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Flail Chest-II

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Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
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Assessment of apical radial pulse

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Pre-Procedural Preparation

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Related Experiment Video

Updated: Jun 15, 2026

The Superficial Inferior Epigastric Artery Axial Flap to Study Ischemic Preconditioning Effects in a Rat Model

The Superficial Inferior Epigastric Artery Axial Flap to Study Ischemic Preconditioning Effects in a Rat Model

Published on: January 27, 2023

The versatile Adani's flap for fingertip coverage: indications and case reports.

Luciano R Torres¹, Hsiang W Teng, Arnaldo V Zumiotti

¹Hand and Microsurgery Division, Instituto de Ortopedia e Traumatologia do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, Brazil. lucrut@terra.com.br

Annals of Plastic Surgery

|March 13, 2010

Summary

The Adani flap provides a reliable surgical solution for severe fingertip injuries. This reverse flow technique ensures flap integration and good functional outcomes for patients.

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Last Updated: Jun 15, 2026

The Superficial Inferior Epigastric Artery Axial Flap to Study Ischemic Preconditioning Effects in a Rat Model

The Superficial Inferior Epigastric Artery Axial Flap to Study Ischemic Preconditioning Effects in a Rat Model

Published on: January 27, 2023

Area of Science:

Plastic Surgery
Microsurgery
Hand Surgery

Background:

Heterodigital pedicle flaps offer anterograde (Littler) or reverse flow (Adani) vascularization patterns.
The Adani flap utilizes a Y-V pedicle lengthening principle for enhanced vascular supply.

Observation:

Four patients with severe fingertip injuries underwent surgical treatment using the Adani flap.
The Adani flap involves raising tissue from an adjacent uninjured finger, based on the digital artery.

Findings:

All four Adani flaps successfully integrated, providing essential skin coverage.
The technique involves ligating the common digital artery and creating a long pedicle from converging digital arteries for reverse flow.

Implications:

The Adani flap's long vascular pedicle allows for a wide transposition arch.
Easier dissection at a site distant from trauma, with a larger diameter digital artery, contributes to high survival and functional results.