Closure of rhomboid skin defects: The flaps of Limberg and Dufourmentel

Lister, Graham; Gibson, T.

doi:10.1016/s0007-1226(72)80067-5

Cited by 142 publications

(48 citation statements)

References 1 publication

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“…breasts. Although two Limberg flaps can be used, [6] the same anatomical restraints apply. In addition after wide excision of hidradenitis, both the size and configuration of the defect preclude the use of a Limberg flap.…”

Section: Discussionmentioning

confidence: 99%

Axillary hidradenitis suppurativa: wide excision and flap coverage is best

Hudson

Krige

1993

Eur J Plast Surg

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Eur J Plast Surg (1993) Summary. The extent of axillary excision and method of closure in 17 patients (29 axillae) with symptomatic chronic axillary hidradenitis suppurativa was analyzed. Limited excision of only the diseased skin led to recurrence in 2 of 3 patients, and excision of the hair-bearing skin alone, in 2 of 5 patients. There was no recurrence in 11 patients after wide excision. Some patients had more than one procedure. Three of four patients who had skin grafts used for closure, developed axillary contractures. Primary closure was achieved successfully in 7 patients (14 axillae). Flap coverage was used to close 12 axillae in 9 patients (3 patients had both axillae treated). These flaps included Limberg 4; random fasciocutaneous 3; parascapular fasciocutaneous: 5. Our experience suggests that wound closure after wide excision in the axilla is best achieved by means of a flap. While smaller defects can be closed with random fasciocutaneous flaps, wide axillary excision often leads to a large defect. The fasciocutaneous parascapular flap should be considered where a large defect exists.

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Section: Discussionmentioning

confidence: 99%

Axillary hidradenitis suppurativa: wide excision and flap coverage is best

Hudson

Krige

1993

Eur J Plast Surg

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“…Currently, during the neurosurgical closure ofa bifid spine, if possible the paravertebral musculature and lateral spinal processes are rotated medially to create a new spinal canal [7], This protects the spinal cord, gives some subcutaneous padding and is believed to help counteract the development of a kyphosis [9], Undermining the skin laterally around the defect, however, is necessary to obtain closure, producing tension over the suture line. Covering the defect with the LLD flap introduces innervated muscle to counteract kyphosis, and also provides well-padded, well-vascularized skin coverage.…”

Section: Discussionmentioning

confidence: 99%

“…I). As with other transposition skin flaps, it is safe only within the limitations set by a random pattern blood supply [5,7], Its unique design leaves a donor site t hat is easy to close and. when closed, helps relieve tension on the flap.…”

Section: Limberg Flapmentioning

confidence: 99%

Limberg-Latissimus Dorsi Myocutaneous Flap for Closure of Myelomeningocele

Munro¹,

Neu²,

Humphreys³

et al. 1983

Pediatr Neurosurg

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“…Der Limberg-Flap [28] ist ein lokaler Hautlappen, der bevorzugt zur Deckung eines Defektes am Introitus/Damm eingesetzt wird. Die Durchblutung des Lappens erfolgt nicht über ein spezifisches Gefäß-bündel, sondern durch die Hautgefäße in diesem Bereich.…”

Section: Rhomboid-flap (Limberg-flap)unclassified