case_images: PMC10800593_01
case_images: The wound demarcation and escharotomy result at first admission.
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case_images: PMC10800593_01_gr1.jpg
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case_images: Fig. 1 showed that the hand was pressed for approximately 30 s before he could undo and escape the machine pressing mechanism.
case_images: Condition of the hand with fragile blood vessels that were tied with silk before being covered with an abdominal.
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case_images: PMC10800593_01_gr2.jpg
case_images: f0010
case_images: Given the abundance of fragile blood vessels in the palmar area, it was decided to proceed with immediate wound coverage using a pedicled abdominal flap to preserve the hand (Fig. 2).
case_images: Design of the abdominal flap and the condition immediately after the hand being attached to the abdomen.
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case_images: PMC10800593_01_gr3.jpg
case_images: f0015
case_images: For this patient, we created a pedicle based on the superficial circumflex iliac artery (SCIA) vascularized abdominal skin area, and then anchored the skin to the abdominal wall with simple interrupted sutures (Fig. 3).
case_images: Post pedicled flap division.
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case_images: PMC10800593_01_gr4.jpg
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case_images: After three weeks, the flap was completely divided as described on Fig. 4.
case_images: Flap appearances after thinning procedure.
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case_images: PMC10800593_01_gr5.jpg
case_images: f0025
case_images: During the liposuction procedure, we obtained approximately 40 ml of fat and created a thinner flap as described on Fig. 5.
case_images: Appearances of 2nd-3rd digits, 4th-5th digits, and 3rd-4th digits (respectively from left to right) after separations procedure.
case_images: gr6.jpg
case_images: PMC10800593_01_gr6.jpg
case_images: f0030
case_images: The last post-operative results are showed in Fig. 6, nine weeks after the first digit separation surgery.