The V-Y Latissimus Dorsi Musculocutaneous Flap in the Reconstruction of Large Posterior Chest Wall Defects

Abstract

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors at www.springer.com/00266.

Pedicled myocutaneous flap transplantation for a large chest wall defect with infection in a 72-year-old female

“…The latissimus dorsi flap is significantly utilized in repairing defects in the lateral and posterior areas of the chest wall near the neck, attributed to its abundant vascularization, consistent anatomical structure, voluminous tissue availability, high flexibility, and safety profile [ 23 , 24 ]. This pedicled flap can be adeptly tunneled subcutaneously to cover not only the entire ipsilateral chest and the midline but also the contralateral axillary regions, and it is even capable of extending to the abdominal, cervical, and upper arm areas [ 25 , 26 ]. Its advantages include a plentiful blood supply, effective resistance against infection, reduced duration of surgery, and feasibility for single-stage suturing.…”

Rethinking a Reconstructive Technique: A Modified V-Y Flap Suture Technique with Horizontal Branch. Presentation of a Clinical Case

“…To minimize recurrences, we normally perform extensive removal. In addition, we use a 3 to 5 mm free margin in the case of basal cell carcinoma, 1 cm in the case of squamous cell carcinoma and 2.5 cm in the case of malignant melanoma [9,10].…”

Multidisciplinary approach of lumbo‐sacral chordoma: From oncological treatment to reconstructive surgery

“…The average width of the skin paddle is limited to 10-12 cm to allow primary closure at the donor site. Skin paddle can be further enhanced designing the flap in a V-Y pattern almost doubling the designed palette (73) . The reverse LD can reach even lower lumbar segments, up to L5, if raised as a muscular «turnover» flap, so that the superficial side, with the skin is de-epithelialised and used to fill three-dimensional lower lumbar defects [72].…”

“…The Latissimus Dorsi (LD) is a particularly versatile V‐type flap according to Mathes and Nahai , with a reliable blood supply provided by both a dominant pedicle (thoracodorsal vessels) and a secondary segmental supply (segmental branches of the posterior intercostal and lumbar arteries) . The possibility to harvest this flap on these segmental branches («reverse») allows the coverage of the dorsal/proximal lumbar area .…”