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Bibliographic Details
Main Authors: Axell Daniel Lugo Rodríguez M.D., José de Jesús Zapata Rosales M.D., María de Jesús Valdéz Rivera M.D., Isabel Híjar Cabello M.D., José Martín Hinojosa Rodríguez M.D., Héctor Abraham Peralta Ruíz M.D.
Format: Recurso digital
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Published: Zenodo 2026
Online Access:https://doi.org/10.5281/zenodo.20373077
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Table of Contents:
  • <p class="MsoNormal"><strong><span>Background:</span></strong><span> Soft tissue defects of the dorsal hand with exposure of tendons and other vital structures represent a major reconstructive challenge. Although microsurgical free flaps are currently considered the preferred option for complex hand reconstruction, limited availability of specialized resources and surgical expertise may restrict their use in certain settings. In such circumstances, pedicled flaps continue to represent a reliable and effective alternative for soft tissue coverage.<br>We present the case of a patient with a complex dorsal hand soft tissue defect managed using a pedicled abdominal flap. Following adequate debridement and wound preparation, reconstruction was performed with an abdominal flap to achieve stable coverage of the exposed structures and preserve hand function. The postoperative course was favorable, with adequate flap viability and satisfactory functional and aesthetic outcomes.<br>Despite the advances in microsurgical reconstruction, abdominal flaps remain a valuable option in selected patients, particularly in resource-limited environments or when free tissue transfer is contraindicated. This technique provides durable coverage, technical simplicity, and acceptable functional results, maintaining its relevance in contemporary reconstructive hand surgery</span></p> <p class="MsoNormal"><strong><span>Keywords:</span></strong><span> <span> </span>Pedicled flap, hand reconstruction.</span></p>