The latissimus dorsi myocutaneous flap to replace a defect on the upper arm

Silverton, John S.; Nahai, Foad; Jurkiewicz, M. J.

doi:10.1016/0007-1226(78)90010-3

Cited by 24 publications

(3 citation statements)

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“…Depending on its dominant pedicle supplied by the subscapular system it was rotated either anteriorly or posteriorly to reconstruct the breast [6,7,30] chest wall defects [24], head and neck [27,28], arm and shoulder [22,31], abdominal wall [4] and recently, intraoral defects [35]. Depending on its dominant pedicle supplied by the subscapular system it was rotated either anteriorly or posteriorly to reconstruct the breast [6,7,30] chest wall defects [24], head and neck [27,28], arm and shoulder [22,31], abdominal wall [4] and recently, intraoral defects [35].…”

Section: Bases Anatomiques Du Iambeau Myoeutan~ Du M Grand Dorsal; Amentioning

confidence: 99%

Anatomical basis of latissimus dorsi myocutaneous flap: clinical applications

et al. 1989

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The anatomical study was carried out using 40 preserved cadaveric specimens of latissimus dorsi myocutaneous flaps. It included dissections, angiographies and tissue clearing after arterial injection with latex. The results proved that the dominant vascular supply, the thoracodorsal a., has an almost constant pattern of intramuscular distribution. In addition, there are two sets of segmental pedicles, from the intercostal and lumbar vessels, supplying the medial third of the muscle. The accurate localization of the intramuscular distribution of the thoracodorsal a. permitted the proper design of several island flaps with competent vascularity. The designed flaps were successfully applied in 10 cases for reconstruction of breast, axilla, neck and chest wall.

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Section: Bases Anatomiques Du Iambeau Myoeutan~ Du M Grand Dorsal; Amentioning

confidence: 99%

Anatomical basis of latissimus dorsi myocutaneous flap: clinical applications

et al. 1989

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“…2 El colgajo miocutáneo de dorsal ancho está evaluado como un colgajo muy seguro y sumamente versátil y existen reportes desde 1977 de sus alcances, incluso hasta el antebrazo o hasta la región del cráneo. 3 Angrigiani, 4 reportó una modificación a la técnica clásica de levantamiento del colgajo de dorsal ancho al basarse únicamente en las perforantes de la rama descendente de la arteria toracodorsal, sentando las bases anatómicas en un estudio con 40 cadáveres para el colgajo denominado como dorsal ancho ahorrador de músculo. 4 Saint-Cyr, 5 reportó en 2009 su experiencia con 20 casos de reconstrucción mamaria con un colgajo dorsal ancho ahorrador de músculo con una isla de piel orientada transversalmente e hizo énfasis en las ventajas como la mínima morbilidad del sitio donador, baja tasa de formación de seromas, gran libertad de orientación de la isla de piel, baja incidencia de complicaciones y una cicatriz cosméticamente aceptable.…”

Section: Discussionunclassified

Salvamento de extremidad superior mediante colgajo dorso-epigástrico

Espinosa¹,

Salgado²,

Rodriguez³

et al. 2018

Cirugía Plástica

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“…A–D). The elevation of the proximal part of the flap included the LD muscle with the overlying skin, based on the thoracodorsal vascular pedicle and nerve . At the level of the iliac crest, dissection proceeded distally toward the groin area with harvesting of the skin and deep fascia as described by McGregor and Jackson for the groin flap .…”

Section: Case Reportmentioning

confidence: 99%

The latissimus dorsi‐groin‐lymph node compound flap: A comprehensive technique with three features including skin coverage, restoration of motor function, and prevention of upper limb lymphedema

et al. 2015

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Reconstruction of complex upper extremity defects requires a need for multiple tissue components. The supercharged latissimus dorsi (LD)-groin compound flap is an option that can provide a large skin paddle with simultaneous functional muscle transfer. It is necessary to supercharge the flap with the superficial circumflex iliac pedicle to ensure the viability of its groin extension. In this report, we present a case of a supercharged LD-groin flap in combination with vascularized inguinal lymph nodes, which was used for upper limb reconstruction in a young male patient, following excision of high-grade liposarcoma. Resection resulted in a 28 cm × 15 cm skin defect extending from the upper arm to the proximal forearm, also involving the triceps muscle, a segment of the ulnar nerve and the axillary lymph nodes. Restoration of triceps function was achieved with transfer of the innervated LD muscle. Part of the ulnar nerve was resected and repaired with sural nerve grafts. Post-operatively, the flap survived fully with no partial necrosis, and no complications at both the recipient and donor sites. At 1-year follow up, the patient had a well-healed wound with good elbow extension (against resistance), no tumor recurrence, and no signs of lymphedema. We believe this comprehensive approach may represent a valuable technique, for not only the oncological reconstruction of upper extremity, but also for the prevention of lymphedema. © 2015 Wiley Periodicals, Inc. Microsurgery 36:689-694, 2016.

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The latissimus dorsi myocutaneous flap to replace a defect on the upper arm

Cited by 24 publications

References 1 publication

Anatomical basis of latissimus dorsi myocutaneous flap: clinical applications

Anatomical basis of latissimus dorsi myocutaneous flap: clinical applications

Salvamento de extremidad superior mediante colgajo dorso-epigástrico

The latissimus dorsi‐groin‐lymph node compound flap: A comprehensive technique with three features including skin coverage, restoration of motor function, and prevention of upper limb lymphedema

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