Paraumbilical flap pedicled with deep inferior epigastric vessel for the repiration of soft tissue defects in pelvic area: 8 cases report
10.3760/cma.j.cn441206-20191231-00400
- VernacularTitle:以腹壁下血管为蒂的脐旁皮瓣修复骨盆区域软组织缺损八例
- Author:
Lei ZHENG
1
;
Shujian TIAN
;
Jijun LIU
;
Zhonggen DONG
Author Information
1. 河南省人民医院骨科，郑州 450003
- From:
Chinese Journal of Microsurgery
2020;43(4):353-356
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore surgical techniques and summarize surgical experience of the paraumbilical flap pedicled with deep inferior epigastric vessels for the repiration of soft tissue defects in pelvic area.Methods:Between August, 2006 and August, 2018, 8 patients with soft tissue defects and bone exposure were treated with paraumbilical flap pedicled with deep inferior epigastric vessels. There were 6 males and 2 females with the average age of 35.3 (range, 12-47) years. The defects were caused by car accident in 5 cases, by high falling injury in 1 case, by soft tissue necrosis after malignant schwannoma resection in 1 case, and by soft tissue necrosis after pelvic operation of open reduction internal fixation in 1 case. The defects located at iliac spine in 5 cases, at tuber ischii in 1 case, and at buttock and perineal region in 1 case. The size of the wounds ranged from 11.0 cm×6.0 cm to 22.0 cm×8.0 cm. The size of the flaps ranged from 13.0 cm×7.0 cm to 29.0 cm×12.0 cm. The followed-up was made by outpatinet service, telephone or WeChat.Results:All flaps survived, and the wound infection was controlled. The followed-up time ranged from 12 to 46 (mean 26) months. All flaps survived uneventfully, and the texture and elasticity of the flaps were good. There were no recurrence of infection, and no ventral hernias occurred in donor sites.Conclusion:The transfer of paraumbilical flap pedicled with deep inferior epigastric vessels is a reliable method to repair large soft tissue defects in iliac spine, perineal region, buttock and tuber ischii.
