Latissimus dorsi flap

Germann, Günter; Öhlbauer, M.

doi:10.1016/b978-0-7216-0519-7.00023-x

Cited by 11 publications

(11 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…One of the drawbacks of the latissimus dorsi flap is the relatively small skin paddle size that can be raised for primary closure of the donor site. A skin paddle width greater than 8–9 cm requires a skin graft for the donor site in vertically oriented design and more than 12 cm width skin paddle is difficult to be closed primarily in nonvertical design (Germann & Öhlbauer, 2009; Lee & Mun, 2008). Therefore, in the setting of the large defect reconstruction using the latissimus dorsi flap, it is difficult to achieve both primary closure of the donor site and adequate coverage of the defect.…”

Section: Discussionmentioning

confidence: 99%

Triple‐lobe combined latissimus dorsi and scapular flap for reconstruction of a large defect after sarcoma resection

et al. 2020

View full text Add to dashboard Cite

Background In the setting of the reconstruction for a large defect, we must make the maximum use of the limited human tissue with the minimum damage. In this article, we report on reconstruction using a combination of three‐skin paddle latissimus dorsi and a scapular flap for a large defect after soft tissue sarcoma resection to minimize donor site morbidity. Methods From 2000 to 2012, six patients underwent primary reconstruction using free or pedicled triple‐lobe combined latissimus dorsi and scapular flap after wide resection of soft tissue sarcoma. There were five male patient and one female, and their average age was 66.8 (range, 49–80 years). The location of the defects was the thoracic wall in three, the thigh in one, the knee in one, and the shoulder in one. The average size of the defect was 18.8 × 13.9 cm. Results The average size of the ascending scapular flap and the skin paddle of the latissimus dorsi flap was 6.8 × 13 cm and 7.3 × 14.7 cm. One patient had partial necrosis of the skin paddle of the latissimus dorsi flap, which was treated conservatively. The triple‐lobe combined latissimus dorsi and scapular flaps survived completely in five cases. Neither anastomosis complications nor infections were encountered. The average follow‐up period was 63.67 months. All patients were satisfied functionally and esthetically with the reconstruction outcomes at the end of follow‐up. Conclusion In conclusion, the triple‐lobe combined latissimus dorsi and scapular flap is one of the options for reconstruction of a large defect after sarcoma resection to minimize donor site morbidity.

show abstract

Section: Discussionmentioning

confidence: 99%

Triple‐lobe combined latissimus dorsi and scapular flap for reconstruction of a large defect after sarcoma resection

et al. 2020

View full text Add to dashboard Cite

show abstract

“…The back skin of humans is supplied by the thoracodorsal artery proximally, the posterior intercostal perforators in the middle, and the lumbar perforators at the distal end 2. The posterior paraspinous perforators are usually four to five vessels in each segmental row 3. In a pedicled latissimus dorsi musculocutaneous flap, a skin paddle as large as the muscle itself and extending as far as 5 cm anteriorly and inferiorly to the muscle can be harvested without delay.…”

Section: Discussionmentioning

confidence: 99%

Free hemiback flap with surgical delay for reconstruction of extensive soft tissue defect: A case report

2012

View full text Add to dashboard Cite

A delay procedure allows for reliable tissue transfer in random pattern flaps and axial pattern flaps. However, delay procedures have not been studied in free flaps. In this report, we present a case involving the use of a free extended latissimus dorsi musculocutaneous flap (hemiback flap) that included half of the total back skin and was based on thoracodorsal vessels for reconstruction of an extensive soft tissue defect of the flank and waist. The flap was tailored in combination with a delay procedure. Intraoperative indocyanine green fluorescence angiography indicated profuse perfusion except for the most inferomedial part of the flap, which was discarded. The flap survived. A free hemiback flap may offer a valuable option for reconstruction of extensive soft tissue defects. To our knowledge, this is the first report to demonstrate a free flap made in combination with a delay procedure.

show abstract

“…[13] The average dimensions are 4–6 cm more in male patients than in female patients. Pa-Chuen et al .…”

Section: Discussionmentioning

confidence: 99%

“…Günter Germann and Markus Öhlbauer mentioned LD muscle dimensions: length 35 cm (range 21–42 cm) and width 20 cm (range 14–26 cm). [ 13 ] The average dimensions are 4–6 cm more in male patients than in female patients. Pa-Chuen et al .…”

Section: Discussionmentioning

confidence: 99%

Free Boomerang-shaped Extended Rectus Abdominis Myocutaneous flap: The longest possible skin/myocutaneous free flap for soft tissue reconstruction of extremities

Koul

Nahar

Prabhu

et al. 2011

Indian J Plast Surg

View full text Add to dashboard Cite

Background:A soft tissue defect requiring flap cover which is longer than that provided by the conventional “long” free flaps like latissimus dorsi (LD) and anterolateral thigh (ALT) flap is a challenging problem. Often, in such a situation, a combination of flaps is required. Over the last 3 years, we have managed nine such defects successfully with a free “Boomerang-shaped” Extended Rectus Abdominis Myocutaneous (BERAM) flap. This flap is the slightly modified and “free” version of a similar flap described by Ian Taylor in 1983.Materials and Methods:This is a retrospective study of patients who underwent free BERAM flap reconstruction of soft tissue defects of extremity over the last 3 years. We also did a clinical study on 30 volunteers to compare the length of flap available using our design of BERAM flap with the maximum available flap length of LD and ALT flaps, using standard markings.Results:Our clinical experience of nine cases combined with the results of our clinical study has confirmed that our design of BERAM flap consistently provides a flap length which is 32.6% longer than the standard LD flap and 42.2% longer than the standard ALT flap in adults. The difference is even more marked in children. The BERAM flap is consistently reliable as long as the distal end is not extended beyond the mid-axillary line.Conclusion:BERAM flap is simple in design, easy to harvest, reliable and provides the longest possible free skin/myocutaneous flap in the body. It is a useful new alternative for covering long soft tissue defects in the limbs.

show abstract

Latissimus dorsi flap

Cited by 11 publications

References 23 publications

Triple‐lobe combined latissimus dorsi and scapular flap for reconstruction of a large defect after sarcoma resection

Triple‐lobe combined latissimus dorsi and scapular flap for reconstruction of a large defect after sarcoma resection

Free hemiback flap with surgical delay for reconstruction of extensive soft tissue defect: A case report

Free Boomerang-shaped Extended Rectus Abdominis Myocutaneous flap: The longest possible skin/myocutaneous free flap for soft tissue reconstruction of extremities

Contact Info

Product

Resources

About