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Local Flap Techniques for the General Surgeon.

Bridget C Olsen¹, Luke Keffer¹, Timothy L Fitzgerald¹

¹Department of Surgery, Maine Medical Center, Portland, ME, USA.

The American Surgeon

|October 30, 2025

Summary

This summary is machine-generated.

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General surgeons can effectively close complex wounds using basic advancement and pivotal skin flaps. This article details 3 advancement flaps (V to Y, double V to Y, keystone) and 4 pivotal flaps (rotation, hurricane, trapezoid, bilobe).

Area of Science:

Surgical Techniques
Plastic Surgery
Wound Management

Background:

Skin flaps are a crucial skill for general surgeons.
Effective wound closure is essential for patient outcomes.
Complex wounds often require specialized techniques beyond simple suturing.

Purpose of the Study:

To outline fundamental skin flap techniques for general surgeons.
To enhance the ability of general surgeons to manage complex wounds.
To provide a foundational understanding of specific advancement and pivotal flap types.

Main Methods:

Review of basic advancement flap techniques: V to Y, double V to Y, and keystone flaps.
Description of essential pivotal flap techniques: rotation, hurricane, trapezoid, and bilobe flaps.

Keywords:

complex wound closure skin flap

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Focus on the practical application of these flaps in wound closure.

Main Results:

Successful closure of complex wounds can be achieved with basic flap knowledge.
Identification of 7 key basic flap types (3 advancement, 4 pivotal).
Demonstration of the versatility of these flaps in various surgical scenarios.

Conclusions:

Mastery of basic advancement and pivotal skin flaps empowers general surgeons.
These techniques offer effective solutions for complex wound management.
A solid grasp of these fundamental flaps is vital for surgical proficiency.