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Related Experiment Video

Updated: Jun 21, 2026

In situ Transverse Rectus Abdominis Myocutaneous Flap: A Rat Model of Myocutaneous Ischemia Reperfusion Injury
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In situ Transverse Rectus Abdominis Myocutaneous Flap: A Rat Model of Myocutaneous Ischemia Reperfusion Injury

Published on: June 8, 2013

Scar-Saving Flap during Serial Excision by Borrowing from the Opposite Side.

Ji Yeon Lim1, Won Keun Song2, Kyu Kwang Whang3

  • 1Department of Dermatology, School of Medicine, Ewha Womans University, Seoul, Korea.

Annals of Dermatology
|June 16, 2016
PubMed
Summary

A novel scar-saving flap technique effectively reconstructs semicircular defects from congenital melanocytic nevi. This method minimizes scar length and adjacent skin excision, improving patient outcomes.

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Area of Science:

  • Plastic Surgery
  • Dermatology
  • Surgical Oncology

Background:

  • Congenital melanocytic nevi present diverse shapes based on anatomical location.
  • Tailored surgical designs are essential for optimal reconstruction, considering site characteristics, nevus shape, and size.

Purpose of the Study:

  • Introduce a novel scar-saving flap design for semicircular defects.
  • Avoid excising additional normal skin during nevus removal.

Main Methods:

  • Developed a scar-saving flap design by utilizing a portion of the adjacent skin from the opposite side.
  • Applied the technique to reconstruct large semicircular skin defects.

Main Results:

  • The technique eliminated the need for excising adjacent normal skin to modify defect shape or remove dog-ears.
Keywords:
Congenital melanocytic neviScarSerial excisionTreatment

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  • Resulting suture lines were comparable in length to the original defect diameter.
  • Enabled larger volume removal in a single procedure compared to serial excision, reducing procedure frequency and patient discomfort.

    • Conclusions:

    • The scar-saving flap design is a viable strategy for managing semicircular skin defects.
    • This approach offers improved aesthetic outcomes and patient comfort.