R. Cocciolone, R. Crouch,, D. Gill, S. Chandra Ballarat
We present two surgical pearls to aid in the day to day practice of general surgical dermatology.
The ﬁrst is a simple and effective method for closing surgical defects in thin fragile skin on the lower legs and dorsal hands. This technique utilises Opsite Flexiﬁx to increase wound edge integrity and redistribute wound tension over a larger surface area, thereby reducing the likelihood of tearing and facilitating tighter closures. This approach offers several advantages over similar techniques.
The second pearl relates to a design modiﬁcation of the classical A to T bilateral advancement ﬂap. The addition of shallow, bilateral, ellipsoid incisions within the baseline cut generates wound margins of equal length, eliminating the need for further Burrow’s triangles. Limiting the need for Burrow’s triangles reduces scar length and increases the likelihood of conﬁning the repair within the chosen cosmetic unit.