[Means of filling in extensive defects with cutaneous-subcutaneous-fascial flaps on a Filatov pedicle]

The authors propose methods for closing vast defects by cutaneous-fascial grafts transferred on the Filatov's pedicle through the upper extremity. These whole thickness grafts must be previously subjected to surgical training which eliminates risk of ischemia. The tubular feeding pedicle is convenient for care and prevents infections in the postoperative period. The first method consists in the forming of the Filatov's pedicle (as the first step) which is then transferred onto the hand (the second step). In the first method both steps are supposed to be fulfilled simultaneously in order to shorten time of treatment. The methods described were used for closing great wounds on the head and lower extremities in 8 patients.