TY - JOUR
AU - Cheetham, M
AB - Sir This paper concludes that rhomboid excision and the Limberg flap procedure is preferable to simple excision and primary closure in the treatment of sacrococcygeal pilonidal disease. Whilst we agree that the rhomboid flap is useful, the operation described by the authors as a rhomboid excision and Limberg flap procedure in fact uses a Dufourmentel flap and not a Limberg flap. A Limberg flap, first described in 1946, classically employs a rhombus with angles of 60 and 120 degrees. A line the same length as the short axis (bd in their Figure) is drawn as a continuation of the short axis. A second line, equal in length to this, is then drawn from its distal end, parallel to one of the adjacent defect sides. A Dufourmentel flap is a versatile variation on this and can be used to close any rhombus with an acute angle from 60 to 90 degrees. Its construction is as described for the Limberg flap in the current paper1. References 1 Sclafani AP , Fozo M. Rhombic Flaps . www.emedicine.com/ent/topic653.htm [June 2005]. Copyright © 2005 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd. This article is published and distributed under the terms of the Oxford University Press, Standard Journals Publication Model (https://academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model) Copyright © 2005 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd.
TI - Randomized clinical trial comparing primary closure with the Limberg flap in the treatment of primary sacrococcygeal pilonidal disease (Br J Surg 2005; 92: 1081-1084)
JF - British Journal of Surgery
DO - 10.1002/bjs.5219
DA - 2005-10-19
UR - https://www.deepdyve.com/lp/oxford-university-press/randomized-clinical-trial-comparing-primary-closure-with-the-limberg-8OjHtWL8MN
SP - 1453
EP - 1453
VL - 92
IS - 11
DP - DeepDyve
ER -