The clinical effect of contralateral ilioinguinal flap with subdermal vascular network for repair of hand wound

Objective To explore the clinical effects of contralateral ilioinguinal flap with subdermal vascular network for repair of hand wound. Methods From July 2014 to January 2016, 22 cases with hand skin defects were treated by contralateral ilioinguinal flap with subdermal vascular network. The pedicle division and flap plastic operation were conducted 2 to 3 weeks after flap repair. Results All the flaps survived in 22 patients. The postoperative follow-up time ranged from 6 to 13 months, with an average of 8.3 months. According to upper extremity function evaluation criteria issued by the Hand Surgery Society of the Chinese Medical Association, the results were graded as excellent in 8 cases, good in 12 cases and poor in 2 cases. The overall excellent and good rate was 90.9%. Conclusion The contralateral ilioinguinal flap with subdermal vascular network can be used to repair hand wound. After flap repair, the patients' body position is comfortable. The risk of flap torsion and avulsion is relatively small. The postoperative nursing is simple. Therefore this surgical method is reliable and worthy of clinical application. Key words: Hand injuries; Surgical flaps; Treatment outcome; Subdermal vascular network