Outcome of Ultra-Thin Abdominal Flap for Wrist and Forearm Wounds Coverage

Abstract

Objective: To asses outcome of ultra-thin abdominal flap for wrist and distal forearm flap wounds coverage.

Study Design: Descriptive longitudinal study

Place and Duration of Study: This study was conducted at the Department of Plastic Surgery, Jinnah Burn & Reconstructive Surgery Center/Allama Iqbal Medical College, Lahore from January 2017 to December 2018.

Materials and Methods: Sixty patients of both genders having injury of hand and distal forearm with ages 15 to 65 years were included. Soft tissue was provided with ultrathin abdominal flap. After harvesting of conventional abdominal flap, the subcutaneous fat was trimmed upto the thickness of 2 to 4 mm thereby saving the subdermal vascular plexus.

Conclusion: Ultra-thin abdominal flap is well founded and safe treatment modality for the reconstruction of trauma of hand and distal forearm as it provides reliable soft tissue coverage that gives better match and contour.