Pedicle Thoracoumbilical Flap for Soft Tissue Coverage Defects Around Elbow Region
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2019, Vol 18, Issue 2
Abstract
Pedicle flaps play a vital role for soft tissue reconstruction. One such pedicle flap is based on the vascular territory of the paraumbilical perforator vessels anastomosing with anterior division of lateral cutaneous branch of intercostal arteries known as Thoraco-umbilical pedicle flap. In this study, we present a series of thoracoumbilical pedicle flap used to cover defects around the elbow region done in our Centre during the period of January 2014 to December 2015. A total of 12 patients with defects around the elbow were included in this study and the defects around the elbow were covered using thoraco umbilical pedicled flap. Intra operative technique and post-operative care with regular follow up was done. Out of 12 patients, 9 patients flap settled well without any complications and in 1 patient there was marginal necrosis of 3cms of the distal end of flap which was managed by debridement and flap advancement. In 2 patients, infection followed by dehiscence of flap occurred, which was managed by debridement, flap advancement and appropriate antibiotics. In all patients donor area was closed primarily. Hence this flap can be used for most of the defects around the elbow region with advantage of primary closure of donor site, cosmetically acceptable donor site scar, easy operative technique, more length to breadth ratio and with minimal post-operative complication
Authors and Affiliations
Prof Dr V Ramadevi, Dr K Sathsih Kumar
Keywords
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- EP ID EP467805
- DOI 10.9790/0853-1802172327.
- Views 64
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