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Upper transverse rectus abdominis flap: the flag flap.

R De la Plaza, J M Arroyo, L O Vasconez

Annals of Plastic Surgery

|May 1, 1984

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The flag flap, an abdominal skin flap based on the rectus muscle and inferior epigastric vessel, offers a safe alternative for reconstruction. It avoids lower abdominal hernias and is suitable for trunk and extremity defects.

Area of Science:

Plastic Surgery
Reconstructive Surgery

Background:

The rectus abdominis flap is a common reconstructive tool.
Alternative flaps are needed to avoid donor site morbidity.

Observation:

A novel "flag flap" utilizes upper abdominal skin based on the ipsilateral rectus muscle and inferior epigastric vessels.
This flap offers a 360-degree arc of rotation.

Findings:

The flag flap demonstrated comparable or superior safety to the traditional lower transverse rectus abdominis flap.
It effectively covers defects in the lower trunk and extremities without causing lower abdominal hernias.
Direct closure of the secondary defect was achievable via a reverse abdominoplasty, with scars placed in the submammary fold.

Implications:

Related Experiment Videos

The flag flap presents a valuable alternative for reconstructive surgery, particularly for defects following radiation or tumor excision.
It minimizes donor site complications, such as abdominal wall hernia.
Further research may explore its utility in other reconstructive scenarios, excluding upper chest coverage due to pedicle length limitations.