Deep superior epigastric artery perforator 'propeller' flap for abdominal wall reconstruction: A case report.
As the concept of 'free style perforator' flap and the 'propeller' flap is widely accepted, any region of the body can be used as a possible donor site for a perforator flap. A 'propeller' flap is a local flap that is rotated to different extents (up to 180 degrees ) about a reliable perforator to cover adjacent defects. Rectus abdominis perforators (epigastric artery perforators) are the main perforators in the abdominal region from the deep inferior epigastric artery or the deep superior epigastric artery. Traditionally, deep inferior epigastric artery perforators have been often used in the abdominal region because they provide a dominant blood supply to abdominal skin. In the described case, a large abdominal wall defect (20.5 x 19 cm) caused by tumour resection was covered successfully using a superior epigastric artery perforator 'propeller' flap.
Woo
Kyong-Je
KJ
Department of Plastic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, 50 Ilwon-dong, Gangnam-gu, Seoul, 135-710, Korea.
Pyon
Jai-Kyong
JK
Lim
So-Young
SY
Mun
Goo-Hyun
GH
Bang
Sa-Ik
SI
Oh
Kap-Sung
KS
D034861:Abdominal Wall / Q000601:surgery*; D000328:Adult; D018223:Dermatofibrosarcoma / Q000601:surgery; D006801:Humans; D008297:Male; D019651:Plastic Surgery Procedures / Q000379:methods*; D012878:Skin Neoplasms / Q000601:surgery; D013524:Surgical Flaps / Q000098:blood supply*