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Gaceta Médica Boliviana

On-line version ISSN 1012-2966


ARCIENEGA LLANO, Eligio Rolando; OVANDO ARCIENEGA, Diego Israel  and  SOLIZ ALCONZ, Hazel Vivian. Thoracoabdominal flap for hand traumatic injury coverage. Gac Med Bol [online]. 2019, vol.42, n.1, pp.65-69. ISSN 1012-2966.

It is very important to know the appropriate techniques for the restoration of hand injuries, protecting as much as possible their configuration and functionality, since it performs multiple tasks in different areas of life. Hence, we present the case of a patient with traumatic injury due to crushing in the right hand, which treatment was considered the thoracoabdominal flap that was carried out in three times, the patient evolved favorably without complications of infection, dehiscence or necrosis of the flap. Despite the introduction of microsurgery for the reconstruction of these lesions, pedicle flaps continue to be feasible with optiomal results in situations in which microsurgery cannot be considered. Although there are multiple techniques for the correction of defects in hand, the skill and creativity of the surgeon following the basic principles of reconstruction will be conclusive for an optimal result.

Keywords : hand reconstruction; pedicle flap; abdominal flap; soft tissue defect.

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