Simple Molding Method for Post-distant Flap Stated Finger by Using Surgical Rubber Gloves

원위피판술을 시행한 환자의 손가락에 수술용 고무장갑을 이용한 간단한 조형법

  • Kim, Ho Kil (Department of Plastic and Reconstructive Surgery, College of Medicine, Soon Chun Hyang University) ;
  • Choi, Hwan Jun (Department of Plastic and Reconstructive Surgery, College of Medicine, Soon Chun Hyang University) ;
  • Kim, Mi Sun (Department of Plastic and Reconstructive Surgery, College of Medicine, Soon Chun Hyang University) ;
  • Shin, Ho Sung (Department of Plastic and Reconstructive Surgery, College of Medicine, Soon Chun Hyang University) ;
  • Tark, Min Sung (Department of Plastic and Reconstructive Surgery, College of Medicine, Soon Chun Hyang University)
  • 김호길 (순천향대학교 의과대학 성형외과학교실) ;
  • 최환준 (순천향대학교 의과대학 성형외과학교실) ;
  • 김미선 (순천향대학교 의과대학 성형외과학교실) ;
  • 신호성 (순천향대학교 의과대학 성형외과학교실) ;
  • 탁민성 (순천향대학교 의과대학 성형외과학교실)
  • Received : 2005.10.04
  • Published : 2006.03.10

Abstract

In both cosmetic and functional aspects, loss of digital pulp is a common problem. Compound or composite defects of the hand and fingers with exposed denuded tendon, bone, joint, or neurovascular structures may require flap coverage. Most often these lesions can be repaired by using simple local flap, neurovascular flap, thenar flap, and cross-finger flap. But microvascular reconstruction is sometimes needed for large defects. But Authors do not recommend these procedures in case of severe crushing injuries involving multiple finger pulp losses because they have possibility of damage of the vascular network and infection. So we applied distant flaps such as chest flaps, groin flaps, abdominal flaps and etc. And then we applied surgical rubber gloves for remodeling the flap after cutaneous healing. We have acquired satisfactory results, after the simple molding method for distant flap finger by using surgical rubber gloves treatment.

Keywords

References

  1. Robert A, Ignazio M, Luigi T, Umberto F: The reverse heterodigital neurovascular island flap for digital pulp reconstruction. Techniques in the Hand and Upper Extremity Surgery 9: 91, 2005 https://doi.org/10.1097/01.bth.0000158973.08273.1f
  2. Cheng MH, Chen HC, Wei FC, See LC, Lee HY, Wang CJ: Combined Ischemic preconditioning and Laser doppler measurement for early division of pedicled groin flap. J Trauma 47: 89, 1999 https://doi.org/10.1097/00005373-199907000-00020
  3. Baek HJ, Shim YK, Kim YS, Lee SI: Reconstruction of skin defect of digits by using groin flap. J Korean Soc Plast Reconstr Surg 14: 367, 1987
  4. Cheng MH, Chen HC, Wei FC Su SW, Lian SH, Brey E: Devices for ischemic preconditioning of the pedicled groin flap. J Trauma 48: 552, 2000 https://doi.org/10.1097/00005373-200003000-00035
  5. Yilmaz S, Saydam H, Seren E, Ercocen AR: Paraumbilical perforator-based pedicled abdominal flap for extensive soft-tissue deficiencies of the forearm and hand. Ann Plast Surg 54: 365, 2005 https://doi.org/10.1097/01.sap.0000154871.97860.ea