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Results of applying the deep inferior epigastric perforator “thin” pedicled flap for treatment of wrist defect postburn
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Abstract
Introduction: Distal skin flaps such as random abdominal flaps, Italian random skin flaps, groin flaps... are still effective methods for wrist reconstruction. However, there are some disadvantages when using these flaps: the thickness of the flap is bulky, and the time between the two stages is long (3 weeks).
Patients and Methods: The study used the deep inferior epigastric perforator “thin” pedicled flap to resurface the defect in the wrist and hand. The first surgery created an abdominal pedicle skin flap, clamping the pedicle of the flap is performed to decrease the time between two stages.
Results and discussion: The skin flap size ranges from (10 x 7)cm to (20 x 15)cm. Skin flap thickness before liposuction averaged 35.6 ± 4.27cm, and after liposuction averaged 10.9 ± 1.66cm. The time interval between the two surgeries was an average of 15.17 ± 4.71 days. Follow-up results at 3 months after surgery: Good: 9/11 (81.82%), average: 2/11 (18.18%). Follow-up results after 6 months: Good: 9/10 (90%), average: 1/10 (10%).
Conclusion: The modified “thin” deep inferior epigastric artery perforator pedicled skin flap is a useful option for the reconstruction of burn wounds with exposed tendons in the wrist area.
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Keywords
burn injury in the wrist area, distal pedicle skin flap, deep inferior epigastric artery perforator flap, iposuction
References
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