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The hand sandwich: adjacent flaps from opposing body surfaces
Plastic and Reconstructive Surgery
|March 1, 1976
Summary
A novel surgical technique uses chest and arm flaps for hand reconstruction, creating a temporary adhesion for enhanced coverage. This method provides both volar and dorsal coverage, followed by skin grafting for complete healing.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
- Hand Surgery
Background:
- Hand injuries often require complex reconstructive procedures.
- Coverage of denuded hand structures is crucial for function and aesthetics.
Observation:
- An anteriorly-based lateral chest flap was utilized for volar hand coverage.
- A flap from the adjacent inner arm was employed for dorsal hand coverage.
Findings:
- The surgical approach involves creating a temporary chest-arm adhesion by joining donor sites.
- This adhesion facilitates flap transfer and subsequent separation.
- Skin grafting is performed after flap separation to complete the reconstruction.
Implications:
- This technique offers a viable solution for extensive hand defects requiring dual-surface coverage.
- The temporary adhesion may improve flap viability and reduce donor site morbidity.
- Further studies could explore long-term outcomes and patient satisfaction.