Super-thin abdominal skin pedicle flap for the reconstruction of hypertrophic and contracted dorsal hand burn scars

Colgajo abdominal de patrón vertical para cobertura en miembro superior. Una opción vigente y versátil en nuestro medio

“…Puede ser disecado con diferentes grosores que varían desde colgajos superdelgados con una mínima porción de tejido celular subcutáneo integrado, a colgajos gruesos con disección hasta la fascia abdominal, lo que permite un resultado estéticamente apropiado e individualizado para la cobertura de áreas cruentas en el miembro superior. (1,8,9,12,15) Las características previamente mencionadas hacen que el colgajo abdominal sea una opción versátil en cuanto a su orientación y nivel de disección, permitiendo la cobertura de múltiples defectos en miembro superior y convirtiéndose de esta manera en nuestra primera opción reconstructiva.…”

The use of modified glove-like abdominal flap for reconstruction of contracture following burns of dorsal hand and fingers: A case report

“…The abdominal flap has been the commonly used technique but has the disadvantage of being bulky [7] . Super thin abdominal skin pedicle flap can be used, but it has only one pedicle from one site of the abdomen and needs a tissue expander for a larger defect [8] . The tissue expander can lead to complications such as failure, infection, and being exposed [9] .…”

Reconstruction of fingers after electrical injury using lateral tarsal artery flap

“…The challenge for the reconstructive surgeon is to find simpler and better ways to restore protective sensation and digital flexion for patients who have suffered severe electrical injuries to their hands. There are many ways to restore the injured fingers, such as wrap-around flap,4 dorsalis pedis compound flap,6 super-thin abdominal skin pedicle flap,7 and neurovascularized instep free flap 8. However, each of these approaches has limitations and disadvantages, and more effective approaches are needed for restoring the injured fingers.…”