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Related Experiment Videos

Thoraco-umbilical flap: experience with 33 cases.

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

  • 1Orthopedic Oncology institute of PLA, Tangdu Hospital, Fourth Military Medical University, Xi'an 710038, China. zhxqsd@fmmu.edu.cn

Di 1 Jun Yi Da Xue Xue Bao = Academic Journal of the First Medical College of PLA
|May 21, 2004
PubMed
Summary

Free thoraco-umbilical flaps demonstrate a 100% success rate for soft-tissue defect repair. This method offers excellent healing with minimal donor site morbidity, making it a reliable surgical option.

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Area of Science:

  • Plastic Surgery
  • Reconstructive Surgery

Background:

  • Soft-tissue defects present significant reconstructive challenges.
  • Free thoraco-umbilical flaps offer a potential solution for complex defects.

Purpose of the Study:

  • To evaluate the efficacy and outcomes of free thoraco-umbilical flaps in soft-tissue defect reconstruction.

Main Methods:

  • A retrospective review of 33 patients who underwent free thoraco-umbilical flap transfer between August 1996 and June 2000.
  • Flap blood supply was derived from the deep inferior epigastric vessels.
  • Flap sizes ranged from 10-40 cm in length and 8-25 cm in width.

Main Results:

  • Achieved a 100% success rate in all 33 cases.
  • Direct closure of the donor site was possible for smaller flaps, resulting in inconspicuous scars.

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  • Larger flaps required skin grafting, with uneventful healing observed in all flaps during a 2-year follow-up.
  • Minimal donor abdominal morbidity was noted.

    • Conclusions:

    • Free thoraco-umbilical flaps are a highly successful and reliable option for reconstructing various soft-tissue defects.
    • The technique provides excellent aesthetic and functional outcomes with low donor site complications.