MICROSURGERY IN WAR WOUNDS

By: LUIS EDUARDO BERMUDEZ R. MD. PLASTIC SURGEON.

CLINICAL CASE Nº 1.

HIGH VELOCITY GUNSHOT WOUND IN THE FOREARM

Preoperative picture: palmar view of the wound.

Preoperative picture: dorsal view of the wound.

Picture of the free flap, in fact there are to flaps (latissimus dorsi and scapular) with one pedicle (subscapular vessels). The radial artery and comitant veins are used as recipient vessels; the latissimus dorsi muscle is used to cover the palm and the scapular skin the dorsum.

Four month postoperative picture, palmar view. (Grafted Latissimus Dorsi muscle flap).

Four month postoperative picture, dorsal view. (Scapular skin flap).