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Updated: Mar 11, 2026

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Pre-expanded Paraumbilical Perforator Flap.

Yuanbo Liu1, Mengqing Zang1, Shan Zhu1

  • 1Department of Plastic and Reconstructive Surgery, Plastic Surgery Hospital, Peking Union Medical College and Chinese Academy of Medical Sciences, Ba-Da-Chu Road 33#, Beijing 100144, P.R. China.

Clinics in Plastic Surgery
|November 30, 2016
PubMed
Summary
This summary is machine-generated.

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Pre-expansion of the paraumbilical perforator flap enhances its effectiveness for upper extremity reconstruction. This technique improves flap dimensions and reduces donor site issues, leading to excellent functional and aesthetic results.

Area of Science:

  • Plastic Surgery
  • Reconstructive Surgery

Background:

  • The paraumbilical perforator flap is a well-established reconstructive option.
  • Traditional use may have limitations in flap size and donor site morbidity.

Purpose of the Study:

  • To evaluate the efficacy of pre-expanded pedicled paraumbilical perforator flaps for upper extremity reconstruction.
  • To assess functional and aesthetic outcomes in complex cases.

Main Methods:

  • Utilized pre-expansion techniques to augment the paraumbilical perforator flap.
  • Applied pre-expanded flaps for reconstruction in cases of extensive scar contracture and giant melanocytic nevi.
  • Performed pedicled flap transfers for upper extremity defects.

Main Results:

Keywords:
Paraumbilical perforatorsPerforator flapPre-expansionUpper extremity reconstruction

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  • Pre-expansion successfully increased flap dimensions while reducing flap thickness.
  • The technique led to excellent functional and aesthetic outcomes in patients.
  • Multiple procedures were required, but individual operations were simple with low complication rates.

Conclusions:

  • Pre-expanded pedicled paraumbilical perforator flaps offer an effective solution for upper extremity reconstruction.
  • This method improves flap characteristics and patient outcomes, even in challenging cases.
  • Careful planning and execution ensure a low complication rate for this reconstructive technique.