Plastic and Reconstructive Surgery, Global Open (May 2019)

Combined Method with Free Omentum Flap and Split-thickness Skin Flap for Hand Reconstruction Following Radical Excision of an Arteriovenous Malformation

  • Takaharu Hatano, MD, PhD,
  • Hisashi Motomura, MD, PhD,
  • Ayaka Deguchi, MD,
  • Heishiro Fujikawa, MD,
  • Shusaku Maeda, MD

DOI
https://doi.org/10.1097/GOX.0000000000002186
Journal volume & issue
Vol. 7, no. 5
p. e2186

Abstract

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Summary:. The treatment for arterial venous malformation (AVM) of functionally and aesthetically important parts such as the hand is considered to be challenging. AVM existed in the right forearm and the thenar region of 55-year-old man. Combined method with free omentum flap and split-thickness skin flap was performed for hand reconstruction after radical excision of an AVM. The postoperative course was good. Seven years have passed postoperatively, and functional but aesthetical results are satisfying with no recurrence. Our operative procedure with complete resection of AVM with placement of the free omental flap to the resected area and placing back the original skin as a skin graft is considered to be an ideal curative surgical treatment of the AVM.