ABDOMINAL FLAPS IN THE MANAGEMENT OF UPPER LIMB DEFECT- OUR EXPERIENCE
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 65
Abstract
BACKGROUND Soft tissue defects in upper limb are commonly seen as a sequel to trauma and burns, leading to exposure of important structures such as vessels, nerves, tendons and bone. These structures require primary cover at the earliest. Although, in the present era of microvascular reconstruction locoregional pedicled flaps are fading, abdominal flaps prove to be handy in reconstruction of upper limb soft tissue defects. The aim of this retrospective descriptive study is to prove the versatility and simplicity of abdominal flap in reconstruction of upper limb defects. MATERIALS AND METHODS Our retrospective descriptive study involves 30 patients who had post-traumatic soft tissue defect and post-burn contractures in the upper limb. Detailed history was obtained, thorough clinical examination performed, necessary pre-operative investigations done and abdominal skin flap cover given. RESULTS All the patients selected in the study group underwent abdominal flap cover in a satisfactory way. Majority of the patients were discharged with no complications and a minor group of them with minimal complications. CONCLUSION Abdominal flap is a simple procedure, which can be practiced by most of the surgeons to cover even extensive defects of upper limb and thereby decreasing the morbidity of the patients. The operative technique is easily learned with no rigid anatomical landmarks to be followed strictly and requires average skill for raising the flap.
Authors and Affiliations
Anil R, Avinash Prabhu, Niranjan Kumar
Keywords
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- EP ID EP231683
- DOI 10.14260/Jemds/2017/1020
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