Pedicled Thoraco umbilical flap for defects of forearm -a case report

Abstract

Dorsal defects of forearm are usually
corrected by groin flap or abdominal flap
or a freeflap.Defects of whole of dorsal
forearm upto elbow are difficult to cover
by groin or abdominal flap.we here are
presenting a pedicled flap by name Thoracoumbilical
flap for the coverage of
such defects of dorsal forearm.
Thoracoumbilical flap is harvested
from anterior trunk based on perforators
from deep inferior epigastric artery. A
dorsal forearm defect extending from elbow
to wrist was covered by a pedicled
thoracoumbilical flap.Patient had comfortable
post operative course and flap
division and inset was given after a delay.
Flap healed well and the donor site
scar was acceptable.Flap does not require
thinning. Pedicled Thoracoumbilical
flap is reliable, easy to harvest and has
high length to width ratio thus helping to
cover large forearm defects and can be
used as first line flap .