Pedicled Abdominal Flap in the Youngest Patient Yet? A Case Report of a Newborn with Neonatal Compartment Syndrome
Pedicled abdominal flaps continue to be popular in most parts of the world for covering soft tissue defects of the upper limb. There is apprehension if distant pedicled flaps can be used in children for fear of disruption. We recently had a newborn baby with neonatal compartment syndrome (NCS) of he...
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| Series: | Indian Journal of Plastic Surgery |
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| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0044-1801788 |
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| author | S. Raja Sabapathy A. Dharanipriya Monusha Mohan Subramanian Ramani M. Selvaraj R. Raja Shanmuga Krishnan |
| author_facet | S. Raja Sabapathy A. Dharanipriya Monusha Mohan Subramanian Ramani M. Selvaraj R. Raja Shanmuga Krishnan |
| author_sort | S. Raja Sabapathy |
| collection | DOAJ |
| description | Pedicled abdominal flaps continue to be popular in most parts of the world for covering soft tissue defects of the upper limb. There is apprehension if distant pedicled flaps can be used in children for fear of disruption. We recently had a newborn baby with neonatal compartment syndrome (NCS) of her left upper limb in whom a pedicled abdominal flap was successfully used to cover the raw area in the forearm at 41 days of life. A severely swollen limb with ischemic skin lesions associated with lack of motion of the upper limb often points to NCS. Since no guidelines exist for the diagnosis and management of NCS, a high index of suspicion and urgent fasciotomy are required to limit its sequelae. Our patient had an emergency fasciotomy elsewhere was referred to us with a precariously viable limb for salvage. The raw area in the forearm with exposed bone was successfully covered with a pedicled abdominal flap at 41 days of life. Our patient is probably the youngest patient ever to receive a pedicled abdominal flap. |
| format | Article |
| id | doaj-art-1197ac07b08f4605b06daf63b1874477 |
| institution | Kabale University |
| issn | 0970-0358 1998-376X |
| language | English |
| publisher | Thieme Medical Publishers, Inc. |
| record_format | Article |
| series | Indian Journal of Plastic Surgery |
| spelling | doaj-art-1197ac07b08f4605b06daf63b18744772025-01-18T00:14:29ZengThieme Medical Publishers, Inc.Indian Journal of Plastic Surgery0970-03581998-376X10.1055/s-0044-1801788Pedicled Abdominal Flap in the Youngest Patient Yet? A Case Report of a Newborn with Neonatal Compartment SyndromeS. Raja Sabapathy0A. Dharanipriya1Monusha Mohan2Subramanian Ramani3M. Selvaraj4R. Raja Shanmuga Krishnan5Department of Plastic, Hand and Reconstructive Microsurgery, Ganga Hospital, Coimbatore, Tamil Nadu, IndiaDepartment of Plastic, Hand and Reconstructive Microsurgery, Ganga Hospital, Coimbatore, Tamil Nadu, IndiaDepartment of Plastic, Hand and Reconstructive Microsurgery, Ganga Hospital, Coimbatore, Tamil Nadu, IndiaDepartment of Paediatrics and Neonatology, Ganga Women, Child & Speciality Centre, Coimbatore, Tamil Nadu, IndiaDepartment of Paediatrics and Neonatology, Ganga Women, Child & Speciality Centre, Coimbatore, Tamil Nadu, IndiaDepartment of Plastic, Hand and Reconstructive Microsurgery, Ganga Hospital, Coimbatore, Tamil Nadu, IndiaPedicled abdominal flaps continue to be popular in most parts of the world for covering soft tissue defects of the upper limb. There is apprehension if distant pedicled flaps can be used in children for fear of disruption. We recently had a newborn baby with neonatal compartment syndrome (NCS) of her left upper limb in whom a pedicled abdominal flap was successfully used to cover the raw area in the forearm at 41 days of life. A severely swollen limb with ischemic skin lesions associated with lack of motion of the upper limb often points to NCS. Since no guidelines exist for the diagnosis and management of NCS, a high index of suspicion and urgent fasciotomy are required to limit its sequelae. Our patient had an emergency fasciotomy elsewhere was referred to us with a precariously viable limb for salvage. The raw area in the forearm with exposed bone was successfully covered with a pedicled abdominal flap at 41 days of life. Our patient is probably the youngest patient ever to receive a pedicled abdominal flap.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0044-1801788neonatal compartment syndromefasciotomypedicled flapchildrenabdominal flap |
| spellingShingle | S. Raja Sabapathy A. Dharanipriya Monusha Mohan Subramanian Ramani M. Selvaraj R. Raja Shanmuga Krishnan Pedicled Abdominal Flap in the Youngest Patient Yet? A Case Report of a Newborn with Neonatal Compartment Syndrome Indian Journal of Plastic Surgery neonatal compartment syndrome fasciotomy pedicled flap children abdominal flap |
| title | Pedicled Abdominal Flap in the Youngest Patient Yet? A Case Report of a Newborn with Neonatal Compartment Syndrome |
| title_full | Pedicled Abdominal Flap in the Youngest Patient Yet? A Case Report of a Newborn with Neonatal Compartment Syndrome |
| title_fullStr | Pedicled Abdominal Flap in the Youngest Patient Yet? A Case Report of a Newborn with Neonatal Compartment Syndrome |
| title_full_unstemmed | Pedicled Abdominal Flap in the Youngest Patient Yet? A Case Report of a Newborn with Neonatal Compartment Syndrome |
| title_short | Pedicled Abdominal Flap in the Youngest Patient Yet? A Case Report of a Newborn with Neonatal Compartment Syndrome |
| title_sort | pedicled abdominal flap in the youngest patient yet a case report of a newborn with neonatal compartment syndrome |
| topic | neonatal compartment syndrome fasciotomy pedicled flap children abdominal flap |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0044-1801788 |
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