Inguinal flap planning

For the treatment of severe open injuries of the hand with extensive soft tissue defects, skin grafting with a pedunculated inguinal flap is widely used. The inguinal flap was one of the first axial flaps described in the literature [5]. It was first used as a pedicled flap, then as a free flap using microvascular anastomoses. In the future, it was replaced by other, more modern and effective flaps. However, in recent years, in the treatment of hand injuries, the pedunculated inguinal flap has experienced a rebirth [4]. And this is due to its undoubted advantages over other methods of skin plastic surgery. The inguinal flap can be taken quite large, and the donor site suffers slightly. If microsurgical reconstruction is to be performed in the future, then it is better to perform it on the hand, where microvascular anastomoses have not been done before.