J Wound Manag Res.  2019 Sep;15(2):138-141. 10.22467/jwmr.2019.00745.

A Novel Dressing Method Using a Silicone Sheet to Maintain Distant Abdominal Flaps after Reconstruction of Finger Skin Defects

  • 1Department of Plastic and Reconstructive Surgery, Jeju National University College of Medicine, Jeju, Korea. almostfree@hanmail.net


The distant abdominal flap has long been used in hand reconstruction due to its stability and minimal complications at the donor site. After the distant abdominal flap is performed, the hand should remain attached to the abdomen for 3 weeks. Keeping this attachment stable without any kinking of the flap is crucial. In this report, a distant abdominal flap was used to reconstruct defects in skin on a finger after trauma, and a silicone sheet was used to reinforce the area as to prevent kinking of the abdominal flap. The flap was successfully kept in position without kinking or tension until it was detached. Reinforcing a flap with a silicone sheet may work as an effective wound dressing method that prevents kinking in pedicle flaps.


Surgical flaps; Silicone; Wound healing
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