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Journal of Plastic Surgery and Transplantation
4(2):p 63-67, July-December 2024. | DOI: NA
How Cite This Article:
Menon R, Kumar KS K, Pati AK, et al. The Bilobed Sandwich Abdomen Flap: Applications for Combined Volar and Dorsal Hand Defects in the Microsurgical Era. J Plast Surg Transpl. 2024;4(2):63-7.
Timeline
Received : October 05, 2024
Accepted : November 06, 2024
Published : December 20, 2024
Abstract
Complete cover of both palmar and dorsal aspects of hand and wrist in severe hand injuries is a difficult task with a single flap. Several surgical techniques using local/distant/micro vascular flaps have been developed to resurface such defects. Even though free tissue transfer has become the norm nowadays this is often not possible in a resource constrained set up. Combined bilobed abdominal flaps can be safely raised to resurface large defects of the hand as they are simple, easy, and versatile, with the added advantage of decreased donor site morbidity. Here in our series, we discuss the different types of hand defects which we could resurface with the Bilobed sandwich flap and a few tips in planning this flap.
References
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Funding
This research received no funding.
Author Contributions
All authors contributed significantly to the work and approve its publication.
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Conflicts of Interest
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Cite this article
Menon R, Kumar KS K, Pati AK, et al. The Bilobed Sandwich Abdomen Flap: Applications for Combined Volar and Dorsal Hand Defects in the Microsurgical Era. J Plast Surg Transpl. 2024;4(2):63-7.
This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
A,B – Markings, planning and extent of the bilobed flap C,D – Vascular basis, Donor area especially the groin region can be closed primarily
Description: No description available.
Demographic data, defect details, complications and outcome
Description: No description available.
A,B – Punching machine injury/ C,D – Flap raised and insetted/ E,F – After division
Description: No description available.
A,B – Sugarcane crusher injury, 10 days after trauma / C,D – 2 months after flap division, now patient has been planned for syndactyly release
Description: No description available.
A,B,C – Roller machine injury / D,E – Flap raised and inset done, donor site skin grafted / F,G – 1 month after division, planned for syndactyly release
Description: No description available.
A,B,C – Roller machine injury / D,E - as thumb was also involved, paraumbilical perforator flap based on the deep inferior epigastric artery perforators was also included with the bilobed flap / F,G – 3 months after flap division / H,I – 14 months after trauma after syndactyly release
Description: No description available.
A,B – Power press machine injury / C,D – After inset, donor sites closed primarily / E,F – 1 months after flap division