Barnhill D R, Hoskins W J, Metz P
Obstet Gynecol. 1983 Oct;62(4):444-7.
Primary closure of vulvar excisions is usually satisfactory in the anterior vulva, where the skin is mobile. In the posterior and posterolateral areas, however, closure often must be accomplished under tension with resulting wound breakdown and scar formation that can be disfiguring and cause dyspareunia. The rhomboid skin flap was described as early as 1946. Initially described for closure of facial defects, the technique has found application in the closure of a variety of traumatic and surgical defects. The authors present eight patients who underwent closure of vulvar defects using single or multiple rhomboid flaps. The applicability of the procedure to vulvar surgery is discussed and the technique is described.
在外阴前部，皮肤活动度好，外阴切除术后一期缝合通常效果满意。然而，在后侧和后外侧区域，缝合往往必须在张力下进行，结果导致伤口裂开和瘢痕形成，这可能会影响美观并引起性交困难。菱形皮瓣早在1946年就有描述。该技术最初用于修复面部缺损，现已应用于各种创伤性和手术性缺损的修复。作者介绍了8例使用单块或多块菱形皮瓣修复外阴缺损的患者。讨论了该手术在外阴手术中的适用性并描述了技术。
