CC BY-NC-ND 4.0 · J Reconstr Microsurg Open 2018; 03(01): e28-e31
DOI: 10.1055/s-0038-1649490
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

From Mitten Hand to Five Individual Fingers: One-Stage Coverage Using a Deep Inferior Epigastric Perforator Free Flap for an Extensive Degloving Hand Injury

Min Ji Kim
1  Plastic and Reconstructive Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea
Bo Young Park
2  Department of Plastic and Reconstructive Surgery, Ewha Womans University Mokdong Hospital, Seoul, South Korea
› Author Affiliations
Funding Dr. Kim reports grants from Ewha Womans University, during the conduct of the study.
Further Information

Publication History

13 September 2017

21 March 2018

Publication Date:
08 May 2018 (online)



Coverage of hands with degloving injuries is currently being investigated, but it typically involves combinations of free flap operations to cover wide dimensions. In this study, the deep inferior epigastric perforator (DIEP) flap was successfully used to salvage a severely injured hand. After performing an open wound coverage with a flap operation, we did several minimal division operations under local anesthesia, which is a logical surgical option when the patient suffers from general deterioration immediately following significant trauma. We believe that this application of DIEP flap allows for a shorter operation time, decreased rates of infection for one-step coverage, and a higher chance of functional digit division compared with conventional methods.