IN excising the majority of skin lesions, surgeons create an elliptical can be closed directly. As the lesions increase in size, however, there comes when either the long axis of the ellipse becomes too long for the local cosmetic result, or the short axis too wide to permit direct suture. In instances the excisional outline may be replanned and closure obtained with flap, until of course the d...

AIM To describe a series of patients who have undergone a medial canthal reconstruction with a rhomboid flap. METHODS A non-comparative interventional case series of 27 patients with medial canthal defects after Mohs excision of medial canthal basal cell carcinomas who underwent reconstruction using a rhomboid-shaped transpositional flap of adjoining skin and subcutaneous tissue. 25 cases wer...

OBJECTIVE The aim of this study is to present our clinical experience with rhomboid flaps. MATERIALS AND METHODS Twenty-four patients who were operated on between January 2006 and October 2010 were included in the study. All defects were reconstructed using rhomboid flaps. RESULTS Twenty-four patients were operated on for various reasons, and 26 rhomboid flaps were performed. Eleven of the ...

BACKGROUND Although many precautions have been introduced into early burn management, post burn contractures are still significant problems in burn patients. In this study, a form of Z-plasty in combination with relaxing incision was used for the correction of contractures. METHODS Preoperatively, a Z-advancement rotation flap combined with a relaxing incision was drawn on the contracture lin...

OBJECTIVE To compare the outcome of Open excision and secondary healing with rhomboid excision and Limberg flap in the management of sacrococcygeal pilonidal sinus disease (SPD). METHODS A prospective, analytical, comparative study using randomized controlled trial (RCT) was conducted at Liaquat University Hospital (Jamshoro) & Fatima Hospital-Baqai Medical University (Karachi), from June 200...

BACKGROUND Pilonidal sinus disease has been treated for a long time with conventional open excision technique. The rhomboid flap of Limberg is a transposition flap that has been pleaded for treatment of this condition. METHODS We present our experience with the Limberg technique for both primary and recurrent pilonidal sinuses. One hundred and ten patients, with pilonidal sinus disease were t...

Page 16 REVIEW OF RHOMBOID FLAPS AND THEIR MODERN MODIFICATIONS Figures 1a 1c. Steps employed in the Limberg flap. A B C Introduction Following the formation of a surgical defect, a closure type is chosen to suit the surrounding tissue characteristics and defect size. While primary closure is often the first choice, simple suturing may not be sufficient to appropriately close the defect. Size i...