The Versatility of Paraumbilical Perforator Flap in The Coverage of Large Posttraumatic Hand Defects | ||
| The Egyptian Journal of Plastic and Reconstructive Surgery | ||
| Articles in Press, Accepted Manuscript, Available Online from 30 January 2023 | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejprs.2023.182057.1247 | ||
| Authors | ||
| Hany Saad Setta1; Niveen Fathy Al Mahmoudy* 2; mohamed samir badawy3 | ||
| 1Plastic, burn and maxillofacial surgery department, faculty of medicine, Ain shams university, Egypt | ||
| 2Plastic, burn and maxillofacial surgery, Ain shams university,cairo, Egypt | ||
| 3*Department of Plastic, Burn and Maxillofacial Surgery, Faculty of Medicine, Ain Shams University, Cairo, Egypt | ||
| Abstract | ||
| Background: The use of pedicled distant flaps remains of significant importance in the reconstruction of the complex soft tissue defects of the upper extremity. In this article, we present contralateral paraumbilical perforator pedicled flap for reconstructing complex soft tissue defects of the hand and forearm. Materials and Methods: Twenty patients (19 men, 1 woman) had contralateral paraumbilical perforator pedicled flaps for the reconstruction of complex soft tissue defects of the hand. Patients age range between 16 and 52 years (mean age was 38.4 years). Flaps size, dimension and orientation were designed individually for each defect and ultrasound Doppler was used for perforator marking. Flap pedicle division was done after average 23.6 days after the first operation. Donor areas were closed directly in all patients with a follow up of 6-month duration. Results: In all the twenty cases, the flaps survived completely without having any major complication postoperatively. Flap dimensions ranged from 6x 10 to 16x26 cm. The surgical outcome was found to be functionally and aesthetically satisfactory during the follow up period. Conclusion: Paraumbilical perforator pedicled flap is a reliable surgical option for the reconstruction of complex soft tissue defects on the hand. The contralateral paraumbilical perforator flap should be a considerable alternative in hand reconstruction due to its ease of application, with no need for specialized equipment (no available microsurgery), low donor site morbidity with satisfactory functional and aesthetic outcomes. Keywords: Hand defect, abdominal flap, paraumbilical perforator, hand reconstruction, crushed hand, exposed tendons | ||
| Keywords | ||
| Keywords: Hand defect; abdominal flap; paraumbilical perforator; hand reconstruction; crushed hand | ||
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