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Free, thinned, paraumbilical perforator-based flaps.

I Koshima1, T Moriguchi, H Fukuda

  • 1Department of Plastic and Reconstructive Surgery, Kawasaki Medical School, Okayama, Japan.

Journal of Reconstructive Microsurgery
|October 1, 1991
PubMed
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Free, thinned paraumbilical perforator flaps, supplied by the inferior deep epigastric artery, offer advantages over traditional rectus abdominis flaps. These muscle-sparing flaps address limitations in reconstructive surgery.

Area of Science:

  • Plastic Surgery
  • Reconstructive Surgery

Background:

  • The rectus abdominis musculocutaneous flap is a common reconstructive option.
  • However, it has limitations including muscle sacrifice and bulk.

Observation:

  • Two cases utilized free, thinned paraumbilical perforator-based flaps.
  • These flaps were fed by a muscle perforator from the inferior deep epigastric artery.
  • The flaps contained minimal muscle and fatty tissue.

Findings:

  • The described paraumbilical perforator flap is a muscle-sparing alternative.
  • It avoids the drawbacks associated with the conventional rectus abdominis musculocutaneous flap.

Implications:

  • This flap technique offers significant advantages in specific reconstructive scenarios.

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  • It presents a viable solution for overcoming the limitations of traditional flaps.