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The lateral pectoral flap.

R Agarwal1, S Agarwal, R Chandra

  • 1Postgraduate Department of Plastic Surgery, King George's Medical College, Lucknow, India. agarwals@lwl.vsnl.net.in

Journal of Hand Surgery (Edinburgh, Scotland)
|December 22, 1999
PubMed
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The new lateral pectoral flap offers reliable hand reconstruction using superficial thoracic artery. This pedicled flap provides excellent soft tissue cover and allows for early patient ambulation.

Area of Science:

  • Plastic Surgery
  • Reconstructive Surgery
  • Hand Surgery

Background:

  • Soft tissue defects in the hand often require complex reconstructive techniques.
  • Existing flap options may have limitations regarding donor site morbidity, patient positioning, and ambulation.

Purpose of the Study:

  • To introduce and evaluate the efficacy of a novel pedicled flap for hand reconstruction.
  • To assess the functional and aesthetic outcomes of using the lateral pectoral flap.

Main Methods:

  • A pedicled flap, termed the lateral pectoral flap, was designed based on the superficial thoracic artery.
  • The flap incorporates skin, subcutaneous tissue, and pectoral epimysium.
  • Eight cases of contralateral soft tissue defects of the hand (fingers, thumb, dorsum) were reconstructed using this flap.

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Main Results:

  • The lateral pectoral flap provided successful soft tissue coverage for all eight cases.
  • Patients could maintain a comfortable, elevated hand position on the contralateral pectoral region.
  • The flap facilitated early ambulation and did not impede lower body clothing or dressing.

Conclusions:

  • The lateral pectoral flap is a viable and effective option for resurfacing hand defects.
  • Its advantages include reliable coverage, comfortable patient positioning, early ambulation, and primary donor site closure in most instances.