Free latissimus dorsi musculocutaneous flap for external hemipelvectomy reconstruction

Tashiro, Kensuke; Arikawa, Masaki; Fukunaga, Yutaka; Nakatani, Fumihiko; Kobayashi, Eisuke; Kawai, Akira; Miyamoto, Shimpei

doi:10.1002/micr.30373

Cited by 8 publications

(3 citation statements)

References 26 publications

(24 reference statements)

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“…Anesthesia for hemipelvectomy surgery is challenging due to lengthy operative time, noteworthy tissue trauma, and the potential for substantial blood loss and the sequelae from massive transfusion 36 . Preoperative assessment to identify patient comorbidities is key.…”

Section: Anesthesiology Managementmentioning

confidence: 99%

“…If the decision to use local tissue is made, the addition of mesh is helpful to provide abdominal wall support and hernia prevention. Various free flaps have been described for reconstruction of these defects, including large latissimus dorsi and ALT flaps 35,36 . Fortunately, the distal ipsilateral extremity rarely has tumor involvement and can be used as a fillet of leg free flap.…”

Section: Plastic and Reconstructive Surgerymentioning

confidence: 99%

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Multidisciplinary Approach to Hemipelvectomy for Pelvic Sarcomas

Lewis¹,

Kemp

Roubaud

et al. 2022

JBJS Reviews

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Pelvic sarcomas are a rare and diverse group of tumors in terms of size and histology.Pelvic sarcomas present a treatment challenge to the orthopaedic oncologist.The size and location of these tumors require a varied approach to resection and reconstruction, but the tumor’s proximity to other internal structures within the pelvis (e.g., the bladder, the iliac vessels, and the bowel) makes extrication demanding.The ideal treatment requires assembling a hemipelvectomy team that consists of an orthopaedic oncologist, a surgical oncologist, a urologist, a vascular surgeon, a gynecologic oncologist, a plastic and reconstructive surgeon, a dedicated anesthesia team, and a dedicated rehabilitation physical therapy team. Each member can use his or her expertise to address the individual aspects of the pelvic resection and achieve the optimal oncologic and functional outcome.

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Section: Anesthesiology Managementmentioning

confidence: 99%

Section: Plastic and Reconstructive Surgerymentioning

confidence: 99%

Multidisciplinary Approach to Hemipelvectomy for Pelvic Sarcomas

Lewis¹,

Kemp

Roubaud

et al. 2022

JBJS Reviews

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“…Latissimus dorsi myocutaneous ap has been widely used in the repair of adjacent soft tissue defects due to the advantages of large ap area and carrying muscles 1,2 . However, with the development of microsurgery technology, the dorsal thoracic artery perforator ap without latissimus dorsi has achieved better soft tissue repair effects due to its thinner cut and less damaged to the donor site 3,4 .…”

Section: Introductionmentioning

confidence: 99%

Pedicled Latissimus Dorsi Myocutaneous Flap Transthoracic Transposition for Repairing Neck and Shoulder Soft Tissue Defect Combined with Infection

Abula

Liu

Cai

et al. 2021

Preprint

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Background: To explore the clinical application and selection of latissimus dorsi myocutaneous flap in repairing neck and shoulder soft tissue defect combined with infection. Methods: From July 2017 to December 2019, 11 patients with neck and shoulder soft tissue defect combined with infection in our hospital were repaired by the pedicled latissimus dorsi myocutaneous flap (PLDMF) according to the shape and size of the soft tissue defects, including 9 males and 2 females, with an average age of 40.2±12.6 years. The average defect area after debridement of infected and necrotic tissue was (7.0±1.3) cm × (4.8±1.2) cm, and the average area of the flaps was (34.4±3.8) cm × (6.0±1.0) cm. The donor site was sutured directly. Results: Seven cases of skin flaps healed by the first intention, while 4 cases developed infections at the distal ends of the skin flaps after surgery, which all survived after anti-infection treatment and repeated dressing changes for infection control, and the donor and recipient sites of the flaps healed well. Followed up for an average of 17.3±3.8 months with good flap blood supply and limb function, there was no recurrence of infection. Conclusions: PLDMF is an idea for repairing neck and shoulder soft tissue defect combined with infection, with high survival rate, low postoperative infection recurrence rate, and good functional repair ability, leading to good clinical application value. However, surgical indications should be strictly carried out due to the inferior aesthetic of flaps.

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External Hemipelvectomy

Li¹,

Guo²

2020

Surgery of the Pelvic and Sacral Tumor

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Free latissimus dorsi musculocutaneous flap for external hemipelvectomy reconstruction

Cited by 8 publications

References 26 publications

Multidisciplinary Approach to Hemipelvectomy for Pelvic Sarcomas

Multidisciplinary Approach to Hemipelvectomy for Pelvic Sarcomas

Pedicled Latissimus Dorsi Myocutaneous Flap Transthoracic Transposition for Repairing Neck and Shoulder Soft Tissue Defect Combined with Infection

External Hemipelvectomy

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