더존카지노 http://zonatogels.com/2018/10/26/zona-prediksi-kimtoto-27-oktober-2018/; The Limberg flap: It is a transposition flap, exhibiting closure of a rhomboid-shaped defect. The interpolation flap rotates a couple of pivot point into a nearby but not adjoining defect, with the pedicle passing above or below a skin bridge. An instance is an island pedicle flap such as the Littler neurovascular flap for the hand. One seldom-used flap sort is the de-epithelialized turnover flap. In this flap design, an space of skin adjacent to a wound is de-epithelized.
This dermis is raised as a flap, preserving a “hinge” area between the flap and the defect. The flap is turned over like a web page in a guide. Use distant flaps to cover nonadjacent defects. They could also be transferred straight, tubed, or transferred by microvascular approach. Direct flap: A direct flap is transferred to a distant site immediately in order that the donor and recipient sites are approximated. The flap is divided after 1-three weeks and inset. Examples of direct flaps embody the groin flap (used for reconstruction of the hand) and the crossfinger or thenar flap (for fingertip reconstruction).
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