Syed Kamran Ahmed, Sadaf Saeed, Muhammad Amin Chinoy, Mansoor Ali Khan.
Paired abdominal flap: a reliable hand sandwich for hand injuries.
J Pak Orthop Assoc Jan ;21(2):19-25.

Objective: To justify the usefulness of paired abdominal flap in circumferential degloving injuries of the hand. Study design: Case series with review of literature Place and duration of study: Department of Orthopaedic Reconstructive and Hand Surgery, Jinnah Medical College Hospital and Department of Orthopaedics, The Indus Hospital Karachi, from November 2004 to August 2009. Methods: Five patients with circumferential degloving hand injuries requiring coverage with a paired lower abdominal flap were included. Three patients underwent paired flap while two refused flap coverage and opted for coverage with full thickness skin graft. The surgical technique is diagrammatically represented. Overall hand function was evaluated through Quick DASH questionnaire. Results: Outcome assessment revealed satisfactory cosmetic and functional recovery with paired abdominal flap. Conclusion: We recommend this flap for mutilating hand injuries. It can be easily learnt by a well trained orthopaedic or plastic surgeon for salvage of hand in centres with limited microsurgery facilities.

PakMediNet -Pakistan's largest Database of Pakistani Medical Journals - http://www.pakmedinet.com