Using bipedicle abdominal flap to save left forearm and arm following a high-voltage electrical burn

authors:

avatar Ali Karbalaeikhani 1 , avatar Hossein Saremi 2 , *

Department of Hand and Microsurgery, Emam Reza Hospital, AJA University of Medical Sciences, Tehran, Iran, Andorra
Department of Hand and Microsurgery, Besat Hospital, Hamedan University of Medical Sciences, Hamedan, Iran, Andorra
Annals of Military and Health Sciences Research: Vol.12, issue 3; e63271
published online: September 23, 2014
article type: Case Report
received: July 09, 2014
accepted: August 20, 2014

how to cite: Karbalaeikhani A , Saremi H . Using bipedicle abdominal flap to save left forearm and arm following a high-voltage electrical burn. Ann Mil Health Sci Res. 2014;12(3):e63271. 

Abstract

Case Presentation: A 23 years old man who had suffered high voltage electrical injury referred to our center. He had severe left upper extremity burn and suffered from head and thoracic injuries due to falling down from high    altitude.

Treatment: Fasciotomy of the left forearm was done. Muscle damage and myoglobinuria were managed. Early reconstruction was performed for prevention of tendons and nerve necrosis. Because of circumferential burning of the left forearm, bipedicle abdominal flap at the skin of  left lower thorax and the abdomen was done. Skin necrosis of the flap at the lateral epicondyle area of the bipedicle abdominal flap occurred. Latissimus dorsi muscle pedicle flap was used     for coverage of the lateral epicondyle   area.

Learned Lessons: Local flap necrosis is an important complication of the bi-pedicle abdominal flap.

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