Simultaneous excision

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Single-step removal of adjacent skin tumors by means of a near flap plasty in which a second lesion is located in the area of the flap incision, the countercut or the contralateral relief triangle to be excised.

General information
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  • After a triangular excision of the first lesion, the short side (base) of the triangle is extended in the lateral, cranial or caudal direction in the sense of a displacement flap plasty according to von Burow. A contralateral triangle is cut at the end of the transverse incision line to excise the second lesion. By undermining the skin areas along the incision line, both excision triangles can be closed without tension.
  • Rotational flap plasty according to Imre is suitable for the simultaneous removal of a subcutaneously located tumour. The subcutaneous tumour can be prepared and extirpated freely below the arch-shaped incision starting from the short side of the excision triangle.

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  1. Kaufmann R, Podda M, Landes E (2005) Dermatological operations. Colour atlas and textbook on skin surgery. Thieme, Stuttgart New York


Last updated on: 29.10.2020