The Latissimus Dorsi Flap: An Overview

Lassen, Mads; Krag, Christen; Nielsen, Inger M.

doi:10.3109/02844318509052864

Cited by 29 publications

(13 citation statements)

References 53 publications

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“…The MLD, first described by Baudet [11], is dependable and versatile for free‐tissue transfer; it is easily elevated, it has a large surface area, and the thoracodorsal artery provides a large, long and reliable pedicle [12–14]. The subscapular artery divides after 3–5 cm and gives two branches, the circumflex scapulae and thoracodorsal artery, the latter of which continues downward and is the dominant vessel supplying the flap.…”

Section: Methodsmentioning

confidence: 99%

Total phalloplasty using a musculocutaneous latissimus dorsi flap

et al. 2007

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Study Type -Therapy (outcomes research) Level of Evidence 2c OBJECTIVETo present total phalloplasty in children and adults using a musculocutaneous latissimus dorsi (MLD) free flap to create a large neophallus, that allows easy urethroplasty and implantation of a prosthesis. PATIENTS AND METHODSFrom April 1999 to January 2006, 16 patients (mean age 24 years, range 10-34) had a total phalloplasty; the indications were congenital anomalies of the penis in 12, iatrogenic in two and accidental penile trauma in two. The MLD flap is mobilized on a subscapular artery and vein, and a thoracodorsal nerve. The neophallus is created on-site and after dividing the neurovascular pedicle, transferred to the pubic region, where it is anastomosed with the femoral artery, saphenous vein and ilio-inguinal nerve. The donor site was closed directly in 15 patients while in one a split-thickness skin graft was used to cover the defect. In the following stages, two-or three-stage buccal mucosa urethroplasty was used in 11 patients; a penile prosthesis was implanted in seven. RESULTSThe mean (range) follow-up was 31 (12-74) months; the penis was 14-18 cm long and 11-15 cm in circumference. There was no partial or total flap necrosis; the donor site healed satisfactorily in 13 patients while in the remaining three there was moderate scarring. The patency of the urethra was good in all patients. Two urethrocutaneous fistulae developed; one closed spontaneously and the other was successfully treated with minor surgery. The function of the implanted penile prostheses was satisfactory in all patients. CONCLUSIONSThe MLD flap allows the creation of a neophallus of good size and with a good aesthetic appearance; it allows urethroplasty and safe implantation of a penile prosthesis, and it can also be used in children.

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Section: Methodsmentioning

confidence: 99%

Total phalloplasty using a musculocutaneous latissimus dorsi flap

et al. 2007

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“…However, locally advanced tumors of large dimensions require skin or myocutaneous flaps that can cover the area of substance loss (7)(8)(9) . In conventional hemipelvectomy, the substance loss is repaired by means of a myocutaneous flap from the gluteus maximus muscle (10) .…”

Section: Discussionmentioning

confidence: 99%

Reconstrução após ressecção extensa de tumor das cinturas pélvica e escapular: relato de dois casos

Dall'Agnol¹,

Freitas²,

Crivellaro³

et al. 2012

Rev. bras. ortop.

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The authors declare that there was no conflict of interest in conducting this work ABSTRACTRadical surgeries for treatment of scapular and pelvic girdle tumors (hemipelvectomy and interscapulothoracic amputation) are generally extended procedures, with large areas of local tissue loss after tumor resection. The use of a flap that includes all the anterior and posterior thigh musculature after femur dissection, pedicled in the superficial femoral vessels, has been described was only once in the medical literature, and there have been no reports on a similar flap using the whole anterior and posterior musculature of the arm after humerus dissection, pedicled in the subclavian vessels, for reconstruction after interscapulothoracic amputation. Here, we describe two cases -one hemipelvectomy and one interscapulothoracicl amputation -using these two the flaps to close the defect.

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“…The latissimus dorsi muscle is the largest transfer available, with a muscle surface area of 25 ϫ 35 cm and skin territory of 30 ϫ 40 cm. 54 The latissimus dorsi muscle is an expendable muscle, because the function is preserved by the remaining synergistic shoulder girdle muscles. 55 The indications for a latissimus dorsi flap in lower extremity reconstruction are a large defect, dead space, or osteomyelitis.…”

Section: Latissimus Dorsi Flapmentioning

confidence: 99%