The ‘Gamgee’ turnover flap for lower limb dressing

The ‘Gamgee’ turnover flap for lower limb dressing Eur J Plast Surg (2011) 34:423 DOI 10.1007/s00238-011-0587-9 LETTER TO THE EDITOR Shaheel Chummun & Timothy S. Burge Received: 28 November 2010 /Accepted: 28 April 2011 /Published online: 13 May 2011 Springer-Verlag 2011 Sir, The circumferential application of Gamgee (Gauze tissue BP) dressings over large areas of burns and wounds on the torso and proximal limbs is well-established, provid- ing a dressing that is quick, neat and secure [1]. However, the application of Gamgee to the lower limb can sometimes be awkward. The thigh often has a bigger Fig. 2 The excess Gamgee (marked) is designed as the turnover flap circumference than the leg, resulting in an excess of Gamgee over the leg and a corresponding deficiency over the thigh area (Fig. 1). An elegant method of efficiently using all the available Gamgee is to design a turnover flap from the excess Gamgee over the leg area to cover the deficient area over the thigh. The flap is designed as shown (Fig. 2), cut up to the apex at the knee and ‘turned over’ into the deficient area (Fig. 3). The resulting flap and limb dressing can then be secured with staples, Surgifix™ netting or crepe Fig. 3 The flap is turned and secured bandage. We find this method to be an economical, fast and efficient way of dressing the whole leg. Reference Fig. 1 Deficiency and excess of Gamgee over thigh and leg respectively, 1. Sylaidis P (1996) Staples and Gamgee for securing large-area burns as a result of unequal circumference dressings. Burns 22(6):488–489 S. Chummun (*) T. S. Burge Department of Plastic Surgery, Frenchay Hospital, Bristol BS16 1LE, UK e-mail: T. S. Burge e-mail: European Journal of Plastic Surgery Springer Journals

The ‘Gamgee’ turnover flap for lower limb dressing

1 page

Loading next page...
1 Page
Copyright © 2011 by Springer-Verlag
Medicine & Public Health; Plastic Surgery
Publisher site
See Article on Publisher Site


You’re reading a free preview. Subscribe to read the entire article.

DeepDyve is your
personal research library

It’s your single place to instantly
discover and read the research
that matters to you.

Enjoy affordable access to
over 12 million articles from more than
10,000 peer-reviewed journals.

All for just $49/month

Explore the DeepDyve Library

Unlimited reading

Read as many articles as you need. Full articles with original layout, charts and figures. Read online, from anywhere.

Stay up to date

Keep up with your field with Personalized Recommendations and Follow Journals to get automatic updates.

Organize your research

It’s easy to organize your research with our built-in tools.

Your journals are on DeepDyve

Read from thousands of the leading scholarly journals from SpringerNature, Elsevier, Wiley-Blackwell, Oxford University Press and more.

All the latest content is available, no embargo periods.

See the journals in your area

Monthly Plan

  • Read unlimited articles
  • Personalized recommendations
  • No expiration
  • Print 20 pages per month
  • 20% off on PDF purchases
  • Organize your research
  • Get updates on your journals and topic searches


Start Free Trial

14-day Free Trial

Best Deal — 39% off

Annual Plan

  • All the features of the Professional Plan, but for 39% off!
  • Billed annually
  • No expiration
  • For the normal price of 10 articles elsewhere, you get one full year of unlimited access to articles.



billed annually
Start Free Trial

14-day Free Trial