Setta, H., Al Mahmoudy, N., Badawy, M. (2023). The Versatility of Paraumbilical Perforator Flap in the Coverage of Large Posttraumatic Hand Defects. The Egyptian Journal of Plastic and Reconstructive Surgery, 47(2), 115-121. doi: 10.21608/ejprs.2023.291379
Hany S Setta; Niveen F Al Mahmoudy; Mohamed S Badawy. "The Versatility of Paraumbilical Perforator Flap in the Coverage of Large Posttraumatic Hand Defects". The Egyptian Journal of Plastic and Reconstructive Surgery, 47, 2, 2023, 115-121. doi: 10.21608/ejprs.2023.291379
Setta, H., Al Mahmoudy, N., Badawy, M. (2023). 'The Versatility of Paraumbilical Perforator Flap in the Coverage of Large Posttraumatic Hand Defects', The Egyptian Journal of Plastic and Reconstructive Surgery, 47(2), pp. 115-121. doi: 10.21608/ejprs.2023.291379
Setta, H., Al Mahmoudy, N., Badawy, M. The Versatility of Paraumbilical Perforator Flap in the Coverage of Large Posttraumatic Hand Defects. The Egyptian Journal of Plastic and Reconstructive Surgery, 2023; 47(2): 115-121. doi: 10.21608/ejprs.2023.291379
The Versatility of Paraumbilical Perforator Flap in the Coverage of Large Posttraumatic Hand Defects
The Department of Plastic, Burn and Maxillofacial Surgery, Faculty of Medicine, Ain Shams University
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. Objective: In this article, we present contralateral paraumbilical perforator pedicled flap for reconstructing complex soft tissue defects of the hand with or without distal forearm. Patients 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 with or without distal forearm. Patients' age ranged 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 3 weeks 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 except for two cases of seroma, three cases of wound disruption and only one case of distal flap necrosis. Flap dimensions ranged from 6x10 to 16x26cm. 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 of the hand with or without distal forearm. 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.