Cross-section of abdominal pedicle flap being raised. A, Epidermis and dermis; B, superficial fascia of abdomen; C, deep fascia of abdomen; D, muscularis. Dotted line indicates extent of defatting of portion of pedicle to be applied to hand. Base or stem should retain sufficient fat to retain its shape to prevent kinking. (From Kelleher JC, Sullivan JG, Baibak GJ, et al: Use of a tailored abdominal pedicle flap for surgical reconstruction of the hand, J Bone Joint Surg 52A:1552–1562, 1970.) SEE TECHNIQUE 65.6.