[Closure possibilities for unexpectedly large skin defects in operations on the extremities]

Five different techniques to close operation wounds are discussed. Burrow-triangles are especially helpful to close defects on the back of the hand. Other methods are stamp-like thin skin grafts, the handcut meshgraft and the synthetic cover with Epigard, especially for outpatients. The triangular subcutaneously flapped graft is an elegant technique but demands a suitable terrain.