کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
3104934 | 1191668 | 2012 | 7 صفحه PDF | دانلود رایگان |
![عکس صفحه اول مقاله: Reconstruction of extensive upper extremity defects using pre-expanded oblique perforator-based paraumbilical flaps Reconstruction of extensive upper extremity defects using pre-expanded oblique perforator-based paraumbilical flaps](/preview/png/3104934.png)
The pedicled paraumbilical flap is a reliable tissue transfer for hand and forearm reconstruction. However, its size, pedicle length and/or thickness limit its application in resurfacing of extensive defects of the upper limb. To conquer those limitations, this flap was pre-expanded for 10–24 weeks prior to transfer in 25 patients and used as a pedicle flap to cover upper extremity defects. Extensive defects of upper limb were reconstructed by the pre-expanded paraumbilical flaps. The flaps ranged in size from 10 cm × 8 cm to 30 cm × 14 cm. The donor sites were closed directly in all cases. All flaps survived, but two had partial flap necrosis due to venous congestion or infection. With pre-transfer expansion, a large, well-perfused abdominal pedicle flap can be raised and transferred based on the paraumbilical perforators. This pre-expanded flap might be useful in the patients who have the extensive upper limb defects and sufficient time to allow tissue expansion.
Journal: Burns - Volume 38, Issue 6, September 2012, Pages 917–923