Reconstruction of the burned hand using a super-thin abdominal flap, with donor-site closure by an island deep inferior epigastric perforator flap.

A pedicled super-thin superficial inferior epigastric artery flap can provide a thin and pliable skin coverage for the hand dorsum, and debulking of the flap during elevation limits the need for secondary procedures. Simultaneously, an island deep inferior epigastric perforator flap transferred to reconstruct the flap donor site in the abdomen subsequently minimises donor-site morbidity. (c) 2009 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.