The Mercedes flap and its new variants: a 'workhorse' flap for the dermatological surgeon?

Abstract

The plastic reconstruction of defects in problem regions, such as, e.g. the heel, temple, malleolar region, sternum and capillitium, is usually a challenge. We describe the use of the Mercedes flap, a combination of the purse string and advancement flap, and new modifications for use in various body locations. These examples extend the scope of application in tumour surgery of the skin. We demonstrate the different techniques and practical application of the repair and evaluate the benefits and limitations. The Mercedes flap and its modifications are an excellent method for repairing various defects in problem locations after tumour surgery of the skin. The Mercedes flap and its modifications prove to be a good alternative to other closure types, especially in problem regions such as the shoulder, malleolar region, heel, etc. The procedure is fast and simple, with few side-effects, and proves to be a 'workhorse' flap for the dermatological surgeon.