What is a rhomboid flap?
The rhomboid (Limberg) flap is a transposition flap that, like the bilobed flap and the Z-plasty, depends on the pliability of the adjacent skin, which can be determined by pinching various areas between the thumb and forefinger (2).
What is the Limberg flap?
The Limberg flap is a series of communicating equilateral triangles. All angles are 60°, which means that every side of both the defect and the flap is equal in length. This orientation creates a flap that is the same size as the defect to be excised.
How long does Limberg flap surgery take?
Table 1.
| Variable | Limberg flap (n = 27) | Karydakis flap (n = 37) |
|---|---|---|
| Wound size (mm) | 28.11 ± 8.48 | 23.84 ± 8.44 |
| Duration of incapacity for work (day) | 9.15 ± 2.52 | 11.59 ± 3.44 |
| Duration of surgery (min) | 29.15 ± 7.69 | 23.03 ± 6.06 |
| Length of hospital stay (day) | 1.48 ± 0.50 | 1.41 ± 0.49 |
What is flap surgery for pilonidal sinus?
The Karydakis flap procedure is a safe treatment alternative for the surgical treatment of sacrococcygeal pilonidal sinus disease owing to the associated low complication rate, short hospital length of stay, rapid healing, and a high patient satisfaction rate.
When do you use a rhomboid flap?
Rhomboid flaps have been used in reconstruction of the cheek, temple, lips, ears, nose, chin, eyelids, and neck. The aesthetic and mechanical properties of these flaps, however, make them especially useful for reconstruction of small defects in the lower cheek, mid-cheek, and upper lip.
How do you make a rhomboid flap?
Rhomboid Flap Design with Pictures
- Draw a rhomboid shape around the lesion. A rhomboid is a symmetrical shape made up of two angles of 120° and two of 60°.
- Draw the Flap. The rhomboid flap has a “leg” to stand on, which is bent at the knee.
- Excise the Lesion and Connect the Letters.
- Flap Closure.
How long do skin flaps take to heal?
Keeping the site moist with the above procedures will hasten healing and provide you with the nicest scar possible. Do not wear make up over the incisions or flap until the sutures are removed (or have dissolved), and a thin layer of new skin covers the area. This usually takes 7 to 10 days.
Is pilonidal sinus surgery painful?
Pilonidal sinus surgery is not typically painful compared with other anorectal procedures. There can be some pain. In addition to pain medication there are local measures that can be helpful. They are not important for healing and can be stopped when you don’t think they are useful.
Is Limberg flap painful?
The Limberg flap is an easy method that could be performed in the same amount of time as the primary repair procedure. With the first method, patients experienced lower pain in the postoperative period. Hospital stay was lower and return to work and the first pain-free toilet sitting occurred sooner in the flap group.
How long does it take to recover from pilonidal cyst surgery?
You had surgery to remove a pilonidal cyst. How long it will take for you to heal depends on the way your surgery was done. If the cut (incision) was closed with stitches, it will probably take about 4 weeks to completely heal. If your incision is left open, it may take from a few weeks to several months to heal.
What is flap necrosis?
When you have your breast reconstructed with a flap of tissue taken from another part of your body — such as your belly, buttocks, or thigh — in rare instances the tissue may not get enough blood circulation and may die. This is called “necrosis.”
What is the difference between CPT 11771 and 11772?
In 11771 an extensive sinus, greater than 2 cm, is present superficial to the fascia overlying the sacrum, or there are extensions. The cystic tissue is excised and sutured in several layers. In 11772 the sinus may be infected and involves many subcutaneous extensions, which are excised.
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