1. Introduction

2. Surgical Approach

3. Left Incision and Right Incision, Dissection, and Separation

4. Right Closure and Left Dissection and Separation

a. Removal of Excess Fat and Partial Closure

b. Harvest Full-Thickness Skin Graft from Groin Crease

c. Skin Graft Preparation and Donor Site Closure

d. Skin Graft Insets

e. Finish Donor Site Closure

5. Skin Graft Application

6. Dressings and Splints

Syndactyly is amongst the most frequent congenital hand anomaly. Syndactyly is termed simple when the digits are connected by soft tissue only, complex when one or more phalanges are fused. In complicated syndactyly, there are additional bony elements in between the digits making it challenging if not impossible to separate safely. The patient in this case is a 1-year-old male with complex syndactyly of the left hand and simple syndactyly of the right hand. Here, we release both sides, with the left side involving a full-thickness skin graft taken from the patient's groin crease. This case was filmed during a surgical mission with the World Surgical Foundation in Honduras.

Watch this full-length, narrated surgical video of a bilateral syndactyly repair performed during a surgical mission with the World Surgical Foundation in Honduras.

Hospital Leonardo Martinez, Honduras