Improvement of thoraco-umbilicus flap repair in 54 cases of soft tissue defect

VernacularTitle:改良胸脐皮瓣修复软组织缺损54例
Author: Qishen FAN ; Xiangji ZHOU ; Longbao ZHENG ; Xuejian GAO
Publication Type:Journal Article
Keywords: Thoraco-umbilicus flap; Transplant; Microsurgory
From: Chinese Journal of Microsurgery 2011;34(5):363-365
CountryChina
Language:Chinese
Abstract: Objective To investigate the technique of design and cutting method of the thoraco- um-bilicus flap.Methods (1) Made the skin flap include not only the vascularity skin of this side,but also the opposite side,to repair overlength and overbreadth wound surface.(2) Improvement of skin flap cutting steps:first to find the blood vessel under the lower abdominal wall,then to cut the skin flap,if not find to have another donor area.(3)Technology of making thin skin flap:when cutting open the skin,made the surgical blade inclined to the flap,beveling to 2/3 of the skin flap length and in hypogastrium cutting to all over the flap with the fat keep stay in the abdomen so to make the skin flap thiner.Results There was 1 case necrosis because of infection in all 54 cases be repaired.The achievement ratio was 98.1％.Follow up with 1-5 years,skin flaps appearance was good,joint extend- bend was gratification.Soft tissue infection was cured.Conclusion Modified technology of thoraco-umbilicus flap is reasonable design and easily to cut,and the achievement ratio is higher.