Latissimus Dorsi Musculocutaneous Flap Without Muscle

Angrigiani, Claudio; Grilli, Daniel; Siebert, John W.

doi:10.1097/00006534-199512000-00014

Cited by 417 publications

(231 citation statements)

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“…1,2,8 Several anatomical variations can make the harvest of thoracodorsal artery perforator flaps technically challenging. These include a variable number of large (Ͼ0.5 mm) perforators; difficulty mapping these perforators preoperatively because of the proximity of the main thoracodorsal pedicle; and poorly described, sometimes tedious dissection techniques.…”

Section: Discussionmentioning

confidence: 99%

“…Multiple cadaveric dissection studies have focused on determining the relationship between topographic landmarks and the thoracodorsal perforators. 2,8,15 Since the original description of Volume 121, Number 5 • Thoracodorsal Artery Perforator Flap the thoracodorsal artery perforator flap by Angrigiani et al, 1 the location of the majority of perforators 8 cm distal to the posterior axillary fold remains a valid and important anatomical landmark. At this point, the first perforator emerges from the descending branch of the thoracodorsal pedicle and usually travels above the deep fascia caudally and parallel to the latissimus dorsi muscle fibers.…”

Section: Discussionmentioning

confidence: 99%

“…[1][2][3][4][5][6][7][8][9][10][11][12] Although the thoracodorsal artery perforator flap has been reportedly used in multiple reconstructive situations, it has not gained the popularity of other perforator flaps such as the deep inferior epigastric artery perforator flap. Reasons for this include inconsistent perforator size, quality, quantity, and location, all of which contribute to tedious dissection.…”

mentioning

confidence: 99%

“…4,11,12 Thus, only small clinical series of thoracodorsal artery perforator flaps have been published. [1][2][3][4][5][6][7][8][9][10][11][12] The thoracodorsal artery perforator flap has been used widely in our department as either a free 9 or a pedicled flap. 6 The purpose of this article is to report our clinical experience with a large series of pedicled thoracodorsal artery perforator flaps used for a variety of indications, with an emphasis on preoperative planning, safe and standardized dissection technique, and an analysis of major and minor postoperative complications.…”

mentioning

confidence: 99%

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Surgical Technique in Pedicled Thoracodorsal Artery Perforator Flaps: A Clinical Experience with 99 Patients

Hamdi

Landuyt

Hijjawi

et al. 2008

Plastic and Reconstructive Surgery

138

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Background:The thoracodorsal artery perforator flap is considered a technically difficult flap because of significant anatomical variations in perforator location. The authors' strategy to facilitate the harvest of these flaps includes careful preoperative mapping of perforators and a standardized planning and harvesting technique. The authors evaluated 99 pedicled thoracodorsal artery perforator flaps, with an emphasis on preoperative planning, surgical technique, and analysis of complications.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Surgical Technique in Pedicled Thoracodorsal Artery Perforator Flaps: A Clinical Experience with 99 Patients

Hamdi

Landuyt

Hijjawi

et al. 2008

Plastic and Reconstructive Surgery

138

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“…They revealed that skin flaps could survive with blood supply from the perforator vessels containing small arteries and veins without a 'carrier' such as the muscle or deep fascia. Search for the perforator vessels was extended to the whole body including the latissimus dorsi muscle (17), gluteus maximus muscle (18), and radial artery region (19).…”

Section: Skin Perforatormentioning

confidence: 99%

Development of Skin Flaps for Reconstructive Surgery: Random Pattern Flap to Perforator Flap

et al. 2016

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: Flap transplantation has been an important procedure in plastic and reconstructive surgery to cover and fill various defects. Flap necrosis due to blood circulation failure leads to severe complications, especially in a patient undergoing reconstruction concerning the body cavity after tumor ablation. Surgical procedures for flap transplantation have been further improved and developed. We have reviewed from the random pattern flap to the newest procedure, the perforator flap. Perforator vessels were investigated in the process of development of the fasciocutaneous flap and have become important for blood supply of the skin flap. Blood circulation of the flap has become more stable and reliable than ever with the development and findings of the perforator vessels. Further development of a skin flap will be based on the perforasome concept, which involves the study of the territory and linking of perforator vessels.

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NIR‐II Protein‐Escaping Dyes Enable High‐Contrast and Long‐Term Prognosis Evaluation of Flap Transplantation

Du,

Xu,

Zheng

et al. 2024

Advanced Materials

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Real‐time vascular positioning, postoperative flap monitoring, and vascular reconstruction assessment are of great importance in flap transplantation. Cyanine dyes offer the advantage of high resolution in the Near‐infrared‐II (NIR‐II) imaging window. However, the nonspecific binding of many cyanine dyes to endogenous albumin leads to high organ accumulation and skin absorption, resulting in low‐quality imaging and poor reproducibility of contrast during long‐term (e.g., 7 days) postoperative monitoring. Here, a novel strategy is proposed that can be widely applied to prevent protein binding for NIR‐I/II Cl‐containing cyanine dyes. This strategy produces protein‐escaping dyes, ensuring high fluorescence enhancement in the blood with rapid clearance and no residual fluorescence, allowing for short‐term repeatable injections for vascular imaging. This strategy in the perioperative monitoring of pedicle perforator flap models in mice and rats is successfully applied. Furthermore, leveraging the universality of this strategy, multiple nonoverlapping protein‐escaping probes that achieve dual‐excitation (808 and 1064 nm) interference‐free imaging of nerve‐vessel and tumor‐vessel simultaneously are designed and synthesized. These protein‐escaping dyes enable long‐term repeatable dual‐color imaging of tumor localization, resection, and tumor‐vessel reconstruction at the wound site.

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Latissimus Dorsi Musculocutaneous Flap Without Muscle

Cited by 417 publications

References 0 publications

Surgical Technique in Pedicled Thoracodorsal Artery Perforator Flaps: A Clinical Experience with 99 Patients

Surgical Technique in Pedicled Thoracodorsal Artery Perforator Flaps: A Clinical Experience with 99 Patients

Development of Skin Flaps for Reconstructive Surgery: Random Pattern Flap to Perforator Flap

NIR‐II Protein‐Escaping Dyes Enable High‐Contrast and Long‐Term Prognosis Evaluation of Flap Transplantation

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