Friday 18 October 2019

Wrist wound - Abdominal flap coverage




Patient presented with wound over the left wrist. The important tendons of the wrist flexor aspect and radial artery was exposed. 
History of injection of chemotherapy agents for cancer breast was present. 
Post chemotherapy the skin over the left wrist on the volar aspect turned black and had to be debrided. 
After debridement the the vital structures of the wrist were exposed. 
The wound was closed by using an Abdominal flap.
An inferiorly based abdominal flap was elevated and was inset in to the wound. 
Flap was divided after 3 weeks and donor site was closed primarily. There were no donor site complications.