Functional Evaluation of Latissimus Dorsi Donor Site

Russell, Robert C.; Pribaz, Julian J.; Zook, Elvin G.; Leighton, William D.; Eriksson, Elof; Smith, Cindy J.

doi:10.1097/00006534-198609000-00009

Cited by 194 publications

(88 citation statements)

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“…The donor site morbidity after harvest of latissimus dorsi is limited. 30,31 The adequate dimensions and good excursion of latissimus dorsi provide it with a remarkable working ability. If necessary, it can be harvested as musculocutaneous flap to provide simultaneous skin coverage after wide oncological resection.…”

Section: Quadriceps Muscle Reconstruction 195mentioning

confidence: 99%

Quadriceps muscle reconstruction with free functioning latissimus dorsi muscle flap after oncological resection

et al. 2008

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Section: Quadriceps Muscle Reconstruction 195mentioning

confidence: 99%

Quadriceps muscle reconstruction with free functioning latissimus dorsi muscle flap after oncological resection

et al. 2008

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“…This is well described for the latissimus dorsi 5,6 and rectus abdominis muscles. [7][8][9] The technique of partial muscle harvest allows the reconstructive surgeon to utilize the benefits of muscle transplantation without the associated disadvantages of muscle harvest.…”

Section: Discussionmentioning

confidence: 53%

Partial muscle harvest: Our first 100 cases attempting to preserve form and function at the donor site

Brooks

Buntic

2008

Microsurgery

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The authors report their first 100 partial muscle flaps as a strategy to preserve form and function of the donor site in muscle transplantation. Between 2003 and 2007, 62 partial superior latissimus (PSL) flaps and 38 partial medial rectus (PMR) flaps were transplanted for head and neck, upper and lower extremity, and chest wall reconstruction. All flaps survived. There were hematomas at the donor sites in two PMR cases. Form and function were preserved at the donor site in all cases. The PSL provided comparable muscle volume and pedicle length to the entire rectus abdominis muscle. An additional benefit was its use as a functional muscle. The PMR flap provided comparable muscle volume to the gracilis muscle. An additional benefit was a much longer vascular pedicle. Small to moderate sized flaps can be harvested from the fabric of the latissimus dorsi and rectus abdomenis muscles and be reliably transplanted. When positioned at the superior edge of the latissimus or medial edge of the rectus muscle, adequate blood flow and innervation to the residual muscle result in preservation of form and function at the donor site. The benefits of muscle transplantation can be realized without the associated morbidity of muscle harvest.

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“…For interposition of a vein most surgeons' choice is to sacrifice the greater saphenous vein as it provides a sufficient length and its loss is not disadvantageous for the patient. 10,11 Studies have proven that a single-stage intervention is advantageous in comparison to a two-stage procedure. [12][13][14] In our patient, we created the arterial and venous anastomosis by using the saphenous vein grafts.…”

Section: Discussionmentioning

confidence: 99%

Free latissimus dorsi flap with long venous grafts for closure of a soft tissue defect of the spine in a patient with Noonan's syndrome: A case report

et al. 2009

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A 23-year-old male patient was operated for a soft tissue defect of the spine using a free musculocutaneous latissimus dorsi flap with two 21-cm long venous grafts connecting the flap to its vascular supply at the thoracodorsal vessels. This young patient suffered from Noonan's Syndrome that is a complex hereditary malformation syndrome with clinical features often leading to spinal deformities and gibbus development. The defect originated from a former internal vertebral fixation that was necessary for erective correction of such a spinal deformity. After perforation of the introduced material and debridement the defect was 4 x 8 cm in size, which was successfully closed by the free latissimus dorsi transfer. However, two venous grafts were necessary because the extension of the pedicled muscle was not sufficient to reach the defect. This is the first case in literature where a free flap was used with two venous grafts to close a soft tissue defect of the spine in the special case of a vertebral deformity based on a Noonan's Syndrome.

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Functional Evaluation of Latissimus Dorsi Donor Site

Cited by 194 publications

References 0 publications

Quadriceps muscle reconstruction with free functioning latissimus dorsi muscle flap after oncological resection

Quadriceps muscle reconstruction with free functioning latissimus dorsi muscle flap after oncological resection

Partial muscle harvest: Our first 100 cases attempting to preserve form and function at the donor site

Free latissimus dorsi flap with long venous grafts for closure of a soft tissue defect of the spine in a patient with Noonan's syndrome: A case report

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