A technical tip in the use of abdominal pedicled flaps in hand reconstruction: A case repot

INTRODUCTION: Abdominal pedicled flaps are one of the options utilized in the reconstruction of complex hand defects. In this communication, the author presents a case report demonstrating a new technical tip which was utilized in a young child. IMPORTANCE: The technical tip will help closure of further hand defects utilizing the same flap. CASE PRESENTATION: An abdominal pedicled flap was used to reconstruct the dorsal aspect of the hand and wrist following a deep contact burn. An “extension” of the flap from the abdomen at the time of flap division was harvested and utilized to cover an adjacent defect in the fingers. CLINICAL DISCUSSION: Several technical tips in the utilization of the pedicled groin/abdominal flaps in hand reconstruction have been reported. The author presents another tip. CONCLUSION: When utilizing abdominal pedicled flaps for hand reconstruction, an “extension” of the flap from the abdomen at the time of flap division may be harvested. This “extension” may be utilized to cover further adjacent defects in the hand.