Use Of Patterned Pedicled Paraumbilical Perforator-Based Flaps For Coverage Of The Defects Of Forearm And Hand

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dc.contributor.authorLakshmi, Palukurien_US
dc.contributor.authorRekha, Sukhavasi Sree Saien_US
dc.contributor.authorBanu, Sanaen_US
dc.contributor.authorShivani, Pen_US
dc.contributor.authorAhlad, Sreedharalaen_US
dc.date.accessioned2025-06-18T11:17:23Z
dc.date.available2025-06-18T11:17:23Z
dc.date.issued2025-03
dc.description.abstractPurpose: Hand and upper extremity traumatic soft tissue defects are frequent and can present difficulties for reconstructive surgeons. We present a novel technique to reconstruct forearm and hand defects using the patterned pedicled paraumbilical perforator-based flap. This flap is simple to harvest, has low donor site morbidity, and allows elbow and shoulder range of motion during the interval between flap transfer and pedicle division. This prospective clinical interventional study involved 10Methods: patients who had soft tissue defects over the hand and upper extremity. These patients underwent reconstruction with a patterned pedicled paraumbilical perforator-based flap. The study analysed various factors including age, sex, aetiology, type and extent of the defect, defect dimensions, flap particulars, donor site morbidity, postoperative complications, necessity of additional revision procedures and follow-up. Results: There were 10 cases aged between 20 to 45 years. Trauma resulting from road traffic accidents was the most common cause of injury. Majority of defects were found in the dorsal aspect of hand. Defect dimensions varied from 8cm×5cm to 15cm×8 cm. The size of the flaps ranged from 9cm×7cm to 17cm×9 cm, and the pedicle length was 4 to 9 cm. A fairly large flap could be harvested and donor site could be closed primarily in majority of cases. Complications, including marginal flap necrosis and partial flap detachment, were observed in two cases. TheConclusions: flap is technically easy to plan and it drapes around upper limb defects, with no significant donor site morbidity and less postoperative limb oedema. Thus, this flap is very useful in coverage of the upper limb and recommended as a first-line flap for coverage of hand, forearm and elbow defects. Post-op upper limb physiotherapy is recommended to get optimal results.en_US
dc.identifier.affiliationsM.Ch, Department of Plastic & Reconstructive Surgery, Osmania General Hospital, Osmania Medical College, Hyderabad, Indiaen_US
dc.identifier.affiliationsM.Ch, Department of Plastic & Reconstructive Surgery, Osmania General Hospital, Osmania Medical College, Hyderabad, Indiaen_US
dc.identifier.affiliationsMS, Department of Plastic & Reconstructive Surgery, Osmania General Hospital, Osmania Medical College, Hyderabad, Indiaen_US
dc.identifier.affiliationsMS, Department of Plastic & Reconstructive Surgery, Osmania General Hospital, Osmania Medical College, Hyderabad, Indiaen_US
dc.identifier.affiliationsMBBS, Department of Plastic & Reconstructive Surgery, Osmania General Hospital, Osmania Medical College, Hyderabad, Indiaen_US
dc.identifier.citationLakshmi Palukuri, Rekha Sukhavasi Sree Sai, Banu Sana, Shivani P, Ahlad Sreedharala. Use Of Patterned Pedicled Paraumbilical Perforator-Based Flaps For Coverage Of The Defects Of Forearm And Hand. Indian Journal Of Applied Research. 2025 Mar; 15(3): 16-20en_US
dc.identifier.issn2249-555X
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/248496
dc.languageenen_US
dc.publisherThe Indian Society for Health and Advanced Researchen_US
dc.relation.issuenumber3en_US
dc.relation.volume15en_US
dc.source.urihttps://www.doi.org/10.36106/ijar/3400747en_US
dc.subjectForearm and handen_US
dc.subjectParaumbilical flapen_US
dc.subjectPerforatoren_US
dc.subjectsoft tissue defectsen_US
dc.titleUse Of Patterned Pedicled Paraumbilical Perforator-Based Flaps For Coverage Of The Defects Of Forearm And Handen_US
dc.typeJournal Articleen_US
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