AI Article Synopsis
- Pedicled groin flaps are commonly used in hand surgery for soft tissue coverage, and various methods exist for immobilizing these flaps.
- The study discusses 17 patients (5 females and 12 males) who underwent groin flap reconstruction for severe injuries between 2001 and 2005 using a combination of axillary block and general anesthesia.
- This combination not only helps reduce tension or torsion on the flap during recovery but also decreases the time under general anesthesia and improves postoperative pain management.
Article Abstract
Pedicled groin flaps are still widely used as soft tissue coverage in hand surgery. Various methods have been described for immobilization of flaps, such as Ace wraps, plaster, and external fixators. The hands of 5 females and 12 males, totaling 17 patients, with severe injury were reconstructed with groin flaps between 2001 and 2005. Patients were operated on under a combination of axillary block and general anesthesia. Motor block effect of axillary anesthesia was used for immobilization of the upper extremities at groin flap coverage. A combination of axillary brachial plexus block plus general anesthesia had advantages in the prevention of pedicle tension or torsion during the initial recovery period. Reduction of general anesthesia time and improvement of postoperative pain were also observed. Axillary brachial plexus block and general anesthesia are a preferred combination for patients undergoing groin flap operations.
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| http://dx.doi.org/10.1097/BTH.0b013e3181590791 | DOI Listing |
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