Burn Surgery and ResearchSuperthin Abdominal Wall Glove-Like Flap Combined With Vacuum-Assisted Closure Therapy for Soft Tissue Reconstruction in Severely Burned Hands or With InfectionWang, Fei MM, PhD; Liu, Sheng MM; Qiu, Le BM; Ma, Ben BM; Wang, Jian BM; Wang, Yong-Jie BM; Peszel, April MBBS; Chen, Xu-Lin MD Author Information From the Department of Burns, the First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, PR China. Received March 3, 2015, and accepted for publication, after revision June 18, 2015. Fei Wang, Sheng Liu, and Le Qiu contributed equally to this work and are joint first authors. Conflicts of interest and sources of funding: none declared. Reprints: Xu-Lin Chen, MD, Department of Burns, the First Affiliated Hospital of Anhui Medical University, 218 Jixi Road, Hefei, Anhui 230022, PR China. E-mail: [email protected]. Annals of Plastic Surgery: December 2015 - Volume 75 - Issue 6 - p 603-606 doi: 10.1097/SAP.0000000000000602 Buy Metrics Abstract Severe burn and infection to hands always involves the deep structures, such as tendons, joints, and bones. These wounds cannot be closed immediately and therefore creates a high risk for complication. We presented 9 cases with deep dermal burns to the dorsal of the hand (6 electrical burns and 3 thermal crush injuries) with wound infections in 2 cases. The vacuum-assisted closure system was used continuously until the flap reconstruction was performed. A random pattern and superthin abdominal wall skin flap-like glove was designed. The flap was transferred to the defected portion of the dorsum of the hand and resected from the abdominal wall about 3 weeks later. The flaps in 8 of the patients treated by this technique survived completely and partial necrosis of the distal flap occurred in 1 patient. The defect resolved after operative treatment and the function of the hands and fingers were successfully salvaged. All patients resulted in having a satisfactory aesthetic outcome with no or minor discomfort at the abdominal donor area. Integration of the vacuum-assisted closure system and the superthin abdominal wall glove-like flap reconstruction appeared to be successful and should be considered in patients with severely burned hands. Copyright © 2015 Wolters Kluwer Health, Inc. All rights reserved.