单孔腹腔镜网膜游离皮瓣：用于手背缺损的重建，供区疤痕极小。
The Single-port Laparoscopic Omental Free Flap: Reconstruction of Dorsal Hand Defects with Negligible Donor-site Scar.
作者信息
Scharfetter Sandra, Schwaiger Karl, Entschev Alexandra, Weiss Helmut, Wechselberger Gottfried
机构信息
From the Department of Plastic, Aesthetic and Reconstructive Surgery, Hospital of the Brothers of St. John of Gods, Paracelsus Medical University, Salzburg, Austria.
Department of General Surgery, Hospital of the Brothers of St. John of Gods, Paracelsus Medical University, Salzburg, Austria.
出版信息
Plast Reconstr Surg Glob Open. 2023 Dec 19;11(12):e5476. doi: 10.1097/GOX.0000000000005476. eCollection 2023 Dec.
The reconstruction of complex dorsal hand injuries can be challenging. For coverage of dorsal hand defects, thin flap tissue is preferred. In addition, it is ideal to raise flaps with minimal donor-site morbidity and a discrete scar. In a 65-year-old obese man, we successfully reconstructed a soft-tissue defect measuring 7 × 5 cm at the dorsal hand with an omental free flap harvested through single-port laparoscopy. Our patient regained hand function and is satisfied with the aesthetic results. We propose the single-port laparoscopic omental free flap to be a suitable option for free flap dorsal hand reconstruction, especially in obese patients with small defects. The technique provides a thin free tissue with a concomitant negligible donor-site scar.
复杂的手背损伤重建颇具挑战性。对于手背缺损的覆盖，薄皮瓣组织更佳。此外，理想的皮瓣切取方式是供区并发症最少且瘢痕不明显。在一名65岁的肥胖男性患者中，我们通过单孔腹腔镜切取大网膜游离皮瓣，成功重建了手背一处7×5厘米的软组织缺损。我们的患者恢复了手部功能，对美学效果也很满意。我们认为单孔腹腔镜大网膜游离皮瓣是手背游离皮瓣重建的合适选择，尤其是对于缺损较小的肥胖患者。该技术可提供薄的游离组织，同时供区瘢痕可忽略不计。
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