Article Sidebar

article details
Date Published: 31/08/2023
Online Published: 31/08/2023
Abstract Views: 142
Views article details: 106
DOI: https://doi.org/10.54804/yhthvb.4.2023.249
Issue
No. 4 (2023)
Section
Articles
How to Cite
Do, T. Q., Tong, T. H., & Vu, Q. V. (2023). Application of “thin” deep inferior epigastric perforator flap in reconstruction of wrist and hand injury: initial results. Journal of Disaster Medicine and Burn Injuries, 4, 46-54. https://doi.org/10.54804/yhthvb.4.2023.249

Application of “thin” deep inferior epigastric perforator flap in reconstruction of wrist and hand injury: initial results

Do Trung Quyet1,, Tong Thanh Hai1, Vu Quang Vinh1
1 National Burn Hospital

Main Article Content

Abstract

Distal skin flaps for reconstruction of soft tissue injuries on wrist and hands, especially exposure of tendon and bone always are the first choices of plastic surgeons. However, there are lots of disadvantages of this technique, for example, bulky, random pedicle… the period of nourishment flap time is longer. We first successfully applied the “thin” deep inferior epigastric perforator flap to recover solft tissue defect (tendon, bone exposure) at wrist and hands. The technique was applied to 03 patients. The distal part of flap was thinned by liposuction. All flaps survive completely, and have the suitability of flap with the characteristics of reconstructive area. The admitted time also was decreased. Patients were satisfied with functional and cosmetic outcomes.

Article Details

Keywords

Wirst and hand injury, distal pedicle flap, deep inferior epigastric perforator flap, liposuction

References

1. Goertz O, Kapalschinski N, Daigeler A, et al. The effectiveness of pedicled groin flaps in the treatment of hand defects: Results of 49 patients. J Hand Surg Am. 2012;37:2088-2094.
2. Gutwein, L. G., Merrell, G. A., & Knox, K. R. (2015). Paraumbilical perforator flap for soft tissue reconstruction of the forearm. The Journal of Hand Surgery, 40(3), 586-592..
3. Ohjimi H., Taniguchi Y., Kawano K.. et al (2000). A comparison of thinning and conventional free-flap transfers to the lower extremity. Plastic and reconstructive surgery.105 (2): 558-566.
4. Kimura N., Satoh K. and Hosaka Y. (2003). Microdissected Thin Perforator Flaps:: 46 Cases. Plastic and reconstructive surgery.112 (7): 1875-1885.
5. Askouni E. P., Topping A., Ball S.. et al (2012). Outcomes of anterolateral thigh free flap thinning using liposuction following lower limb trauma. Journal of plastic, reconstructive & aesthetic surgery.65 (4): 474-481
6. Wang, J., Wang, M., Xu, Y., Guo, Y., & Cui, L. (2017). Paraumbilical Perforator Flap: A Good Choice for the Repair of the Deep Soft Tissue Defects in the Hand and Forearm. J Gen Pract (Los Angel), 5(333), 2.
7. Shukla, L., Taylor, G. I., & Shayan, R. (2013). The pedicled inferior paraumbilical perforator (I-PUP) flap for a volar wrist defect: a reconstructive solution across the ages. Journal of Plastic, Reconstructive & Aesthetic Surgery, 66(11), 1613-1615.
8. Ettefagh MH, Naraghi M, Towhidkhah F. Position control of a flexible joint via explicit model predictive control: An experimental implementation. Emer Sci J. 2019;3.
9. Acharya AM, Ravikiran N, Jayakrishnan KN, et al. The role of pedicled abdominal flaps in hand and forearm composite tissue injuries: Results of technical refinements for safe harvest. J Orthop. 2019;16:369-376