The Single-port Laparoscopic Omental Free Flap: Reconstruction of Dorsal Hand Defects with Negligible Donor-site Scar

Sandra Scharfetter; Karl Schwaiger; Alexandra Entschev; H Weiss; G Wechselberger

doi:10.1097/GOX.0000000000005476

The Single-port Laparoscopic Omental Free Flap: Reconstruction of Dorsal Hand Defects with Negligible Donor-site Scar

Sandra Scharfetter^* (First author), Karl Schwaiger (Co-author), Alexandra Entschev (Co-author), H Weiss (Co-author), G Wechselberger (Last author)

^*Corresponding author for this work

Research output: Contribution to journal › Case report › peer-review

Abstract

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 x 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.

Original language	English
Journal	Plastic and reconstructive surgery. Global open.
Volume	11
Issue number	12
DOIs	https://doi.org/10.1097/GOX.0000000000005476
Publication status	Published - 2023

Keywords

GREATER OMENTUM
INJURIES

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10.1097/GOX.0000000000005476

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title = "The Single-port Laparoscopic Omental Free Flap: Reconstruction of Dorsal Hand Defects with Negligible Donor-site Scar",

abstract = "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 x 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.",

keywords = "GREATER OMENTUM, INJURIES",

author = "Sandra Scharfetter and Karl Schwaiger and Alexandra Entschev and H Weiss and G Wechselberger",

note = "Lehr-KH Barmherziger Br{\"u}der Salzburg; Scharfetter, Schwaiger, Wechselberger: Department of Plastic, Aesthetic and Reconstructive Surgery, Hospital of the Brothers of St. John of Gods, Paracelsus Medical University, Salzburg, Austria; Entschev, Weiss: Department of Plastic, Aesthetic and Reconstructive Surgery, Hospital of the Brothers of St. John of Gods, Paracelsus Medical University, Salzburg, Austria",

year = "2023",

doi = "10.1097/GOX.0000000000005476",

language = "English",

volume = "11",

journal = "Plastic and reconstructive surgery. Global open.",

issn = "2169-7574",

publisher = "Lippincott Williams & Wilkins ",

number = "12",

}

The Single-port Laparoscopic Omental Free Flap: Reconstruction of Dorsal Hand Defects with Negligible Donor-site Scar. / Scharfetter, Sandra (First author); Schwaiger, Karl (Co-author); Entschev, Alexandra (Co-author) et al.
In: Plastic and reconstructive surgery. Global open., Vol. 11, No. 12, 2023.

Research output: Contribution to journal › Case report › peer-review

TY - JOUR

T1 - The Single-port Laparoscopic Omental Free Flap: Reconstruction of Dorsal Hand Defects with Negligible Donor-site Scar

AU - Scharfetter, Sandra

AU - Schwaiger, Karl

AU - Entschev, Alexandra

AU - Weiss, H

AU - Wechselberger, G

N1 - Lehr-KH Barmherziger Brüder Salzburg; Scharfetter, Schwaiger, Wechselberger: Department of Plastic, Aesthetic and Reconstructive Surgery, Hospital of the Brothers of St. John of Gods, Paracelsus Medical University, Salzburg, Austria; Entschev, Weiss: Department of Plastic, Aesthetic and Reconstructive Surgery, Hospital of the Brothers of St. John of Gods, Paracelsus Medical University, Salzburg, Austria

PY - 2023

Y1 - 2023

N2 - 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 x 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.

AB - 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 x 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.

KW - GREATER OMENTUM

KW - INJURIES

U2 - 10.1097/GOX.0000000000005476

DO - 10.1097/GOX.0000000000005476

M3 - Case report

C2 - 38115831

SN - 2169-7574

VL - 11

JO - Plastic and reconstructive surgery. Global open.

JF - Plastic and reconstructive surgery. Global open.

IS - 12

ER -

The Single-port Laparoscopic Omental Free Flap: Reconstruction of Dorsal Hand Defects with Negligible Donor-site Scar

Abstract

Keywords

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