Complications in Hands' Dorsum Reconstruction via Groin Flap: A Prospective Study
Authors/Creators
- 1. Senior Resident, Department of Plastic Surgery, Patna Medical College Hospital, Patna, Bihar, India
- 2. M. Ch, Department of Plastic Surgery, Patna Medical College Hospital, Patna, Bihar, India
Description
Introduction: The utilisation of the groin flap has been a longstanding practise in the field of reconstructive surgery for over four decades. Hand injuries are a prevalent phenomenon that necessitates effective management in order to optimise workforce productivity and alleviate the economic strain on a nation. The objective of this study was to investigate the efficacy of utilising a groin flap for the purpose of wound coverage on the dorsum of the hand. Objective: The objective of this study was to assess the efficacy of the “Groin Flap” technique for the reconstruction of defects on the dorsum of the hand in paediatric patients. Methods: This prospective study was carried out at the Department of Plastic Surgery, Patna Medical College Hospital, Patna, India. A cohort of 25 subjects were selected for the research investigation, employing a systematic sampling approach during the designated study duration. The subjects included patients who were admitted subsequent to experiencing electric burn injuries resulting in hand deformities, and subsequently underwent treatment involving the utilisation of pedicled groin flaps. Results: All paediatric patients who underwent pedicled groin flap surgery demonstrated normal functional outcomes, indicating successful treatment. Moreover, these patients exhibited the ability to independently engage in activities essential for their daily lives. All of the paediatric patients exhibited a favourable aesthetic outcome. Conclusion: The utilisation of the groin flap technique has been determined to be a valuable approach for the preservation and restoration of hand functionality. This method has consistently yielded favourable outcomes, both in terms of functional capabilities and aesthetic appearance, across various cases.
Abstract (English)
Introduction: The utilisation of the groin flap has been a longstanding practise in the field of reconstructive surgery for over four decades. Hand injuries are a prevalent phenomenon that necessitates effective management in order to optimise workforce productivity and alleviate the economic strain on a nation. The objective of this study was to investigate the efficacy of utilising a groin flap for the purpose of wound coverage on the dorsum of the hand. Objective: The objective of this study was to assess the efficacy of the “Groin Flap” technique for the reconstruction of defects on the dorsum of the hand in paediatric patients. Methods: This prospective study was carried out at the Department of Plastic Surgery, Patna Medical College Hospital, Patna, India. A cohort of 25 subjects were selected for the research investigation, employing a systematic sampling approach during the designated study duration. The subjects included patients who were admitted subsequent to experiencing electric burn injuries resulting in hand deformities, and subsequently underwent treatment involving the utilisation of pedicled groin flaps. Results: All paediatric patients who underwent pedicled groin flap surgery demonstrated normal functional outcomes, indicating successful treatment. Moreover, these patients exhibited the ability to independently engage in activities essential for their daily lives. All of the paediatric patients exhibited a favourable aesthetic outcome. Conclusion: The utilisation of the groin flap technique has been determined to be a valuable approach for the preservation and restoration of hand functionality. This method has consistently yielded favourable outcomes, both in terms of functional capabilities and aesthetic appearance, across various cases.
Files
IJPCR,Vol15,Issue7,Article79.pdf
Files
(274.2 kB)
| Name | Size | Download all |
|---|---|---|
|
md5:d68f14411e3c59bbcaa1aa5d5dbd81c3
|
274.2 kB | Preview Download |
Additional details
Dates
- Accepted
-
2023-07-10
Software
- Repository URL
- https://impactfactor.org/PDF/IJPCR/15/IJPCR,Vol15,Issue7,Article79.pdf
- Development Status
- Active
References
- 1. Celik A, Ergun O, Ozok G. Paediatric electrical injuries: A review of 38 consecutive patients. J. Paediatr. Surg. 2004; 39(8):1233–37. 2. Zubair M, Besner GE. Paediatric electrical burns: Management strategies. Burns. 1997;23 (5):413–20. 3. Robinson M, Seward PN. Electrical and lightning injuries in children. PaediatrEmerg Care. 1986;2:186–90. 4. Fordyce TA, Kelsh M, Lu ET, Sahl JD, Yager JW. Thermal burns and electrical injuries among electric utility workers, 1995–2004. Burns. 2007;33 (2):209-20. 5. Wallace BH, Cone JB, Vanderpool RD, Bond PJ, Russell JB, Caldwell FT Jr. Retrospective evaluation of admission criteria for paediatric electrical injuries. Burns. 1995;21(8):590–93. 6. George EN, Schur K, Muller M, Mills S, Brown Tl. Management of high voltage electrical injury in children. Burns. 2005;31 (4):439–44. 7. Bajaj SP. Electrical burns. In: Sarabahi S. editor. Principles and practice of burn care. 21. India: Jaypee 2010: Pp. 276-85. 8. McGregor IA, Jackson IT. The groin flap. Br J Plast Surg. 1972;25 (1):3–16. 9. Koshima I, Mardini S, Wei FC. Groin flap and superficial circumflex iliac artery perforator flap. In:Wei FC, Mardini S, editors. Flaps and reconstructive surgery. Elsevier Inc. 2009;27:358-66 10. Hettiaratchy S, Papini R. ABC of burns: Initial management of a major burn: II- assessment and resuscitation. BMJ. 2004;329 (7457):101– 03. 11. Lui P, Tildsley J, Fritsche M, Kimble RM. Electrical burns in children. J Burns and Surg wound care [Serial online]. 2003;2 (1):8. 12. Rai J, Jeschke MG, Barrow RE, Herndon DN. Electrical injuries: A 30-year review. J Trauma Inj Infect Crit Care. 1999;46(5):933–36. 13. Katherine LT, Andrew JA. Electrical burn injuries in children. Journal of Paediatrics and Child Health. 2008; 44:727. 14. Choi JY, Chung KC. The combined use of a pedicled superficial inferior epigastric artery flap and a groin flap for reconstruction of a dorsal and volar hand blast injury. Hand (NY). 2008;3(4):375–80. 15. Brooks TM, Jarman AT, Olson JL. A bilobed groin flap for coverage of traumatic injury to both the volar and dorsal hand surfaces. Can J Plast Surg. 2007 Spring;15(1):49 –51. 16. Ole G, Nicolai K, Adrien D, Tobies H, Heinz HH, Lars S, et al. The effectiveness of pedicled groin flaps in the treatment of hand defects: Results of 49 patients. The Journal of hand surgery. 2012;37(10):2088-94.