An Abdominal Flap to Save the Right Forearm and the Hand, Following a High-voltage Electric Burn in a Child: A Case Report

Abstract

High - voltage electric burns are very rare in children. This is a report of a seven years old boy, who presented 20 days after severe burns following a contact with a high - voltage electric line during playing. He was treated for the above at another hospital and was referred for further management. His clinical examination revealed; exposed skull bones, a raw area over the right side of the chest wall and a raw area over the right upper limb, which completely exposed the distal radius and the ulnar bones. After properly explaining the purpose of the operation to his parents and getting their consent, the exposed skull bones were covered with multiple pedicle scalp flaps. A bipedicle abdominal flap was used to cover the exposed right forearm bones and a skin grafting was also provided to the chest wall wound at the same time. The abdominal flap was detached safely after three weeks. He withstood the above operations well and was discharged six weeks after the above operations. The bipedicle abdominal flap helped in saving his right forearm and hand and the reason for the publication of this case is its rarity in children.

Versatility of Paraumbilical Perforator Flap for Upper Limb Reconstruction

“…They are suitable alternative to free aps as the recipient blood vessels may be thrombosed or extensive dissection may damage the established collateral blood ow . Pedicled aps are preferred over the free [19] aps in frail elderly patients with multiple life-threatening comorbid illnesses. Free aps are associated with more number of postoperative complications in spite of their success in these particular patients [20,21,22 ] .Coverage of amputated stump of the thumb or multiple ngers by pedicled ap is a well-established entity .…”

Thoracoumbilical Flap: Anatomy, Technique, and Clinical Applications in Upper Limb Reconstruction in the Era of Microvascular Surgery

“…They are the more straightforward alternative to free flaps as the recipient blood vessels may be thrombosed or extensive dissection may damage the established collateral blood flow. 18 The authors selected TUF as it is better over the groin and abdominal flaps for proximal and mid-forearm defects and allows better comfort. 2 Pedicled flaps are preferred over the free flaps in frail elderly patients with multiple life-threatening comorbid illnesses.…”

Novel, standardized pre-clinical surgical animal model to investigate the cellular and molecular mechanisms of ischemic flap healing

“…SIEA and SIEV branch from the femoral artery/vein in the left and right groin regions. In clinical practice, SIEA-based epigastric aps are used either as unipedicled or bipedicled advancement or transposition aps to cover ipsilateral or contralateral wounds on the abdomen, perineum or hindlimbs, or as free aps to repair facial or distant breast defects as a result of trauma, burns, tumor resection or infection (49)(50)(51)(52)(53)(54)(55)(56)(57). First, we create a full-thickness soft tissue defect in the upper abdomen region: a piece of fasciocutaneous tissue measuring between 0.5×3 cm and 1×3cm is excised from the top portion of a ap prior to its elevation.…”