alexa Paraumbilical Perforator Flap: A Good Choice for the Repair of the Deep Soft Tissue Defects in the Hand and Forearm | OMICS International| Abstract
ISSN: 2329-9126

Journal of General Practice
Open Access

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  • Research Article   
  • J Gen Pract 2017, Vol 5(5): 333
  • DOI: 10.4172/2329-9126.1000333

Paraumbilical Perforator Flap: A Good Choice for the Repair of the Deep Soft Tissue Defects in the Hand and Forearm

Jin Wang1,2, Min Wang1, Yuan Xu2, Yao Guo2, Lei Cui2, Jun Wang2, Zhi-Jian Hong2 and Si-Ming Yuan2*
1Department of Burn and Plastic Surgery, Nanjing Gulou Hospital Suqian City People's Hospital Group, , China
2Department of Burn and Plastic Surgery, Jinling Hospital, School of Medicine, Nanjing University, China
*Corresponding Author : Si-Ming Yuan, Department of Burn and Plastic Surgery, Jinling Hospital, School of Medicine, Nanjing University, 305 East Zhongshan Road, Nanjing 210002, Jiangsu, China, Tel: 086-25-80860020, Email: [email protected]

Received Date: Oct 10, 2017 / Accepted Date: Oct 12, 2017 / Published Date: Oct 16, 2017

Abstract

Objective: Severe trauma to the hand or forearm often results in the deep soft tissue defect with the exposure of tendon or bone, which needs to be repaired by skin flaps. In this study, we introduced the use of paraumbilical perforator flap in the repair of such defects, and discussed its advantages and disadvantages.

Methods: From Jan. 2006 to Dec. 2016, 14 patients with deep soft tissue defects in the hand and forearm were admitted into our clinic. The defects were caused by hot-crush injury (n=2), electrical injury (n=4), severe burn (n=2), crush injury (n=3), and avulsion injury (n=3). After admission, the patients underwent the debridement, vacuum suction, and skin graft to repair partial wound. The deep defects with the exposure of tendon and bone were repaired by paraumbilical perforator flap finally.

Methods: From Jan. 2006 to Dec. 2016, 14 patients with deep soft tissue defects in the hand and forearm were admitted into our clinic. The defects were caused by hot-crush injury (n=2), electrical injury (n=4), severe burn (n=2), crush injury (n=3), and avulsion injury (n=3). After admission, the patients underwent the debridement, vacuum suction, and skin graft to repair partial wound. The deep defects with the exposure of tendon and bone were repaired by paraumbilical perforator flap finally.

Conclusions: The paraumbilical perforator flap has reliable blood supply, good texture, sufficient area, and is convenient to transfer. It's an ideal choice for the repair of the deep soft tissue defect in the hand and forearm.

Keywords: Paraumbilical perforator flap; Hand; Forearm; Deep soft tissue defect

Citation: Wang J, Wang M, Xu Y, Guo Y, Cui L, et al. (2017) Paraumbilical Perforator Flap: A Good Choice for the Repair of the Deep Soft Tissue Defects in the Hand and Forearm. J Gen Pract (Los Angel) 5:333. Doi: 10.4172/2329-9126.1000333

Copyright: © 2017 Wang J, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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