The ‘Gamgee’ turnover flap for lower limb dressing

Sir, The circumferential application of Gamgee (Gauze tissue BP) dressings over large areas of burns and wounds on the torso and proximal limbs is well-established, providing a dressing that is quick, neat and secure [1]. However, the application of Gamgee to the lower limb can sometimes be awkward. The thigh often has a bigger circumference than the leg, resulting in an excess of Gamgee over the leg and a corresponding deficiency over the thigh area (Fig. 1). An elegant method of efficiently using all the available Gamgee is to design a turnover flap from the excess Gamgee over the leg area to cover the deficient area over the thigh. The flap is designed as shown (Fig. 2), cut up to the apex at the knee and ‘turned over’ into the deficient area (Fig. 3). The resulting flap and limb dressing can then be secured with staples, SurgifixTM netting or crepe