However, if the defect is too large for a pedicled flap or if there are multiple defects that have already used regional or distant flap
options, then free flaps become a more reasonable option.
In trauma involving the upper limb with extensive tissue loss, abdominal flap reconstruction proves to be a simple, easy and versatile distant flap
that has taken a great place in the era of reconstructive surgery.
The principle of when to use a graft, direct closure, a distant flap
, or lid-sharing procedures is the key point of successful reconstruction.
The procedure is simple, less time consuming involving minimum donor site mobility as compared to distant flap
The association of NPWT and biological mesh implant prevented us to adopt other reconstructive procedures as regional or distant flap
which could be much more invasive in our complicated patient.
The lower abdomen has a good blood supply and redundant soft tissue and is also one of the best locations for distant flap
procedures because of its proximity to the natural resting position of the arms and hands [5-13].
The lesion underwent surgical procedures after excision including skin grafting, vacuum-assisted closure therapy and skin grafting, local and distant flap
coverage depending on the situation.
* Cross leg and distant flap
gave good result when other options are not available or exhausted.
(tubes) are often used to repair wounds formed after tumor resection, causing extensive defects in the extremities or sites where skin has poor elasticity.
These include local flaps, regional flaps, perforator flaps, distant flaps
and free flaps.We used PIA flap in 31 cases.
One of the most important distant flaps
utilized is the groin flap.
The choices are local flaps or distant flaps
or free flap using microvascular techniques.