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Updated: Jun 18, 2026

Evaluation of the Effectiveness of Longitudinal Incision for Endoscopic Submucosal Excavation of Gastric Subepithelial Lesions
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Lambda incision for effective tissue expansion.

K Ueda1, M Hara, M Okada

  • 1Department of Plastic and Reconstructive Surgery, Osaka Medical College, 2-7 Daigaku-cho, Takatsuki-city, Osaka 569-8686, Japan. pla007@poh.osaka-med.ac.jp

Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS
|November 13, 2009
PubMed
Summary
This summary is machine-generated.

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This study introduces a novel lambda incision technique for tissue expanders. This method effectively utilizes expanded skin flaps to cover skin defects with minimal complications.

Area of Science:

  • Plastic Surgery
  • Reconstructive Surgery
  • Dermatology

Background:

  • Tissue expanders are used to increase skin surface area for defect coverage.
  • Standard methods for utilizing expanded skin may require complex flap designs.
  • Effective coverage of skin defects is crucial in reconstructive procedures.

Purpose of the Study:

  • To introduce and evaluate a novel lambda incision technique for rectangular tissue expanders.
  • To assess the efficacy of the lambda incision in facilitating skin flap creation for defect coverage.
  • To determine the complication rate associated with the lambda incision technique.

Main Methods:

  • Rectangular tissue expanders were used to create cuboidal skin expansions.
  • A lambda incision was designed on the lateral walls of the expanded skin.

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  • The technique was applied in 11 cases involving various skin defect shapes.
  • Expanded skin was resected and spread as a flap to cover the defect.

    • Main Results:

    • The lambda incision technique allowed for effective spreading of expanded skin.
    • Successful resection and coverage of skin defects were achieved in most cases.
    • No complications were reported directly resulting from the lambda incisions.

    Conclusions:

    • The lambda incision is a practical and effective modification for utilizing tissue-expanded skin.
    • This technique offers a versatile approach for covering diverse skin defect geometries.
    • The lambda incision demonstrates a favorable safety profile in reconstructive surgery.