Rhomboid flap with multiple Z-plasty for treatment of hypertrophic scar on the pubic area.
The pubic area is prone to the development of hypertrophic scars; however, few studies have reported on the valid means of treating hypertrophic scars affecting this area. We have recently devised a new operative procedure, 'rhomboid flap with multiple Z-plasty', for the treatment of this condition. For this operative procedure, the defect after resection of the scarred tissue in the pubic area is first covered with a rhomboid flap elevated from the hypogastric area, followed by applying multiple Z-plasty to the suture wound of the donor site. By avoiding excessive suturing of the defect in the pubic area, and by covering the defect with a rhomboid flap, the tension on the wound margin can be sufficiently reduced. This is followed by multiple Z-plasty for the longitudinal wound of the hypogastric area, erasing all suture lines perpendicular to the natural folds. Here, we report two cases that underwent this procedure with favourable outcomes.
Department of Plastic and Reconstructive Surgery, Akita Red Cross Hospital, 222-1 Naeshirozawa, Saruta, Kamikitate, Akita 010-1495, Japan. naoshige@archosp-1998.com
Naoshige
N
Iida
Ayako
A
Watanabe
D034861:Abdominal Wall / Q000601:surgery*; D017439:Cicatrix, Hypertrophic / Q000601:surgery*; D005260:Female; D006801:Humans; D008875:Middle Aged; D019651:Plastic Surgery Procedures / Q000379:methods*; D016038:Skin Transplantation / Q000379:methods*; D013524:Surgical Flaps; D013536:Suture Techniques