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Surgical Strategy for Intractable Inguinal Lymphorrhea Using Combined Indocyanine Green Imaging and Negative Pressure Wound Therapy.

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Related Experiment Video

Updated: Apr 19, 2026

In situ Transverse Rectus Abdominis Myocutaneous Flap: A Rat Model of Myocutaneous Ischemia Reperfusion Injury
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The rhombic bilobed flap, a simple, geometrically designed flap.

Yoshiaki Sakamoto1, Hideo Nakajima1, Kazuo Kishi1

  • 1Department of Plastic and Reconstructive Surgery, Keio University School of Medicine, Tokyo, Japan.

Journal of Cutaneous and Aesthetic Surgery
|December 25, 2014
PubMed
Summary

A novel rhombic bilobed flap combines rhomboid and bilobed techniques for simpler reconstruction. This flap reduces complications like skin necrosis and deformities, improving patient outcomes.

Keywords:
Bilobed flaprhomboid flapskin cancerskin flap

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Area of Science:

  • Plastic Surgery
  • Reconstructive Surgery
  • Dermatologic Surgery

Background:

  • Flap reconstruction is essential in plastic surgery for tissue defects.
  • Commonly used flaps include rhomboid and bilobed flaps.
  • Existing techniques may have limitations such as specific deformities or tension.

Purpose of the Study:

  • To introduce and describe the rhombic bilobed flap, a novel surgical technique.
  • To demonstrate the application of this combined flap design.
  • To highlight the advantages over traditional flap methods.

Main Methods:

  • A combination of the rhomboid flap and bilobed flap designs was utilized.
  • The surgical technique involves specific geometric principles for flap elevation and rotation.
  • Clinical application of the rhombic bilobed flap was documented.

Main Results:

  • The rhombic bilobed flap proved to be simple to implement.
  • Fewer complications such as pin-cushioning and standing cone deformities were observed.
  • Reduced risk of skin necrosis and flap tension was noted.

Conclusions:

  • The rhombic bilobed flap offers a simplified and effective reconstructive option.
  • This technique minimizes common flap-related complications.
  • It presents a valuable alternative for surgeons performing flap reconstructions.