Immediate reconstruction of the chest wall by latissimus dorsi and vertical rectus abdominis musculocutaneous flaps after radical mastectomy for a huge pleomorphic liposarcoma

Shoham, Yaron; Koretz, Michael; Kachko, Leonid; Silberstien, Eldad; Krieger, Yuval; Bogdanov-Berezovsky, Alex

doi:10.3109/2000656x.2012.748309

Cited by 8 publications

(10 citation statements)

References 5 publications

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“…In addition, when synthetic material is used for reconstruction, complete coverage of the material with well‐vascularized tissue becomes essential to combat infection and prevent exposure (Kuwahara, Salo, & Tukiainen, 2018; Shah, Ayyala, Tran, Therattil, & Keith, 2019). One flap cannot completely cover an extensive defect, and double flap transfer becomes necessary (Luca‐Pozner et al, 2018; Shoham et al, 2013). For such cases, selection of the donor sites is critical to successful reconstruction.…”

Section: Discussionmentioning

confidence: 99%

“…The use of multiple flaps to cover extensive trunk defects has been reported. Shoham et al (Shoham et al, 2013) reconstructed a large chest wall defect (not full‐thickness) with a combination of an LD musculocutaneous flap and a vertical rectus abdominis musculocutaneous flap. Kim, Lee, Kim, Chang, and Moon (2019) reported the use of bilateral ALT flaps to reconstruct a full‐thickness abdominal wall defect.…”

Section: Discussionmentioning

confidence: 99%

“…Although various methods of full‐thickness trunk reconstruction have been reported to date, the gold standards are the latissimus dorsi (LD) muscle or musculocutaneous flap for chest wall reconstruction and the anterolateral thigh (ALT) flap with the iliotibial tract for abdominal wall reconstruction (Arnold & Pairolero, 1996; Behnam et al, 2007; Kayano et al, 2012; Kimata et al, 1999; Miyamoto, Kagaya, Arikawa, & Kobayashi, 2016). The versatility of these flaps has been fully demonstrated; however, when the defect is extensive, one flap cannot completely cover the defect and double flap transfer becomes necessary (Luca‐Pozner et al, 2018; Shoham et al, 2013).…”

Section: Introductionmentioning

confidence: 99%

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Combined use of ipsilateral latissimus dorsi flap and anterolateral thigh flap to reconstruct extensive trunk defects

et al. 2020

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Reconstruction of a full‐thickness trunk defect is challenging because of the complex nature of such defects, which include the chest wall, abdominal wall, and diaphragm. We herein describe three patients in whom extensive trunk defects after sarcoma resection were reconstructed with a latissimus dorsi flap and an anterolateral thigh flap. In two patients, the defect included both the chest wall and the abdominal wall. The other patient had an extensive full‐thickness chest wall defect. The size of the anterolateral thigh flap for each patient was 34 × 10 cm, 26 × 15 cm, and 23 × 5 cm, respectively. Although one patient required take‐back for additional venous drainage, all wounds healed with no other complications. No respiratory dysfunction or abdominal wall hernia occurred in any patients. The combined use of a latissimus dorsi flap and an anterolateral thigh flap may provide reliable coverage of an extensive trunk defect and robust support of the chest and abdominal walls. Additionally, the availability of a two‐team approach without a positional change makes this combination a versatile reconstructive option.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Combined use of ipsilateral latissimus dorsi flap and anterolateral thigh flap to reconstruct extensive trunk defects

et al. 2020

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“…Bonomi et al 16 have presented the V-Y thoracoabdominal perforator flap for chest wall reconstruction for LABC. Shoham et al 17 have presented immediate reconstruction of the chest wall by latissimus-dorsi and vertical rectus abdominis musculocutaneous flaps. Pelzer et al 18 have designed a combined split ALT/TFL flap for soft tissue coverage in large thoracical defects.…”

Section: Discussionmentioning

confidence: 99%

Using KISS Flaps in a Chest Wall Reconstruction After Mastectomy for Locally Advanced Breast Cancer: A New Technique

et al. 2019

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This study described a technique for the reconstruction of large lateral thoracic defects after local advanced breast cancer resection that allows for complete cover of the defect and primary closure of the donor site. The authors performed reconstruction using the newly designed KISS flap in 2 women for coverage of their large skin defect (15 × 13 cm each) following mastectomies with extensive tissue resection. The KISS flap consisting of 2 skin islands (marked Flap A and Flap B; 15 × 6 cm each) was designed and transferred to the thoracic defect through the subcutaneous tunnel, and based on the same vessel. The flap covered properly without causing excessive tension and allowed primary closure of chest wound and donor defect. The security it brings is comparable with that of classical radical mastectomy, and its success rate is similar to that of single skin flap transplantation. Compared with the conventional pedicled latissimus-dorsi-musculocutaneous flap, we believe that the donor zone tension decreases, wherein the KISS flaps can reduce the incidence of incision dehiscence and nonhealing complications to some extent. The study reported good results from this technique and discussed the techniques that referenced previous reports.

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“…Various procedures have been described to reconstruct large defects of the anterior chest wall, such as musculocutaneous flaps [ 15 ], bone allografts [ 16 ], Gore-Tex dual mesh [ 17 , 18 ], sandwiched polypropylene mesh [ 8 ] and titanium plating [ 19 ]. The ideal prosthetic material should be readily available, easy to use, durable, adaptable, resistant to infection and of low cost.…”

Section: Discussionmentioning

confidence: 99%

Surgical management of a giant sternal chondromyxoid fibroma: a case report

Chen

Huang

Chen

et al. 2015

J Cardiothorac Surg

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BackgroundA primary chondromyxoid fibroma (CMF) arising from sternum is quite uncommon tumor in thoracic surgery. Removal of giant sternal tumors requires extensive resection of the anterior chest wall, and results in deformity and paradoxical movement.Case PresentationA 40-year-old female presented a progressively enlarging mass of her anterior chest wall. Computed tomography revealed an osteolytic lesion with discrete calcification in the bone marrow of the sternum. The tumor extended across the destroyed cortex to the parietal and visceral soft aspects, involving some of the costal cartilage and most of the sternal body. Partial sternal resection was performed successfully and an individual-specific stainless steel plate was used to reconstruct the anterior chest wall. The early result was good, however, nine months after the first surgery, fractures of plate were found at bilateral plate-clavicular junction. The plate had to be removed, and a titanium mesh was used to reconstruction of the chest wall. The patient has been of disease free for more than 18 month after the second surgery.ConclusionsOur experience indicated that the individual-specific plate may not be suitable for reconstructing both the anterior chest wall as well as the sternoclavicular joint after subtotal sternum resection.

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Immediate reconstruction of the chest wall by latissimus dorsi and vertical rectus abdominis musculocutaneous flaps after radical mastectomy for a huge pleomorphic liposarcoma

Cited by 8 publications

References 5 publications

Combined use of ipsilateral latissimus dorsi flap and anterolateral thigh flap to reconstruct extensive trunk defects

Combined use of ipsilateral latissimus dorsi flap and anterolateral thigh flap to reconstruct extensive trunk defects

Using KISS Flaps in a Chest Wall Reconstruction After Mastectomy for Locally Advanced Breast Cancer: A New Technique

Surgical management of a giant sternal chondromyxoid fibroma: a case report

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