Longer Surgical Incision For Better Skin Healing⁉️

Surgical Incision Healing: Rhomboid (Limberg) Flap Technique - Sometimes a longer incision and more stitches actually lead to better healing. The Limberg (or rhomboid flap) is a surgical technique first described by Russian surgeon Alexander Limberg (1946) that continues to influence how surgeons close certain wounds. The procedure works on a simple principle: incisions heal side-to-side, not end-to-end, and tension matters tremendously in wound healing. When standard suturing would create too much tension, the Limberg flap offers a geometric solution #WoundClosure
The #suturing technique involves creating a rhomboid-shaped incision around the defect, then extending a cut from one corner to create a matching flap. This flap is rotated into position like a puzzle piece, transforming what would have been a straight line under strain into a relaxed zigzag pattern for more natural healing - each angle is precisely calculated to ensure equal sides and perfect tension distribution. This redistribution prevents pulling on important structures and creates a Z-shaped scar that heals better #PlasticSurgery
Limberg flaps are particularly valuable in areas where skin is less mobile or where preserving function is critical, commonly used in reconstructive surgery after tumor removal, pilonidal sinus treatment, and for some facial reconstruction where cosmetic outcomes are paramount. The technique was later refined by French surgeon Claude Dufourmentel and American surgeon Jerome Webster, each adding modifications to improve versatility/outcomes. Beyond improved healing, the flap maintains excellent blood supply through preservation of the dermal-subdermal plexus, reducing the risk of tissue necrosis.
.
Have an incision scar? SHARE your experience and insights
📲 SUBSCRIBE NOW for new #surgery videos ▶️ https://loom.ly/YWVhehQ

About Dr. Cory Calendine, MD #orthopedicsurgeon #jointreplacement
In the operating room, I get to perform more than 600 hip & knee replacement surgeries each year. From LIVE surgical demos to viral video highlights, together let's explore - react - discuss all things related to bone and joint health

THANK YOU for your comments, questions and suggestions. If there’s a medical topic or question you want me to discuss, please comment below. We are building a library of orthopedic medical video content focused on your requests and responses.

📽️ Watch latest hip & knee surgery videos ▶️    / @bonedoctor_youtube  

𝐋𝐄𝐓'𝐒 𝐂𝐎𝐍𝐍𝐄𝐂𝐓:
TikTok ▶️   / corycalendinemd  
LinkTree ▶️ https://linktr.ee/corycalendinemd

𝐁𝐔𝐒𝐈𝐍𝐄𝐒𝐒 𝐄𝐌𝐀𝐈𝐋: [email protected]
🌐 https://www.corycalendinemd.com/
💻 Schedule Appt Online ▶️ https://phreesia.me/CCalendine
📍 3000 Edward Curd Ln, Franklin, TN 37067
📞 (615) 791-2630

𝐃𝐈𝐒𝐂𝐋𝐀𝐈𝐌𝐄𝐑𝐒:
Opinions expressed are solely my own and do not express the views or opinions of my employer. Information in this video is not intended or implied to be a substitute for professional medical advice, diagnosis and/or treatment. All content [images, digital graphics, text, and other information] contained in this video is for general information purposes only and does not replace or substitute for a consultation with a qualified physician or health professional.

video credits: @nador_c3s @dr_vodopianov @surgeonstore.stav - Demo shown on the ultra-realistic Surgeon Pad Max Reality simulator