The vascular pedicle of abdominal pedicle flap is superficial circumflex iliac artery, vein or superficial abdominal artery and vein. The donor area is large, the donor area has little influence on aesthetics, and the blood vessels do not match. It is one of the commonly used methods to repair large-area skin defects near wounds, hands and lower forearms.

1. nursing points

(1) Before operation, let the patients know the method and purpose of the operation, as well as the posture after operation, so that the patients can be fully psychologically prepared to overcome the difficulties and discomfort after operation.

(2) After the operation, the dressing should be careful. The place where the skin between the armpits and fingers touches each other should be separated by cotton pads or gauze to prevent the skin from festering due to sweating and dampness.

(3) Fix the affected limb in the chest position with adhesive tape (6cm wide) or plaster bandage after operation. Fixed good or bad direct assessment, large-scale website collection will affect the success or failure of operation. If the fixation is not firm, the movement of posture can make the pedicle twist, hinder blood circulation and delay healing, and even make the flap invalid. Due to long-term traction, the flap may also be torn off.

(4) Pay attention to the blood circulation of the flap, find the problem early and take measures in time.

(5) No smoking after operation and remain optimistic.

(6) Timely and reasonable application of antibiotics to prevent wound infection.

2. Discharge guidance

(1) Strengthen nutrition and enhance body resistance.

(2) Develop good hygiene habits and pay attention to hygiene.

(3) Carry out functional exercise in time.

(4) Review regularly.