Case series of inguinal pedicle-flap to cover hand ulcers: Our experience from northern Tanzania. (July 2022)

• Record Type: Journal Article
• Authors: Lodhia, Jay; Jusabani, Mubashir; Urassa, Ellyagape; Lyimo, Prisca; Msuya, David
• Is Part Of: International journal of surgery case reports. Volume 96(2022)
• Publication Date: 2022-07
• Subjects: Case series -- Groin flap -- Hand ulcer -- Inguinal pedicle flap -- Limb salvage -- Tanzania; Surgery -- Periodicals; Surgical Procedures, Operative -- Periodicals; Surgery; Electronic journals; Periodicals; 617.005
• DOI: 10.1016/j.ijscr.2022.107339
• Languages: English
• ISSNs: 2210-2612

Abstract

Abstract: Introduction and importance: The superficial circumflex iliac artery perforator flap is a widely used and acceptable option of free tissue transfer for small and large defects due to its ease of dissection and adjustable pedicle length. Case presentation: Herein we present our experience with two similar cases of hand ulcers with differing aetiologies that were managed successfully at our tertiary centre by general surgeons to cover the defects in order to salvage the hand. Clinical discussion: The pedicle groin flap was first described in 1972 and still indicated and used widely in hand resurfacing. It has shown to be reliable with minimal peri-operative complications. Conclusion: Groin flap donor skin provides adequate skin for coverage with versatile skin, but come at a cost of specialize expertise, resources and risks. Highlights: Tissue loss of the hands is common and the etiologies can vary. In many LMIC microsurgery is uncommonly practiced due to the lack of personele hence pedicle flap can be of only choice. Groin flaps should be considered when free flaps are either not indicated or feasible.