To present an effective method for reconstructing large truncal defects using triple rhomboid flaps after excision of malignant skin tumors.
Approach:
Patient Selection: Nine patients with large skin malignant tumors in the trunk were treated, with tumors ranging from 5×5 cm to 17×15 cm.
Surgical Technique: Triple rhomboid flaps were designed and utilized for reconstruction, following Limberg's method, ensuring preservation of perforator vessels.
Postoperative Management: Postoperative outcomes were assessed, including flap survival, wound healing, and patient satisfaction, with follow-up durations ranging from 6 to 16 months.
Key Findings:
No major postoperative complications were observed.
All flaps survived and incisions healed in a single phase.
Both medical professionals and patients expressed satisfaction with the results.
Interpretation:
The triple rhomboid flap appears to be a feasible and practical reconstructive strategy for large truncal defects after malignant skin tumor excision.
Limitations:
The study is a small retrospective case series.
Further studies with larger cohorts and longer follow-up are needed to validate findings.
Conclusion:
The triple rhomboid flap may be a useful option for dermatologic surgeons, particularly in settings where complex microsurgical reconstruction is not routinely available.
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