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This case report details the challenging management of a 3-year-old girl with a severe left-hand extension contracture resulting from a scald burn. Delayed presentation prompted a 2-stage surgical approach. The first stage involved excising contracted skin and using a groin flap for reconstruction.

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Background: The evolution of reconstructive surgery techniques has significantly improved the management of soft tissue defects across various anatomical regions. In 1972, McGregor et al. devised a pivotal method for generating a flap to cover hand defects.

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Inguinal skin flap necrosis (SFN) is a significant clinical problem associated with inguinal lymph node dissection (ILND). The aetiology of SFN is multifactorial, and its manifestations vary widely. Thermal damage caused by electrocautery during the elevation of the skin flap may contribute to this problem, which has not been studied previously.

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Article Synopsis
  • This study examines the use of muscle flap reconstruction for patients who developed complications at the groin site after undergoing venous-arterial extracorporeal membrane oxygenation (VA-ECMO), which is often necessary for patients with severe medical issues.
  • Fifteen patients were analyzed, with common issues including groin lymphocele and exposed femoral vessels; the most frequently used reconstruction method was a rectus femoris flap.
  • The results indicated that muscle flap reconstruction was generally successful, with no cases of lymphocele recurrence and minimal flap-specific complications, although some patients did experience other postoperative issues.
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Hand and wrist complete degloving: A case report and litterature review.

Ann Chir Plast Esthet

October 2024

Department of Plastic and Reconstructive Surgery, Institut Universitaire Locomoteur et du Sport, Pasteur 2 Hospital, University Côte d'Azur, Nice, France. Electronic address:

Introduction: Complete hand degloving injuries are traumatic avulsion injuries causing the skin to pull away from the underlying tissues and are most often caused by industrial machinery. We present the case of a degloving trauma of the whole fingers, hand, and wrist resulting in a "watch hand" by analogy with the "ring finger" and discuss alternatives and recommendations from the rare cases described of similar traumas.

Case Presentation: A 33-year-old manual worker, a non-smoker with no significant medical or surgical comorbidities, was admitted for a complete skin avulsion of the left hand and wrist following a work-related accident with a trommel-type industrial roller.

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