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

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