Tubed Abdominal and Chest Skin Flaps



Tubed Abdominal and Chest Skin Flaps


M. F. STRANC

W. E. STRANC





Until the early 1970s, abdominal and thoracic tubed skin flaps were some of the main methods of skin transfer. Advances in our knowledge of the blood supply of the skin (1, 2), subcutaneous tissue, and underlying muscles (3, 4) have led to the development of much safer and more rapid methods of skin transport, dramatically reducing the indications for the use of the tubed skin flap.




ANATOMY

Although short tubed skin flaps can be raised in any axis, longer flaps must be raised along the axial patterns of flow of the vessels supplying the subcutaneous compartment (Fig. 131.1). A standard vertically based abdominal tubed skin flap is based inferiorly on the superficial epigastric vessels and superiorly on terminal branches of intercostal vessels (Fig. 131.2A). The horizontally oriented flap is more hazardous because it is raised on a convex surface and is thus subject to greater tension. It is based on the terminal branches of the segmental vessels (Fig. 131.2A).

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Jun 26, 2016 | Posted by in General Surgery | Comments Off on Tubed Abdominal and Chest Skin Flaps
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