López-Rios F L
Department of General Surgery, La Paz Hospital, University Autonoma of Medicine, Madrid, Spain.
Dis Colon Rectum. 1990 Jan;33(1):73-7. doi: 10.1007/BF02053207.
The application of Limberg-type transposition flaps of rhomboid shape has been demonstrated to be one method of covering defects in the perianal area or the anal canal, after the extirpation of lesions that cannot be closed at first attempt because of defect size. This series includes five patients treated over a period of five years; a total of seven flaps were performed because there were contralateral lesions in two patients. The technique consists of extirpation of the lesion to create a rhomboid-shaped defect, which is then covered by a flap cut following the Limberg or Dufourmentel technique. Anoplasty techniques have been long established and advancement or rotation flaps are the most popular in proctologic surgery. Transposition flaps are useful because they are easy to remember and perform and have no serious postoperative complications.
菱形Limberg式转位皮瓣的应用已被证明是一种在因缺损大小导致初次切除病变后无法直接缝合时,用于覆盖肛周区域或肛管缺损的方法。本系列包括在五年内治疗的5例患者;共进行了7次皮瓣手术,因为有2例患者存在对侧病变。该技术包括切除病变以形成菱形缺损,然后按照Limberg或Dufourmentel技术切取皮瓣进行覆盖。肛门成形术技术早已确立,推进或旋转皮瓣在直肠外科手术中最为常用。转位皮瓣很实用,因为它们易于记忆和操作,且术后没有严重并发症。