{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T04:05:51Z","timestamp":1747109151286,"version":"3.40.5"},"reference-count":11,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:p>Flap coverage of soft tissue defects on both surfaces of the hand or of nonadjacent defects in the hand is a challenge. Two flaps are needed or if a single flap is used, the intervening normal area or part of the flap must be deepithelialized or the flap tunneled under the normal bridge segment. We are presenting a new technique whereby the hypogastric flap based on the superficial inferior epigastric artery is split into 2 components for the coverage of such defects. The hypogastric flap is separated into a cutaneous component and an adipofascial component at the level of Scarpa fascia. The flaps are separated almost to the base to increase mobility. Now it can be used to cover 2 defects separated by 5 to 7\u2009cm or for defects in the dorsum and the palm. We have used it in 3 patients, in 2 for the coverage of palmar and dorsal aspect of the hand and in one for the coverage of nonadjacent defects on the dorsum of the hand and distal forearm after postburn contracture release. We achieved good results with no flap-related complications.<\/jats:p>","DOI":"10.1097\/bth.0000000000000331","type":"journal-article","created":{"date-parts":[[2020,12,24]],"date-time":"2020-12-24T15:51:10Z","timestamp":1608825070000},"page":"191-196","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Pedicled Split Hypogastric Flap (Superficial Inferior Epigastric Artery flap): A New Technique for Coverage of Nonadjacent Defects in the Hand"],"prefix":"10.1097","volume":"25","author":[{"given":"Shanmuganathan Raja","family":"Sabapathy","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Murugesan","family":"Senthilkumaran","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Monusha","family":"Mohan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","published-online":{"date-parts":[[2021,9]]},"reference":[{"key":"R1-20250512","doi-asserted-by":"crossref","first-page":"149","DOI":"10.1177\/095952876304600114","article-title":"Case of extreme deformity of the neck and forearm from the cicatrices of a burn, cured by extension, excision, and transplantation of skin, adjacent and remote","volume":"46","author":"Wood","year":"1863","journal-title":"J R Soc Med"},{"key":"R2-20250512","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1016\/S0007-1226(72)80003-1","article-title":"The groin flap","volume":"25","author":"McGregor","year":"1972","journal-title":"Br J Plast Surg"},{"key":"R4-20250512","first-page":"298","article-title":"Use of thinned flaps (flap grafts) in reparative hand surgery","volume":"12","author":"Colson","year":"1967","journal-title":"Ann Chir Plast"},{"key":"R5-20250512","doi-asserted-by":"crossref","first-page":"400","DOI":"10.1016\/j.burns.2007.03.025","article-title":"Super-thin abdominal skin pedicle flap for the reconstruction of hypertrophic and contracted dorsal hand burn scars","volume":"34","author":"Gousheh","year":"2008","journal-title":"Burns"},{"key":"R6-20250512","doi-asserted-by":"crossref","first-page":"243","DOI":"10.1097\/00006534-197509000-00001","article-title":"The anatomy of several free flap donor sites","volume":"56","author":"Taylor","year":"1975","journal-title":"Plast Reconstr Surg"},{"key":"R7-20250512","doi-asserted-by":"crossref","first-page":"657","DOI":"10.1097\/00006534-198411000-00011","article-title":"Blood supply of the abdomen revisited, with emphasis on the superficial inferior epigastric artery","volume":"74","author":"Hester","year":"1984","journal-title":"Plast Reconstr Surg"},{"key":"R8-20250512","doi-asserted-by":"crossref","first-page":"515","DOI":"10.1016\/j.bjps.2004.04.019","article-title":"An anatomical study of the superficial inferior epigastric vessels in humans","volume":"57","author":"Reardon","year":"2004","journal-title":"Br J Plast Surg"},{"key":"R10-20250512","doi-asserted-by":"crossref","first-page":"185","DOI":"10.1016\/j.hcl.2014.01.002","article-title":"Indications, selection and use of distant pedicled flaps in upper limb reconstruction","volume":"30","author":"Sabapathy","year":"2014","journal-title":"Hand Clin"},{"key":"R11-20250512","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1177\/1753193412443661","article-title":"Mini-abdominal flaps for preservation of digital length in an 18-month old child","volume":"38","author":"Mathew","year":"2013","journal-title":"J Hand Surg Eur Vol"},{"key":"R12-20250512","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1097\/01.SAP.0000032305.93832.9B","article-title":"Bimodal distribution of the blood supply to lower abdominal fat: histological study of the microcirculation of the lower abdominal wall","volume":"50","author":"El-Mrakby","year":"2003","journal-title":"Ann Plast Surg"},{"key":"R13-20250512","doi-asserted-by":"crossref","first-page":"233","DOI":"10.1097\/01.PRS.0000095948.03605.20","article-title":"Superficial circumflex iliac artery perforator flap for reconstruction of limb defects","volume":"113","author":"Koshima","year":"2004","journal-title":"Plast Reconstr Surg"}],"container-title":["Techniques in Hand &amp; Upper Extremity Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/10.1097\/BTH.0000000000000331","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,12]],"date-time":"2025-05-12T16:09:22Z","timestamp":1747066162000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1097\/BTH.0000000000000331"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,12,18]]},"references-count":11,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2021]]}},"URL":"https:\/\/doi.org\/10.1097\/bth.0000000000000331","relation":{},"ISSN":["1531-6572"],"issn-type":[{"type":"electronic","value":"1531-6572"}],"subject":[],"published":{"date-parts":[[2020,12,18]]}}}