[Double-lobed rotation pedicle flap].

This is a report on the bilobed rotation pedicle flap, a special type of pedicled flap transfer. The method is suitable for reconstruction of roundish skin defects, dermis and subcutaneous tissue with diameters from 8--15 cm, especially in dermato-tumorsurgery in trunk and thigh regions. The regional flap consists of two tongue-shaped donor lobes separated by the wound. The conventional form of the bilobed flap has an angle of 180 degrees between the bases of the lobes. By shifting the tissue at the surrounding of the defect, the procedure has the distinct advantage of camouflaging the donor sites. In addition it reduces the size of the wound. With the final transposition of the relatively small lobes large defects can be closed without the use of additional skin grafts. The method, here described in ten cases, is a simple way to resurface and reconstruct the wound with good functional and cosmetic result.