"Wing flaps"

Perforator-based pedicled paraumbilical flaps for skin defects in hand and forearm

B. Jagannath Kamath, Thangam Verghese, Praveen Bhardwaj

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

BACKGROUND: Single large-area or 2 small- to moderate-sized raw areas in the hand and forearm are difficult to cover with conventional groin or superficial inferior epigastric artery (SIEA) flaps. Though abdomen is a favorable donor site for a pedicled distant flap for soft tissue coverage of the hand and forearm, pedicle flaps based on paraumbilical perforators are not commonly used. METHODS: We herein describe a method of soft tissue coverage using 2 flaps based on 1 paraumbilical perforator in certain difficult clinical situations, unsuitable to be covered with groin or SIEA flaps. By virtue of having a very narrow common pedicle for 2 substantially large flaps close to the chosen paraumbilical perforator, the configuration of it prompted us to call these twin flaps "wing flaps," or a winged version of paraumbilical pedicle flaps. The wing flap described was used to cover twin raw areas (in 6 cases) and a large area (in 1 case) in the hand and forearm. RESULTS: All 7 flaps went on to heal very well and served the purpose. The only complication observed was a minor thumb web contracture in one case, which improved with physiotherapy. CONCLUSION: The winged version of pedicled paraumbilical perforator flaps should find a place in the surgical armamentarium for soft tissue coverage in the hand and forearm in difficult situations. The advantages and simplicity of these flaps have been described, based on our experience in a small series of 7 cases.

Original languageEnglish
Pages (from-to)495-500
Number of pages6
JournalAnnals of Plastic Surgery
Volume59
Issue number5
DOIs
Publication statusPublished - 01-11-2007
Externally publishedYes

Fingerprint

Perforator Flap
Surgical Flaps
Forearm
Hand
Epigastric Arteries
Skin
Groin
Thumb
Contracture
Abdomen

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

Kamath, B. Jagannath ; Verghese, Thangam ; Bhardwaj, Praveen. / "Wing flaps" : Perforator-based pedicled paraumbilical flaps for skin defects in hand and forearm. In: Annals of Plastic Surgery. 2007 ; Vol. 59, No. 5. pp. 495-500.
@article{7a17759752f44a0e9c64b433efc2d342,
title = "{"}Wing flaps{"}: Perforator-based pedicled paraumbilical flaps for skin defects in hand and forearm",
abstract = "BACKGROUND: Single large-area or 2 small- to moderate-sized raw areas in the hand and forearm are difficult to cover with conventional groin or superficial inferior epigastric artery (SIEA) flaps. Though abdomen is a favorable donor site for a pedicled distant flap for soft tissue coverage of the hand and forearm, pedicle flaps based on paraumbilical perforators are not commonly used. METHODS: We herein describe a method of soft tissue coverage using 2 flaps based on 1 paraumbilical perforator in certain difficult clinical situations, unsuitable to be covered with groin or SIEA flaps. By virtue of having a very narrow common pedicle for 2 substantially large flaps close to the chosen paraumbilical perforator, the configuration of it prompted us to call these twin flaps {"}wing flaps,{"} or a winged version of paraumbilical pedicle flaps. The wing flap described was used to cover twin raw areas (in 6 cases) and a large area (in 1 case) in the hand and forearm. RESULTS: All 7 flaps went on to heal very well and served the purpose. The only complication observed was a minor thumb web contracture in one case, which improved with physiotherapy. CONCLUSION: The winged version of pedicled paraumbilical perforator flaps should find a place in the surgical armamentarium for soft tissue coverage in the hand and forearm in difficult situations. The advantages and simplicity of these flaps have been described, based on our experience in a small series of 7 cases.",
author = "Kamath, {B. Jagannath} and Thangam Verghese and Praveen Bhardwaj",
year = "2007",
month = "11",
day = "1",
doi = "10.1097/01.sap.0000258936.51029.09",
language = "English",
volume = "59",
pages = "495--500",
journal = "Annals of Plastic Surgery",
issn = "0148-7043",
publisher = "Lippincott Williams and Wilkins",
number = "5",

}

"Wing flaps" : Perforator-based pedicled paraumbilical flaps for skin defects in hand and forearm. / Kamath, B. Jagannath; Verghese, Thangam; Bhardwaj, Praveen.

In: Annals of Plastic Surgery, Vol. 59, No. 5, 01.11.2007, p. 495-500.

Research output: Contribution to journalArticle

TY - JOUR

T1 - "Wing flaps"

T2 - Perforator-based pedicled paraumbilical flaps for skin defects in hand and forearm

AU - Kamath, B. Jagannath

AU - Verghese, Thangam

AU - Bhardwaj, Praveen

PY - 2007/11/1

Y1 - 2007/11/1

N2 - BACKGROUND: Single large-area or 2 small- to moderate-sized raw areas in the hand and forearm are difficult to cover with conventional groin or superficial inferior epigastric artery (SIEA) flaps. Though abdomen is a favorable donor site for a pedicled distant flap for soft tissue coverage of the hand and forearm, pedicle flaps based on paraumbilical perforators are not commonly used. METHODS: We herein describe a method of soft tissue coverage using 2 flaps based on 1 paraumbilical perforator in certain difficult clinical situations, unsuitable to be covered with groin or SIEA flaps. By virtue of having a very narrow common pedicle for 2 substantially large flaps close to the chosen paraumbilical perforator, the configuration of it prompted us to call these twin flaps "wing flaps," or a winged version of paraumbilical pedicle flaps. The wing flap described was used to cover twin raw areas (in 6 cases) and a large area (in 1 case) in the hand and forearm. RESULTS: All 7 flaps went on to heal very well and served the purpose. The only complication observed was a minor thumb web contracture in one case, which improved with physiotherapy. CONCLUSION: The winged version of pedicled paraumbilical perforator flaps should find a place in the surgical armamentarium for soft tissue coverage in the hand and forearm in difficult situations. The advantages and simplicity of these flaps have been described, based on our experience in a small series of 7 cases.

AB - BACKGROUND: Single large-area or 2 small- to moderate-sized raw areas in the hand and forearm are difficult to cover with conventional groin or superficial inferior epigastric artery (SIEA) flaps. Though abdomen is a favorable donor site for a pedicled distant flap for soft tissue coverage of the hand and forearm, pedicle flaps based on paraumbilical perforators are not commonly used. METHODS: We herein describe a method of soft tissue coverage using 2 flaps based on 1 paraumbilical perforator in certain difficult clinical situations, unsuitable to be covered with groin or SIEA flaps. By virtue of having a very narrow common pedicle for 2 substantially large flaps close to the chosen paraumbilical perforator, the configuration of it prompted us to call these twin flaps "wing flaps," or a winged version of paraumbilical pedicle flaps. The wing flap described was used to cover twin raw areas (in 6 cases) and a large area (in 1 case) in the hand and forearm. RESULTS: All 7 flaps went on to heal very well and served the purpose. The only complication observed was a minor thumb web contracture in one case, which improved with physiotherapy. CONCLUSION: The winged version of pedicled paraumbilical perforator flaps should find a place in the surgical armamentarium for soft tissue coverage in the hand and forearm in difficult situations. The advantages and simplicity of these flaps have been described, based on our experience in a small series of 7 cases.

UR - http://www.scopus.com/inward/record.url?scp=40349108546&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=40349108546&partnerID=8YFLogxK

U2 - 10.1097/01.sap.0000258936.51029.09

DO - 10.1097/01.sap.0000258936.51029.09

M3 - Article

VL - 59

SP - 495

EP - 500

JO - Annals of Plastic Surgery

JF - Annals of Plastic Surgery

SN - 0148-7043

IS - 5

ER -