Combined bipedicled latissimus dorsi and groin flap for anterior chest wall reconstruction

Boonipat, Thanapoom; Ji, Lou; Manrique, Oscar J.; Chen, Hung-Chi

doi:10.1136/bcr-2018-227372

Cited by 4 publications

(4 citation statements)

References 22 publications

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“…Type III conjoined flap with the ninth rib and the lower two digitations of the left serratus anterior muscle was used to reconstruct anterior chest wall defect. 4 In the type IV conjoined flap, double sets of microvascular anastomoses with different recipient vessels are required for restoration of vascularity. The inset of the type IV flap can be more flexible (eg, straight, spiral, folded), with a low risk of congestion on the skin island because of its double venous drainage system.…”

Section: Discussionmentioning

confidence: 99%

The classification of the conjoined latissimus dorsi – groin flap and the indications for the four types of the flaps

Velazquez-Mujica

Donfrancesco

et al. 2023

Plastic &Amp; Reconstructive Surgery

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Summary: The conjoined latissimus dorsi–groin flap is a versatile flap that not only can serve as an osteocutaneous flap to provide large soft tissue and bone for reconstruction of extensive defects but also can offer functioning muscle transfer and lymph node transfer for prevention of lymphedema after wide excision of tumors or major trauma. Over the past 24 years, the authors have classified the conjoined latissimus dorsi–groin flap into four categories. They propose precautions for application of the conjoined flaps.

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Section: Discussionmentioning

confidence: 99%

The classification of the conjoined latissimus dorsi – groin flap and the indications for the four types of the flaps

Velazquez-Mujica

Donfrancesco

et al. 2023

Plastic &Amp; Reconstructive Surgery

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“…Phyllodes tumours are occasionally characterised by very rapid growth; they can present with destruction of surrounding structures and skin by direct invasion or by pressure necrosis. Chest wall involvement requiring excision of ribs and complex reconstruction has been rarely reported 3…”

Section: Discussionmentioning

confidence: 99%

“…Chest wall involvement by phyllodes is very rarely reported. It often requires multidisciplinary approach with need for chest wall reconstruction 3 4. We are reporting one such case of malignant phyllodes tumour which required huge chest wall resection and reconstruction.…”

Section: Introductionmentioning

confidence: 99%

Complex chest wall reconstruction after excision of malignant phyllodes tumour

et al. 2022

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Phyllodes tumour is a rare breast tumour which is locally invasive, and full thickness chest wall involvement by phyllodes is rarely reported. A woman presented with recurrent phyllodes tumour and multilobulated exophytic mass of size 18.5×5.3 cm in anterior chest wall which was abutting the right 2nd−7th rib, left 3rd−5th rib and costal cartilages. She underwent wide excision of the left chest wall tumour with excision of left 3rd−5th rib, with polypropylene mesh and pedicled lattismus dorsi myocutaneous flap reconstruction. After recovery, 3 weeks later, she underwent wide excision of the phyllodes tumour on the right chest wall with excision of 2nd–7th rib, lateral border of sternum, right crus of the diaphragm and the lower lobe of the right lung. Anterior chest wall was reconstructed using scaffold made from Steinmann pins and polypropylene mesh with greater omentum pedicled flap and split thickness skin graft.

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“…The first combined flap, reported by Harii et al (1981), was a conjoined latissimus dorsi (LD)-groin flap for upper limb reconstruction. Since then, it was reported only other five times in literature (Boonipat et al, 2019;Chiang et al, 1997;Dzwierzynski et al, 1995;Katsaros et al, 1983;Nicoli et al, 2016). Dzwierzynski et al (1995) were the first to report the conjoined LD-Groin flap as a free flap with double anastomosis and a length of 64 cm.…”

Section: Introductionmentioning

confidence: 99%

The triple conjoined scapular–latissimus dorsi–groin flap for reconstruction of long lower extremity degloving injury: A case report

et al. 2021

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Since the introduction of the angiosome concept, many attempts have been made to push the dimensional limits of free tissue transfers. While initially limited by the boundaries of random vascularization of adjacent angiosomes, wider flaps were transferred by combining contiguous source vessels. Combined flaps, either chimeric or conjoined, represent nowadays the largest reconstructive options in the human body. This is the first report of a triple conjoined free flap with two vascular anastomoses, able to cover the anterior surface of the entire lower limb, representing the longest flap ever reported in history. A 43-year-old woman sustained a car accident as a pedestrian and presented with a massive circumferential degloving injury of the right lower limb. Femoral displaced shaft fracture and Gustilo type IIIb tibial fracture were diagnosed with emergent CT scan. A myocutaneous latissimus dorsi flap was

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Combined bipedicled latissimus dorsi and groin flap for anterior chest wall reconstruction

Cited by 4 publications

References 22 publications

The classification of the conjoined latissimus dorsi – groin flap and the indications for the four types of the flaps

The classification of the conjoined latissimus dorsi – groin flap and the indications for the four types of the flaps

Complex chest wall reconstruction after excision of malignant phyllodes tumour

The triple conjoined scapular–latissimus dorsi–groin flap for reconstruction of long lower extremity degloving injury: A case report

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