Successful reconstructive surgery was performed on ten patients with skin and soft tissue defects on the dorsum of their hand and fingers using combined subdermal vascular network flaps of the abdominal wall. The pedicle of the flap was divided on 7-10 postoperative day when wound was closed, finger and web reconstruction were completed at the same stage. The operative results were satisfactory. The authors discussed the technique of the method, the blood supply of the flap, the principle of the design and the advantages of the operation.