[Repair of electric burn wound in the upper limbs with lateral intercostal perforator-based pedicled flap].
OBJECTIVE
To describe an operative method for the repair of electric burn wound in the upper limbs with lateral intercostal perforator-based pedicled flap, and to observe its clinical effect.


METHODS
Intercostal artery perforator-based pedicled abdominal flap with the blood supply originating from the lateral perforator branches of the 7th-10th intercostal arteries were used to repair the wounds of 6 patients with burn wounds in elbows, forearm, wrists and palms. The pedicles were (16. 0 cm x 12. 0 cm) - (9. 0 cm x 7.0 cm) in area, and the pedicles were severed 18 to 21 days after the operation. The survival and the appearance of the flaps were observed after operation.


RESULTS
The procedure was easy and safe, and there was reliable and adequate blood supply in the lateral intercostal perforator-based pedicled flap. All the flaps survived in 5 patients, except marginal necrosis (3.5 cm x 2. 0 cm) was found in the distal portion of flap because flap cutting exceeded the paraumbilical line. The appearance was satisfactory after operation.


CONCLUSIONS
This flap is suitable for the repair of deep wounds in hands, forearms, and elbows.
Pan
Yun-chuan
YC
Department of Plastic Surgery and Burns , Hainan Provincial Hospital , Haikou 570311 , PR China.
Chen
Si-huan
SH
Xu
Jia-qin
JQ
Liang
Zun-hong
ZH
Song
Wen-juan
WJ
Lin
Shi-yan
SY
D000293:Adolescent; D000328:Adult; D000368:Aged; D001134:Arm Injuries / Q000601:surgery; D002058:Burns, Electric / Q000601:surgery*; D002648:Child; D006230:Hand Injuries / Q000601:surgery; D006801:Humans; D007366:Intercostal Muscles / Q000098:blood supply; D008297:Male; D008875:Middle Aged; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps / Q000098:blood supply*; D013895:Thoracic Arteries / Q000637:transplantation*; D034941:Upper Extremity / Q000293:injuries; D055815:Young Adult