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Related Experiment Video

Updated: Feb 15, 2026

An Experimental Human DIEP Flap Model to Investigate Preservation Strategies for Vascularized Composite Allografts and Free Flaps

An Experimental Human DIEP Flap Model to Investigate Preservation Strategies for Vascularized Composite Allografts and Free Flaps

Published on: December 5, 2025

Contralateral lumbo-umbilical flap: A versatile technique for volar finger coverage.

Akram Hussain Bijli¹, Sheikh Adil Bashir¹, Altaf Rasool¹

¹Department of Plastic and Reconstructive Surgery, SKIMS, Srinagar, Jammu and Kashmir, India.

Indian Journal of Plastic Surgery : Official Publication of the Association of Plastic Surgeons of India

|January 19, 2018

Summary

A new contralateral pedicled lumbo-umbilical flap offers a comfortable and effective solution for volar hand and finger soft tissue defects. This flap improves patient comfort and surgical ease compared to traditional methods.

Keywords:

Finger defect groin flap hand defect high-tension electric burn lumbo-umbilical flap paraumbilical perforators

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Area of Science:

Plastic Surgery
Reconstructive Surgery
Burn Management

Background:

Volar hand and finger soft tissue reconstruction presents challenges in patient comfort and surgical technique.
Ipsilateral pedicled flaps (groin, abdominal) are difficult to inset and uncomfortable for patients, leading to complications.
A novel approach is needed to improve comfort, compliance, and ease of inset for volar defects.

Purpose of the Study:

To evaluate the efficacy and safety of a contralateral pedicled lumbo-umbilical flap for soft tissue defects on the volar aspect of fingers and hand.
To assess patient comfort, flap survival, and functional outcomes following reconstruction with this new flap technique.

Main Methods:

Eight patients with high-tension electrical burn injuries affecting the volar aspect of fingers and hand were treated.
A contralateral pedicled lumbo-umbilical flap, based on deep inferior epigastric artery paraumbilical perforators, was utilized.
Patients were monitored for flap and donor site complications for 6 weeks, with follow-up for 6 months to 2 years.

Main Results:

Large flaps (up to 8 cm x 16 cm) were successfully raised and inset.
Flap survival was high, with all but one flap surviving completely.
Patients experienced early mobilization (within 48 hours) and rapid discharge (less than a week for five patients).

Conclusions:

The contralateral pedicled lumbo-umbilical flap is a reliable and easy-to-harvest flap for volar hand and finger reconstruction.
This technique offers improved patient comfort and surgical ease of inset compared to traditional methods.
A significant disadvantage is the resulting conspicuous abdominal scar.