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2025, Number 4

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Cir Plast 2025; 35 (4)

McGregor inguinal flap for hand coverage

Bautista-Ley OA, Rodríguez-Ruíz JA, Valdivieso-Sánchez A
Full text How to cite this article 10.35366/122086

DOI

DOI: 10.35366/122086
URL: https://dx.doi.org/10.35366/122086

Language: Spanish
References: 10
Page: 193-196
PDF size: 1107.00 Kb.


Key words:

surgical flaps, inguinal flaps, upper limb, hand injuries.

ABSTRACT

The treatment of large skin defects continues to be a significant challenge in reconstructive surgery, particularly for limb injuries, due to the functional impairment and loss of patient autonomy they require. Throughout history, various surgical techniques have been developed to address such cases. Among them, the pediculate inguinal flap, described in the 1970s and based on the superficial circumflex iliac artery, has proven to be a safe, versatile and technically accessible option with satisfactory results, even today. We present the case of a patient with crush injury in one finger of the right hand, covered with an inguinal flap, the first procedure of this type in our unit. Adequate coverage with preserved function was achieved. This case reaffirms the validity of classical techniques in complex scenarios, highlighting their usefulness within the current reconstructive arsenal.


REFERENCES

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  2. Starnoni M, Benanti E, Acciaro AL, De Santis G. Upper limb traumatic injuries: a concise overview of reconstructive options. Ann Med Surg (Lond). 2021; 66: 102418. doi: 10.1016/j.amsu.2021.102418.

  3. Al-Qattan MM, Al-Qattan AM. Defining the indications of pedicled groin and abdominal flaps in hand reconstruction in the current microsurgery era. J Hand Surg Am. 2016; 41 (9): 917-927. doi: 10.1016/j.jhsa.2016.06.006.

  4. Goertz O, Kapalschinski N, Daigeler A, Hirsch T, Homann HH, Steinstraesser L et al. The effectiveness of pedicled groin flaps in the treatment of hand defects: results of 49 patients. J Hand Surg Am. 2012; 37 (10): 2088-2094. doi: 10.1016/j.jhsa.2012.07.014.

  5. Chuang DC, Colony LH, Chen HC, Wei FC. Groin flap design and versatility. Plast Reconstr Surg. 1989; 84 (1): 100-107. doi: 10.1097/00006534-198907000-00019.

  6. Wagner RD, Carr L, Netscher DT. Current indications for abdominal-based flaps in hand and forearm reconstruction. Injury. 2020; 51 (12): 2916-2921. doi: 10.1016/j.injury.2020.02.105.

  7. Goh TLH, Park SW, Cho JY, Choi JW, Hong JP. The search for the ideal thin skin flap: superficial circumflex iliac artery perforator flap--a review of 210 cases. Plast Reconstr Surg. 2015; 135 (2): 592-601. doi: 10.1097/PRS.0000000000000951.

  8. Jabaiti S, Ahmad M, AlRyalat SA. Reconstruction of upper extremity defects by random pedicle abdominal flap: is it still a valid option? Plast Reconstr Surg Glob Open. 2020; 8 (3): e2687. doi: 10.1097/GOX.0000000000002687.

  9. Orozco-Grados JJ, Cordova JC, Garcia GJA, Baez ADY, Gonzalez AA, Galvis DC. Groin flap for reconstruction of traumatic degloving hand injury: a report of 5 cases. World J Plast Surg. 2023; 12 (1): 63-71. doi: 10.52547/wjps.12.1.63.

  10. Jacobson L, Skladman R, Tuggle CT, Pet MA. Pedicled groin flap for reconstruction of combined first webspace and dorsal hand contracture. Eplasty. 2022; 22: e36.




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Cir Plast. 2025;35