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Related Experiment Videos

Thoracoumbilical flap: experience with 33 cases.

Xing-quan Zhang1, Shao-dong Wang, Qing-yu Fan

  • 1Tangdu Hospital, Fourth Military Medical Univesity, Xi'an, China.

Journal of Reconstructive Microsurgery
|March 11, 2004
PubMed
Summary

The free thoracoumbilical flap offers a 100% success rate for reconstructing extensive soft-tissue defects. This versatile flap provides minimal donor site morbidity, making it ideal for complex trauma and tumor resections.

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Area of Science:

  • Plastic Surgery
  • Reconstructive Surgery

Background:

  • Soft-tissue defects resulting from trauma or tumor resection pose significant reconstructive challenges.
  • The deep inferior epigastric perforator (DIEP) flap is a well-established option, but variations like the thoracoumbilical flap offer alternative vascular supply.
  • Evaluating the efficacy and safety of the free thoracoumbilical flap is crucial for expanding reconstructive options.

Observation:

  • Thirty-three free thoracoumbilical flaps were utilized for soft-tissue reconstruction between August 1996 and June 2000.
  • Flap dimensions varied, ranging from 10-40 cm in length and 8-25 cm in width.
  • The vascular pedicle originated from the largest periumbilical perforator of the deep inferior epigastric vessels.

Findings:

  • A 100% success rate was achieved in all 33 flap transfers.

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  • Donor site closure was direct for flaps up to 12 cm wide, resulting in inconspicuous scarring.
  • Larger flaps necessitated skin grafting, and all reconstructions healed uneventfully with minimal donor abdominal morbidity after a 2-year follow-up.

    • Implications:

    • The free thoracoumbilical flap is a highly reliable and safe reconstructive technique for diverse soft-tissue defects.
    • Its versatility in size and dependable vascular supply from the deep inferior epigastric vessels make it a valuable tool in plastic surgery.
    • Minimal donor site morbidity enhances patient outcomes and expands the reconstructive armamentarium for complex cases.