S-abdominal flap degloving injury of hand experience of 10 cases.docVIP

 PAGE \* MERGEFORMAT 5 S-abdominal flap degloving injury of hand experience of 10 cases [Abstract] Objective: To seek a new hand wound repair defect treatment. Methods: S-type flap abdominal wound defect in 10 cases of hand, S-type flap is actually two flaps, one at the base In the distal end, is the superficial epigastric artery and vein pedicled axial flap; the other in the proximal end of the base for the random flap; will be thinner subcutaneous fat into the dermal capillary network under the flap, were covered with palm , back of hand skin defects. Results: All flaps survived after surgery, patients were followed up for 3 months, have some finger flexion, function improved significantly. Conclusions: S-type flap simple, safe, rational design, using the primary hospital for . [Keywords:] S flap; degloving injury; repair Hand wound defect, especially the hand degloving injuries or serious back of the hand, palmar skin defect, the clinical repair more difficult, and functional recovery are not satisfied [1]. Our department from January 2000 to December 2008 by S flap repair defect in 10 cases of hand wounds, flaps all survived, satisfactory results, patients were followed up for 3 months, have some finger flexion, function improved significantly, are as follows. 1 Subjects and methods 1.1 The object of the present group of 10 patients, 6 males and 4 females. Aged 20 to 55 years, mean 34.5 years of age. 2 cases of left and right in 8. Glue roller injury in 4 cases, 5 cases of de wheat machine damage, machine cutter injury in 1 case. All in 2 ~ 3 h after injury, the emergency surgery. 1.2 treatment group were used in this emergency operation, the first degloving injury of hand wound debridement, adequate hemostasis, removal of the distal phalanx. This group of patients after debridement, the mean flexion tendon were present. Under the skin defect size, in the design of S-type lower abdominal flaps [2], one of the next base flap, in fact, is th