Limberg flap for reconstruction after excision of multiple conglomerate epidermoid cysts

Authors

  • Nida Khan Department of Surgery, Dr D. Y. Patil Hospital and Medical College, Navi Mumbai, Maharashtra, India
  • Karna Chedda Department of Surgery, Dr D. Y. Patil Hospital and Medical College, Navi Mumbai, Maharashtra, India
  • Dipesh Goel Department of Pediatric and General Surgeon, Dr D. Y. Patil Hospital and Medical College, Navi Mumbai, Maharashtra, India
  • Rontgen Rajakumar Department of Surgery, Dr D. Y. Patil Hospital and Medical College, Navi Mumbai, Maharashtra, India
  • Pragati Singhal Department of Surgery, Dr D. Y. Patil Hospital and Medical College, Navi Mumbai, Maharashtra, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20195937

Keywords:

Epidermoid cyst, Limberg flap, Reconstruction flap, Rhomboid flap

Abstract

Epidermoid cysts are common, subepidermal, keratin containing nodules, found anywhere on the body in 3rd and 4th decade of life. Surgical treatment is by complete excision with wall of cyst intact. Author presents a 40-year-old male with multiple sebaceous cysts in close proximity to one another on his left thigh. Individual cyst excision would have lead to a difficult primary closure, need for multiple incisions, with contracture and poor cosmesis due to the close proximity of the cysts. instead, the cysts were excised in mass and limberg flap was used for reconstruction and primary closure. Patient was followed up for 6 months. The objective of this study was to prove that limberg flap yields superior cosmesis and healing by primary intention in reconstruction after excision of multiple epidermoid cysts.

References

Chasmar LR. The versatile rhomboid (Limberg) flap. Canad J Plastic Surg. 2007;15(2):67-71.

Zito PM, Scharf R. Cyst, Epidermoid (Sebaceous Cyst). Stat Pearls. 2019.

Balasundaram P, Garg A, Prabhakar A, Joseph Devarajan LS, Gaikwad SB, Khanna G. Evolution of epidermoid cyst into dermoid cyst: Embryological explanation and radiological-pathological correlation. Neuroradiol J. 2019;32(2):92-7.

Limberg AA. Modern trends in plastic surgery: design of local flaps. Mod Trends Plast Surg. 1966;2:38-61.

Lister GD, Gibson T. Closure of rhomboid skin defects: the flaps of Limberg and Dufourmentel. Br J Plast Surg. 1972;25:300-14

Smoot EC. Removal of large inclusion cysts with minimal incisional scars. Plastic Reconstruc Surg. 2007;119(4):1395.

Dufourmentel C. An L-shaped flap for lozenge shaped defects. Principle-Technique-Application. Trans. Third Internat. Cong Plast Surg. 1964:772-3.

Lu CX. Use of a dufourmentel flap in repairing lumbosacral bed sore (a report of 7 cases). Zhonghua zheng xing shao shang wai ke za zhi= Zhonghua zheng xing shao shang waikf [ie waike] zazhi= Chinese J Plastic Surery Burns. 1989 Sep;5(3):197-8.

Downloads

Published

2019-12-25

How to Cite

Khan, N., Chedda, K., Goel, D., Rajakumar, R., & Singhal, P. (2019). Limberg flap for reconstruction after excision of multiple conglomerate epidermoid cysts. International Journal of Research in Medical Sciences, 8(1), 371–374. https://doi.org/10.18203/2320-6012.ijrms20195937

Issue

Section

Case Reports