title: Delayed wraparound abdominal flap reconstruction for a totally degloved hand.
abstract: Resurfacing a totally degloved hand is one of the most difficult management problems in hand surgery. It is difficult to cover the entire hand by using flaps. Although early coverage can be achieved, secondary amputation is often required due to an inadequate blood supply. We devised a delayed wraparound abdominal flap (DWAF) that was well-vascularised and could cover the whole hand. Here we report on a patient with a totally degloved hand, in whom reconstruction was performed using a DWAF and good functional results were achieved despite late surgery. Reconstruction with a DWAF may be a useful option for the totally degloved hand.
authors.affiliation: Department of Plastic and Reconstructive Surgery, Hamamatsu University School of Medicine, Hamamatsu, Japan. masaofuj@mth.biglobe.ne.jp
authors.forename: Masao
authors.initials: M
authors.lastname: Fujiwara
authors.forename: Hidekazu
authors.initials: H
authors.lastname: Fukamizu
mesh_terms: D034861:Abdominal Wall; D000328:Adult; D006085:Graft Survival; D006230:Hand Injuries / Q000601:surgery*; D018737:Hand Strength; D006801:Humans; D022125:Lacerations / Q000601:surgery*; D008297:Male; D019651:Plastic Surgery Procedures / Q000379:methods*; D016038:Skin Transplantation / Q000379:methods*; D017695:Soft Tissue Injuries / Q000601:surgery; D013524:Surgical Flaps; D016896:Treatment Outcome