This flap is based on the perforators of the deep inferior epigastric artery that are maximally centred on the periumbilical region. This flap was used in 83 patients. The patients were observed for at least 3 weeks and any flap or donor site complications were recorded. The patients were again followed up at 3 months interval and the donor site scar was assessed. The flaps survived in 81 patients; there was marginal flap necrosis in five patients and partial flap necrosis in two patients. None of these patients required any additional procedure for coverage. The flap is technically easy to plan, almost effortless to drape around upper limb defects, with no significant donor site morbidity and also the post operative immobilization was fairly comfortable. The thoraco-umbilical flap thus is a very useful technique for coverage of the upper limb and is recommended as a first line flap for this purpose. |
| first_indexed | 2024-12-20T12:05:22Z |
| format | Article |
| id | doaj.art-c6606e24c9be4dbb92dfd932a5c8e0f5 |
| institution | Directory Open Access Journal |
| issn | 0970-0358 1998-376X |
| language | English |
| last_indexed | 2024-12-20T12:05:22Z |
| publishDate | 2009-07-01 |
| publisher | Thieme Medical Publishers, Inc. |
| record_format | Article |
| series | Indian Journal of Plastic Surgery |
| spelling | doaj.art-c6606e24c9be4dbb92dfd932a5c8e0f52022-12-21T19:41:25ZengThieme Medical Publishers, Inc.Indian Journal of Plastic Surgery0970-03581998-376X2009-07-01420216917510.1055/s-0039-1699338The pedicled thoraco-umbilical flap: A versatile technique for upper limb coverageSharad Mishra0Ramesh Kumar Sharma1Department of Plastic Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, IndiaDepartment of Plastic Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, IndiaInjuries to upper limb has been on the increase and is invariably associated with significant soft tissue loss requiring a flap cover. Local tissue may not be available for cover in a majority of situations, necessitating import of tissue from a distant source. We have utilized the thoraco-umbilical flap taken from the trunk for this purpose. This flap is based on the perforators of the deep inferior epigastric artery that are maximally centred on the periumbilical region. This flap was used in 83 patients. The patients were observed for at least 3 weeks and any flap or donor site complications were recorded. The patients were again followed up at 3 months interval and the donor site scar was assessed. The flaps survived in 81 patients; there was marginal flap necrosis in five patients and partial flap necrosis in two patients. None of these patients required any additional procedure for coverage. The flap is technically easy to plan, almost effortless to drape around upper limb defects, with no significant donor site morbidity and also the post operative immobilization was fairly comfortable. The thoraco-umbilical flap thus is a very useful technique for coverage of the upper limb and is recommended as a first line flap for this purpose.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1699338upper limb soft tissue defectsthoraco-umbilical flapperiumbilical perforatorsdeep inferior epigastric artery |
| spellingShingle | Sharad Mishra Ramesh Kumar Sharma The pedicled thoraco-umbilical flap: A versatile technique for upper limb coverage Indian Journal of Plastic Surgery upper limb soft tissue defects thoraco-umbilical flap periumbilical perforators deep inferior epigastric artery |
| title | The pedicled thoraco-umbilical flap: A versatile technique for upper limb coverage |
| title_full | The pedicled thoraco-umbilical flap: A versatile technique for upper limb coverage |
| title_fullStr | The pedicled thoraco-umbilical flap: A versatile technique for upper limb coverage |
| title_full_unstemmed | The pedicled thoraco-umbilical flap: A versatile technique for upper limb coverage |
| title_short | The pedicled thoraco-umbilical flap: A versatile technique for upper limb coverage |
| title_sort | pedicled thoraco umbilical flap a versatile technique for upper limb coverage |
| topic | upper limb soft tissue defects thoraco-umbilical flap periumbilical perforators deep inferior epigastric artery |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1699338 |
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