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Search Results: 1 - 10 of 725 matches for " Limberg flap "
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Closure of Large Pressure Ulcers utilizing the Principles of Limberg flap
Kumar Pramod,Bhaskara K
Indian Journal of Plastic Surgery , 2001,
Abstract: A prospective study of 17 patients (21 Limberg flaps in 19 pressure ulcers) was done to establish the efficacy of Limberg flap. . Limberg flaps were used in only those cases where primary closure was not possible. This flap was found to be simple to execute and short-term results were satisfactory. Also, it spares underlying muscles for future use. None of the flaps showed necrosis. Partial wound dehiscence was noticed in 7 (33.33%) cases, which was managed by secondary suturing in four cases, by split skin graft in one case and by second Limberg flap in one case.
Versatile Use of Rhomboid Flaps for Closure of Skin Defects
Osman Enver Aydin,Onder Tan,Said Algan,Selma Denktas Kuduban
Eurasian Journal of Medicine , 2011,
Abstract: 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 24 cases were male, and the median age of participants was 47.5 years. Eight cases were operated on under general anesthesia, and 13 were locally anesthetized; the remaining cases were operated on under regional anesthesia. In 17 cases, the defect was due to a benign or malignant tumor excision, and five cases were operated on due to burn contracture. There were no occurrences of partial or total flap necrosis or hematoma in our series. Conclusion: Our series indicates that rhomboid flaps can be safely used to reconstruct small to moderately sized skin defects.
The Professional Medical Journal , 2006,
Abstract: Background: Pilonidal sinus is a common chronic disease of thesacrococcygeal region. The treatment for a pilonidal sinus varies according to the clinical presentation of the disease.Although many surgical methods have been suggested, an ideal method is still lacking because of high recurrencerates. Setting: Surgical Unit-II, Allied Hospital, PMC, Faisalabad. Material and Methods: This prospective studyincludes 30 patients who were treated with the use of a rhomboid excision and Limberg flap closure for chronic andrecurrent sacrococcygeal pilonidal sinus. The follow-up period ranged from 04 to 08 months. Results: The meanhospital stay was 03 days (range, 03-08 days) and the mean time to return to work was 15 days (range, 12-26 days).Early wound complications were encountered in 03 patients. No recurrence was noted on maximum of 08 months offollow-up. Nine patients had numbness at the operation site and 10% were not pleased with cosmetic appearance ofthe scars. Conclusions: The results favor rhomboid excision and Limberg flap closure in the treatment ofsacrococcygeal pilonidal sinus, especially in recurrent cases and in patients with extensive involvement. Low recurrencerates, shorter hospital stay, and time off from work may outweigh the disadvantages related to unfavorable cosmeticappearance.
Rhomboid excision and Limberg flap for managing pilonidal sinus: Short-term results
Hakan Bulu?,Ali Co?kun
Dicle Medical Journal , 2011,
Abstract: Objectives: Pilonidal sinus is a common chronic disease of the sacrococcygeal region. Treatment varies in relation to the presentation of the disease. Accordingly, several surgical methods show that the most ideal method is not still found because of high recurrence rates. We investigated the efficacy of rhomboid excision and Limberg flap in the treatment of pilonidal sinus.Materials and methods: Because of chronic and subacute sacrococcygeal pilonidal sinus disease rhomboid excision and Limberg flap closure technique was applied to 32 (Male / Female 21/11) patients. The median follow-up duration was 4 to 9 months. Operative time, hospital stay, recurrence rate and early complications were compared.Results: The mean age of the patients was 28.8 ± 23 years; mean operative time was 68 (52-77) minutes. The average hospital stay was 1 (1-3). Early wound complications were in 6.2% (n=2) patients. There was no recurrence during follow-up.Conclusion: The results show that rhomboid excision and Limberg flap closure technique can be used particularly for the treatment of large sacrococcygeal pilonidal sinus cases. It may be preferred for low relapse rate, short hospital stay, low complication rates and labor force loss, despite poor cosmetic results.
A Modified Limberg Flap versus Z Plasty Flap Technique in Management of Recurrent Pilonidal Disease: A Comparative Prospective Study  [PDF]
Asmaa Gaber R., Mohamed Yousef A., Mohamed Abdel Shafy Mohamed, Abd-El-Aal A. Saleem, Hassan A. Abdallah, Hamdy M. Husein
Open Access Library Journal (OALib Journal) , 2018, DOI: 10.4236/oalib.1104715
Background: There are controversies about the etiology and management of recurrent pilonidal sinus. The numbers of techniques are testament in treating pilonidal sinus (PNS) and no single procedure is superior in all aspects. Aim of the study: The aim of this study was to compare two operative procedures (modified Limberg flap versus Z plasty flap) in management of recurrent pilonidal sinus, regarding their complications including recurrences of the disease, morbidity, hospital stay, day off work and postoperative complications. Patients and methods: This is comparative prospective study between modified Limberg flap and Z plasty flap in treatment of recurrent pilonidal sinus. 30 patients were divided into 2 groups: Group (1) treated with modified Limberg flap and group (2) treated with Z plasty, and we followed up the patients in both groups for postoperative complications, hospital stay, day off work, recurrences, patients satisfactions. Results: Operative time, hospital stay duration, complete wound healing was longer in group (2) Z plasty group. Mobilization was early in MLF group than Z plasty group (1 day versus 2 days). Time to return to work, it was 14 (12 - 16) days in MLF groups and 18 (15 - 22) in Z plasty group (p < 0.001). Infection occurred only in one in MLF group (1) and 2 patients in Z plasty group (2). The mean time for complete healing of the wound after Modified Limberg flap group (1) was 16 ± 4.2 days while in Z plasty group (2) it was 22 ± 6.8 days. Satisfaction score was better in MLF group (1). Recurrence hadn’t occurred in any of the patients included in this study during the follow-up period. Conclusion: Both of modified Limberg flap and Z-plasty technique are used to cause flattening of the natal cleft, thus reducing local recurrence rates. So, we recommend use of flap technique for recurrent pilonidal sinus patients; modified Limberg transposition flap is better than Z plasty flap, because of the less hospital stay time, early return to work, and cosmetically more accepted as it has less postoperative complications. Also Z plasty flap has a major limitation as it is difficult to apply if there is a wide defect in the horizontal axis.
Two Cases of Distal Anterolateral Thigh Flap  [PDF]
Masami Saito, Naohiro Kimura, Mamoru Tnegawa, Yoichi Tomizuka, Taku Tsukakoshi, Masamitsu Onda
Surgical Science (SS) , 2013, DOI: 10.4236/ss.2013.43035

We report our experience with two cases of anterolateral thigh flaps based on the musculocutaneous perforators arising from a more distal part of the descending branch than in the conventional anterolateral thigh flap. Case 1: A 53-year-old man with a skin ulcer over the anterior surface of the left tibia secondary to plate fixation for an open fracture. The perforator marked with preoperative Doppler was located 8 cm proximal to the superior border of the patella. Without thinning, the flap was 10 × 4 cm in size and 5 mm thick. Case 2: A 46-year-old man with necrosis of the right index finger after replantation. The flap was 5 × 3 cm in size and 3 mm in thickness. This distal anterolateral thigh flap can be raised as a quite thin flap with a long pedicle and, therefore, is considered useful in the reconstruction of various soft tissue defects.

Nasal and Upper Lip Reconstruction of a Case of Squamous Cell Carcinoma Nose Stage IV—A Case Report  [PDF]
Medhat Emil Habib, Mahaba Mamoun, Mazen Al-Samarrae, Christoph Reuter
Modern Plastic Surgery (MPS) , 2014, DOI: 10.4236/mps.2014.44011
Abstract: We report a case of 77 years old male patient who presented to our hospital with bleeding from a fungating mass of the nose. Investigations revealed the lesion to be moderately differentiated basaloid type squamous cell carcinoma, with lung, liver and spleen metastasis. Oncologists started palliative chemotherapy for the patient. Excision of the tumour required removal of most of the nose including the lateral nasal cartilages and the nasal septum. Nasal reconstruction was done by using left nasolabial flap after deepithelialising 3 parts of it and covering that flap with a forehead flap. Residual tumour of the upper lip required further excision later on and coverage with a fan flap. The patient survived about 6 months after the surgery in a good appearance and was accepted and approached well by his family. We think that this type of reconstruction is suitable for late stages cancer nose considering the life expectancy of this category of patients.
Single Stage Oncologic Resection and Reconstruction: A Step toward Development of Sarcoma Service in Resource Constrained Country  [PDF]
Haroon ur Rashid, Kashif Abbas, Masood Umer
Modern Plastic Surgery (MPS) , 2013, DOI: 10.4236/mps.2013.34028

Tumor free-margin surgical resection remains the single most important treatment in the curative therapy of musculoskeletal tumor of limbs. Refinements in surgical techniques have led to increased function preservation and limb salvage. Patients and Methods: The records of patients (n = 24) who underwent microsurgical soft tissue reconstruction subsequent to resection of limb tumour during the period 2006 to 2011 were reviewed. Primary outcome i.e. uptake of the flap was evaluated. Perioperative morbidities were also noted including donor as well as recipient site complications. Assessment of Functional outcome (Musculoskeletal Tumor Society score, MSTS) local recurrence, free survival, and disease-specific survival was also made. Results: Twenty four patients (age range: 7 - 72 years) who have undergone tumor resection followed by flap coverage were identified. Lower limb reconstruction outnumbered upper limb by 6:1. Complications included, one complete failure of free vascularized iliac crest flap done for reconstruction of a

Colgajos útiles en Cirugía General: Parte 1
Revista chilena de cirugía , 2010, DOI: 10.4067/S0718-40262010000600019
Abstract: se presentan en este artículo 2 colgajos de amplio uso en el campo de la cirugía plástica con el objetivo de darlos a conocer como técnicas quirúrgicas para ampliar su uso a nivel de los cirujanos generales; éstos son los colgajos romboidales de limberg y dufourmentel, usados también en otras especialidades. el autor presenta su casuística en el uso de estos colgajos, correspondiendo a 98 casos, con un bajo índice de complicaciones. esperamos que esta descripción sirva para que los cirujanos que no estaban familiarizados con estos colgajos los consideren en aquellos pacientes que podrían resultar beneficiados con su uso, ya que se trata de colgajos fáciles de dise?ar y ejecutar.
Colgajos útiles en Cirugía General: Parte 1 Useful flaps in General Surgery: Part 1
Revista Chilena de Cirugía , 2010,
Abstract: Se presentan en este artículo 2 colgajos de amplio uso en el campo de la cirugía plástica con el objetivo de darlos a conocer como técnicas quirúrgicas para ampliar su uso a nivel de los cirujanos generales; éstos son los colgajos romboidales de Limberg y Dufourmentel, usados también en otras especialidades. El autor presenta su casuística en el uso de estos colgajos, correspondiendo a 98 casos, con un bajo índice de complicaciones. Esperamos que esta descripción sirva para que los cirujanos que no estaban familiarizados con estos colgajos los consideren en aquellos pacientes que podrían resultar beneficiados con su uso, ya que se trata de colgajos fáciles de dise ar y ejecutar.
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