Complete Videoendoscopic Harvest And Transposition of Latissimus Dorsi Muscle for The Treatment of Poland Syndrome: A First Report

Abstract

Poland syndrome is a rare congenital anomaly characterized by unilateral chest wall hypoplasia and ipsilateral hand abnormalities. The indications for chest and breast reconstruction are determined on the basis of functional and aesthetic concerns. The traditional open approach uses a latissimus dorsi muscle flap to attain chest symmetry. Endoscopically assisted latissimus dorsi muscle harvesting has been reported previously, combined with an additional incision for muscle fixation. We present a case series using minimally invasive surgery in Poland syndrome. In our last case, latissimus dorsi muscle harvesting and transposition was performed completely videoendoscopically. We believe we are the first to report this technique in the literature.

Minimally invasive harvest of the latissimus dorsi flap for breast reconstruction: A systematic review

“…Most patients who had an EALDF for Poland syndrome had an ‘excellent’ cosmetic result 25,28,29,33 . Using the Breast‐Q, the scores for ‘psychosocial well‐being’ and ‘satisfaction’ improved from 47.8 to 63.7 and from 23.1 to 61.7, respectively 25 .…”

“…8,25 Several studies have reported different approaches to improve the surgical field for an EALDF like the balloon technique 48,49 and gasless or insufflation technique with multiple trocars and laparoscopic instruments, all requiring three to four incisions. 11,23,28,29,31,36,37 In this setting, this may compromise the advantage of the endoscopic technique to reduce scarring. 25 Other authors have been able to harvest the LDF using single-port access, either with laparoscopic or robotic surgery.…”

New approaches to pectus and other minimally invasive surgery in Argentina

“…In the last 6 patients, we performed minimally invasive harvesting of the latissimus dorsi muscle flaps. The last case, we believe, is the first report of a completely minimally invasive harvest and transposition [12]. The graft was sutured subcutaneoscopically.…”

Reconstrução de mama usando o músculo grande dorsal: descrição de uma nova técnica com cicatriz reduzida

“…The latissimus dorsi flap generated through the endosco pic route enables the most accurate visualization and mo bilization of the vascular pedicle, as well as faster postoperative recovery 1,5,8,9 . The surgery is performed with a lateral incision or with multiple, typically 3, orifices for instruments usage.…”