ArticleCureus2025
Abdominal Pedicled Flap: Alternative for Hand Reconstruction When Microsurgery Is Not an Option.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Authors and funding
3 authors.
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No grant is acknowledged in the PubMed record.
Abstract
Soft tissue defects of the dorsal hand, especially overlying tendons and other important structures, can prove to be a reconstructive challenge; though microsurgical free flaps are considered the gold standard, the lack of resources often necessitates alternative approaches. A 74-year-old male patient presented with dorsal hand loss caused by skin infection and abscess formation after prolonged use of an antebrachiopalmar splint, resulting in an 18 cm × 12 cm defect with tendon exposure and fibrin deposition. A random-pattern pedicled abdominal flap harvested from the infraumbilical right lower abdominal quadrant was transposed to the defect and secured with simple nylon 3-0 sutures, while the donor site was primarily closed. Complete functional recovery without complications was achieved after pedicle division at three weeks. Random-pattern pedicled abdominal flaps should thus be regarded as a valuable staple in upper extremity reconstruction, particularly when microsurgery is not feasible.
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