Journal of Hand Surgery
Volume 35, Issue 7 , Pages 1105-1110 , July 2010

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

Received 25 May 2009 ,Accepted 22 March 2010.

References 

  1. Song R, Gao Y, Song Y, Yu Y, Song Y. The forearm flap. Clin Plast Surg. 1982;9:21–26
  2. Glasson DW, Lovie MJ. The ulnar island flap in hand and forearm reconstruction. Br J Plast Surg. 1988;41:349–353
  3. McGregor IA, Jackson IT. The groin flap. Br J Plast Surg. 1972;25:3–16
  4. Ma CH, Tu YK, Wu CH, Yen CY, Yu SW, Kao FC. Reconstruction of upper extremity large soft-tissue defects using pedicled latissimus dorsi muscle flaps—technique illustration and clinical outcomes. Injury. 2008;39 Suppl 4:67–74
  5. Lovie MJ, Duncan GM, Glasson DW. The ulnar artery forearm free flap. Br J Plast Surg. 1984;37:486–492
  6. Katsaros J, Tan E, Zoltie N. The use of the lateral arm flap in upper limb surgery. J Hand Surg. 1991;16A:598–604
  7. Manktelow RT, McKee NH. Free muscle transplantation to provide active finger flexion. J Hand Surg. 1978;3:416–426
  8. Meland NB, Fisher J, Irons GB, Wood MB, Cooney WP. Experience with 80 rectus abdominis free-tissue transfers. Plast Reconstr Surg. 1989;83:481–487
  9. Yilmaz S, Saydam M, Seven E, Ercocen AR. Paraumbilical perforator-based pedicled abdominal flap for extensive soft-tissue deficiencies of the forearm and hand. Ann Plast Surg. 2005;54:365–368
  10. Kamath BJ, Verghese T, Bhardwaj P. “Wing flaps”: perforator-based pedicled paraumbilical flaps for skin defects in hand and forearm. Ann Plast Surg. 2007;59:495–500
  11. Murakami M, Hyakusoku H. Reconstruction of a defect after harvesting a radial forearm flap using a narrow pedicled paraumbilical perforator-based subdermal vascular network (super-thin) flap. Scand J Plast Reconstr Surg Hand Surg. 2004;38:281–283
  12. Taylor GI, Corlett R, Boyd JB. The extended deep inferior epigastric flap: a clinical technique. Plast Reconstr Surg. 1983;72:751–765
  13. Koshima I, Inagawa K, Urushibara K, Moriguchi T. Paraumbilical perforator flap without deep inferior epigastric vessels. Plast Reconstr Surg. 1998;102:1052–1057
  14. Lee MJ, Dumanian GA. The oblique rectus abdominis musculocutaneous flap: revisited clinical applications. Plast Reconstr Surg. 2004;114:367–373
  15. Abbott DE, Halverson AL, Wayne JD, Kim JY, Talamonti MS, Dumanian GA. The oblique rectus abdominal myocutaneous flap for complex pelvic wound reconstruction. Dis Colon Rectum. 2008;51:1237–1241
  16. Classen D. The extended deep inferior epigastric flap: a case series. Ann Plast Surg. 1999;42:137–141
  17. Koshima I, Moriguchi T, Fukuda H, Yoshikawa Y, Soeda S. Free, thinned, paraumbilical perforator-based flaps. J Reconstr Microsurg. 1991;7:313–316
  18. Koshima I, Moriguchi T, Soeda S, Tanaka H, Umeda N. Free thin paraumbilical perforator-based flaps. Ann Plast Surg. 1992;29:12–17
  19. Koshima I, Soeda S. Inferior epigastric artery skin flaps without rectus abdominis muscle. Br J Plast Surg. 1989;42:645–648
  20. Herter F, Ninkovic M, Ninkovic M. Rational flap selection and timing for coverage of complex upper extremity trauma. J Plast Reconstr Aesthet Surg. 2007;60:760–768
  21. Choi JY, Chung KC. The combined use of a pedicled superficial inferior epigastric artery flap and a groin flap for reconstruction of a dorsal and volar hand blast injury. Hand (N Y). 2008;3:375–380
  22. Aitken ME, Mustoe TA. Why change a good thing? (Revisiting the fleur-de-lis reconstruction of the breast). Plast Reconstr Surg. 2002;109:525–533discussion 534–538
  23. Titley OG, Spyrou GE, Fatah MF. Preventing seroma in the latissimus dorsi flap donor site. Br J Plast Surg. 1997;50:106–108
  24. Taylor GI, Corlett RJ, Boyd JB. The vascular territories of the superior epigastric and the deep inferior epigastric systems. Plast Reconstr Surg. 1984;73:1–16
  25. Taylor GI, Corlett RJ, Boyd JB. The versatile deep inferior epigastric (inferior rectus abdominis) flap. Br J Plast Surg. 1984;37:330–350
  26. Kroll SS, Sharma S, Koutz C, Langstein HN, Evans GRD, Robb GL, et al. Postoperative morphine requirements of free TRAM and DIEP flaps. Plast Reconstr Surg. 2001;107:338–341

 No benefits in any form have been received or will be received related directly or indirectly to the subject of this article.

PII: S0363-5023(10)00383-7

doi: 10.1016/j.jhsa.2010.03.036

Journal of Hand Surgery
Volume 35, Issue 7 , Pages 1105-1110 , July 2010

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