Periumbilical perforator based Thoraco Abdomen flaps -Solution in difficult situations

Injuries to upper limb has been on the increase which is invariably associated with significant soft tissue loss requiring a flap cover. Local tissue for covering the wound may not be available in a majority of situations.Hence there is a need to import tissue from a distant source.Most of the time conventional flaps like groin and abdomen flap may not be available . We have utilized the thoraco -abdomen flap taken from the trunk for this purpose. This flap is based on the perforators of the deep inferior epigastric artery which are maximally centred on the periumbilical region.