Repair of electric burn wound in the upper limbs with lateral intercostal perforator-based pedicled flap.
- Author:
Yun-chuan PAN
1
;
Si-huan CHEN
;
Jia-qin XU
;
Zun-hong LIANG
;
Wen-juan SONG
;
Shi-yan LIN
Author Information
- Publication Type:Case Reports
- MeSH: Adolescent; Adult; Aged; Arm Injuries; surgery; Burns, Electric; surgery; Child; Hand Injuries; surgery; Humans; Intercostal Muscles; blood supply; Male; Middle Aged; Reconstructive Surgical Procedures; methods; Surgical Flaps; blood supply; Thoracic Arteries; transplantation; Upper Extremity; injuries; Young Adult
- From: Chinese Journal of Burns 2007;23(1):55-57
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo describe an operative method for the repair of electric burn wound in the upper limbs with lateral intercostal perforator-based pedicled flap, and to observe its clinical effect.
METHODSIntercostal artery perforator-based pedicled abdominal flap with the blood supply originating from the lateral perforator branches of the 7th-10th intercostal arteries were used to repair the wounds of 6 patients with burn wounds in elbows, forearm, wrists and palms. The pedicles were (16. 0 cm x 12. 0 cm) - (9. 0 cm x 7.0 cm) in area, and the pedicles were severed 18 to 21 days after the operation. The survival and the appearance of the flaps were observed after operation.
RESULTSThe procedure was easy and safe, and there was reliable and adequate blood supply in the lateral intercostal perforator-based pedicled flap. All the flaps survived in 5 patients, except marginal necrosis (3.5 cm x 2. 0 cm) was found in the distal portion of flap because flap cutting exceeded the paraumbilical line. The appearance was satisfactory after operation.
CONCLUSIONThis flap is suitable for the repair of deep wounds in hands, forearms, and elbows.
