The Sandwich Paired Abdominal Flaps Technique for Circumferential Degloving Defects of Digits

Circumferential degloving injuries of the digits are common but continue to be a challenge to achieve stable coverage. Many techniques have been used to tackle these, ranging from skin grafts to multiple free flaps. This article describes a straightforward technique of using 2 pedicled flaps from the abdominal region to simultaneously cover both the volar and dorsal aspects of the digit. The dimensions, design, and method of using the technique are explained in detail with illustrative case examples. This "sandwich" flap design is simple, reliable, does not require a delay stage and minimises the need for later debulking procedures.