title: Superthin Abdominal Wall Glove-Like Flap Combined With Vacuum-Assisted Closure Therapy for Soft Tissue Reconstruction in Severely Burned Hands or With Infection.
abstract: Severe burn and infection to hands always involves the deep structures, such as tendons, joints, and bones. These wounds cannot be closed immediately and therefore creates a high risk for complication. We presented 9 cases with deep dermal burns to the dorsal of the hand (6 electrical burns and 3 thermal crush injuries) with wound infections in 2 cases. The vacuum-assisted closure system was used continuously until the flap reconstruction was performed. A random pattern and superthin abdominal wall skin flap-like glove was designed. The flap was transferred to the defected portion of the dorsum of the hand and resected from the abdominal wall about 3 weeks later. The flaps in 8 of the patients treated by this technique survived completely and partial necrosis of the distal flap occurred in 1 patient. The defect resolved after operative treatment and the function of the hands and fingers were successfully salvaged. All patients resulted in having a satisfactory aesthetic outcome with no or minor discomfort at the abdominal donor area. Integration of the vacuum-assisted closure system and the superthin abdominal wall glove-like flap reconstruction appeared to be successful and should be considered in patients with severely burned hands.
authors.affiliation: From the Department of Burns, the First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, PR China.
authors.forename: Fei
authors.initials: F
authors.lastname: Wang
authors.forename: Sheng
authors.initials: S
authors.lastname: Liu
authors.forename: Le
authors.initials: L
authors.lastname: Qiu
authors.forename: Ben
authors.initials: B
authors.lastname: Ma
authors.forename: Jian
authors.initials: J
authors.lastname: Wang
authors.forename: Yong-Jie
authors.initials: YJ
authors.lastname: Wang
authors.forename: April
authors.initials: A
authors.lastname: Peszel
authors.forename: Xu-Lin
authors.initials: XL
authors.lastname: Chen
mesh_terms: D034861:Abdominal Wall / Q000601:surgery*; D000328:Adult; D002056:Burns / Q000150:complications / Q000601:surgery*; D003131:Combined Modality Therapy; D005260:Female; D005500:Follow-Up Studies; D006230:Hand Injuries / Q000150:complications / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D054843:Negative-Pressure Wound Therapy; D011552:Pseudomonas Infections / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D011550:Pseudomonas aeruginosa / Q000302:isolation & purification; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps; D016896:Treatment Outcome; D014946:Wound Infection / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*