884 results match your criteria Latissimus Myocutaneous Flap


Reverse-flow latissimus dorsi myocutaneous flap in a multi-step approach for complex back defect reconstruction: A case report.

Microsurgery 2020 Jun 4. Epub 2020 Jun 4.

Plastic and Reconstructive Microsurgery, Careggi University Hospital, Florence, Italy.

Reconstruction of complex back defects is challenging for reconstructive surgeons, as it should preserve function, provide adequate coverage, and minimize morbidity. We present a case of multiple-step reconstruction after resection of a large squamous cell carcinoma recurrence in a 68-year-old man, with local perforator flaps and a reverse-flow latissimus dorsi myocutaneous flap. After radical excision, four propeller perforator flaps were harvested to cover a 30 × 25 cm defect, based on the dorsal branch of the fifth posterior intercostal arteries (right 20 × 9 cm, left 17 × 9 cm) and on the superior gluteal arteries (right 20 × 11 cm, left 21 × 12 cm) bilaterally. Read More

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http://dx.doi.org/10.1002/micr.30615DOI Listing

Patient satisfaction in one-stage immediate breast reconstruction after mastectomy: A multi-center comparative patient evaluation of prosthesis, LDMF, and TRAM techniques.

Medicine (Baltimore) 2020 May;99(22):e19991

Department of Breast Surgery, Tianjin Medical University Cancer Institute and Hospital, Tianjin, China.

To analyze patient satisfaction and the predictive factors characterizing three types of one-stage immediate breast reconstruction (IBR) after mastectomy, including prosthesis, latissimus dorsi myocutaneous flap (LDMF), transverse rectus abdominis myocutaneous (TRAM) flap techniques.Data were collected via face-to-face or telephone interviews from eight breast centers in China from January 2012 to December 2016. A standardized questionnaire that evaluated the general satisfaction and aesthetic satisfaction was sent to patients who had undergone IBR. Read More

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http://dx.doi.org/10.1097/MD.0000000000019991DOI Listing
May 2020
5.723 Impact Factor

Delayed post-traumatic presentation of severe sternal osteomyelitis: A strong multidisciplinary effort and a novel reconstruction technique for a challenging case.

Trauma Case Rep 2020 Jun 17;27:100305. Epub 2020 May 17.

Thoracic Surgery Unit, Southampton University Hospital, UK.

Sternal osteomyelitis is a morbid and challenging condition, which can rarely occur after trauma, with no established consensus over best therapeutic options. In this case, a 47-year-old man with history of intravenous drug use presented 11 weeks after a minor blunt chest trauma with a severe necrotizing osteomyelitis involving sternum, muscles, fascia and subcutaneous tissue and positive blood cultures for Methicillin Sensitive . Alongside tailored antibiotic therapy, extensive surgical debridement was performed, leaving a full thickness 3 × 4 cm sternal defect and a large skin defect. Read More

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http://dx.doi.org/10.1016/j.tcr.2020.100305DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7236049PMC

Free Medial Plantar Flap Versus Free Dorsal Myocutaneous Flap for the Reconstruction of Traumatic Foot Sole Defects.

Ann Plast Surg 2020 May;84(5S Suppl 3):S178-S185

From the Department of Plastic and Reconstructive Surgery, First Medical Center of PLA General Hospital.

Background: Trauma can cause large defects in the weight-bearing foot sole. The reconstruction of such defects poses a major challenge in providing a flap that is durable, sensate, and stable. The pedicled medial plantar flap has been commonly used for reconstructing heel and plantar forefoot defects; however, the ipsilateral instep region is usually compromised by trauma. Read More

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http://dx.doi.org/10.1097/SAP.0000000000002373DOI Listing

Use of Latissimus Dorsi Myocutaneous Island Flap for Pharyngeal Reconstruction in Setting of Postoperative Wound Infection in Salvage Laryngectomy.

Indian J Surg Oncol 2020 Mar 16;11(1):44-46. Epub 2019 Nov 16.

Department of ENT and Head Neck Oncology, Government Cancer Hospital Aurangabad, Plot 33,Yogkshem, Bhagyanagar, Aurangabad, 431001 India.

Salvage laryngectomy frequently associated with more postoperative complication as compared with primary total laryngectomy. It carries a high risk of postoperative infection with reported rates of 40-61%. Problem related to local wound healing, especially development of pharyngo-cutaneous fistula constitutes the most common postoperative complication in these patients. Read More

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http://dx.doi.org/10.1007/s13193-019-01004-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7064682PMC

Volumetric change of the latissimus dorsi muscle after postoperative radiotherapy in immediate breast reconstruction with an extended latissimus dorsi musculocutaneous flap.

Arch Plast Surg 2020 Mar 15;47(2):135-139. Epub 2020 Mar 15.

Department of Plastic and Reconstructive Surgery, Pusan National University School of Medicine, Yangsan, Korea.

Background: This study aimed to determine the magnitude of volume reduction of the latissimus dorsi (LD) muscle after treatment using only postoperative radiotherapy (PORTx) in patients who underwent immediate breast reconstruction using an extended LD musculocutaneous (eLDMC) flap after partial mastectomy.

Methods: We retrospectively reviewed 28 patients who underwent partial mastectomy and an eLDMC flap, received only PORTx, and underwent chest computed tomography (CT) 7 to 10 days after surgery and 18±4 months after the end of radiotherapy, from March 2011 to June 2016. The motor nerve to the LD was resected in all patients. Read More

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http://dx.doi.org/10.5999/aps.2019.01361DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7093266PMC

The Modified Extended Fleur-De-Lis Latissimus Dorsi Flap for Various Complex Multi-directional Large Soft and Bone Tissue Reconstruction.

Cureus 2020 Feb 12;12(2):e6974. Epub 2020 Feb 12.

Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, TWN.

Introduction Latissimus Dorsi (LD) myocutaneous flap is a workhorse flap for various large reconstructions. Variants described to increase its volume are referred to as extended LD flaps. The extended fleur-de-lis LD is one of these variants. Read More

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http://dx.doi.org/10.7759/cureus.6974DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7075478PMC
February 2020

Complex microsurgical perineal reconstruction after resection of a giant verrucous carcinoma associated with anal fistulas in Crohn's disease-a unique case report.

Int J Colorectal Dis 2020 Mar 17. Epub 2020 Mar 17.

Division of Hand, Plastic and Aesthetic Surgery, University Hospital, LMU Munich, Pettenkoferstr. 8a, 80336, Munich, Germany.

Background: Crohn's disease (CD) is a chronic inflammatory disorder which leads to anorectal fistulas. In rare cases, patients develop anal squamous cell carcinoma (ASCC) within these lesions. There is limited literature regarding ASCC in patients with CD. Read More

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http://dx.doi.org/10.1007/s00384-020-03569-zDOI Listing

[Exploration on the method of aesthetic repair of the donor sites of flaps].

Zhonghua Shao Shang Za Zhi 2020 Feb;36(2):97-105

Department of Burns, Beijing Jishuitan Hosptial, Beijing 100035, China.

To explore the excellent methods for aesthetic repair of the donor sites of flaps. From January 2013 to March 2018, 120 patients (94 males and 26 females, aged from 3 to 60 years) were admitted to the Department of Burns of Beijing Jishuitan Hospital. Wounds areas after debridement or removing scar were ranged from 8. Read More

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http://dx.doi.org/10.3760/cma.j.issn.1009-2587.2020.02.004DOI Listing
February 2020

Improving the Versatility of the Latissimus Dorsi Myocutaneous Flap Using the Perforator Propeller Flap Concept.

Ann Plast Surg 2020 Jun;84(6):689-696

Department of Oncological Orthopedics, Peking University People's Hospital, Peking University.

Background: The latissimus dorsi myocutaneous flap is widely used in reconstructive surgery; however, primary donor-site closure remains challenging when a wide flap is harvested.

Methods: A large latissimus dorsi myocutaneous flap was elevated and transferred to repair defects. Perforators adjacent to the donor site of the myocutaneous flap were explored using an ultrasound Doppler probe or a technique of extensive exploration along the margins of the donor site wound. Read More

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http://dx.doi.org/10.1097/SAP.0000000000002299DOI Listing

Shaping an Anatomical Breast Using Extended Latissimus Dorsi Flap and Lipofilling in Immediate Breast Reconstruction.

Ann Plast Surg 2020 Feb 7. Epub 2020 Feb 7.

From the Department of Plastic Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

Background: Although many attempts have been made to augment the volume of the latissimus dorsi (LD) myocutaneous flap in breast reconstruction, only a few studies on the shaping of the LD flap to achieve a natural native breast have been conducted. We introduce our novel method to reconstruct a naturally shaped breast by combining an extended LD myocutaneous flap with immediate lipofilling.

Methods: The patients who underwent an immediate unilateral breast reconstruction with an extended LD myocutaneous flap and lipofilling were retrospectively reviewed. Read More

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http://dx.doi.org/10.1097/SAP.0000000000002295DOI Listing
February 2020

Immediate Latissimus Dorsi and Prosthetic Reconstruction in the Setting of Postmastectomy Radiation: An Analysis of 376 Breast Reconstructions.

Ann Plast Surg 2020 Jun;84(6S Suppl 5):S364-S368

Grotting & Cohn Plastic Surgery, Birmingham, AL.

Background: In immediate breast reconstruction, the plastic surgeon must strive to create an aesthetically pleasing result while minimizing complications. The latissimus dorsi (LD) myocutaneous flap has long been used a workhorse flap in breast reconstruction. Often times, it is used a salvage flap after other methods of breast reconstruction have failed. Read More

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http://dx.doi.org/10.1097/SAP.0000000000002279DOI Listing

Acellular Dermal Matrix Performance Compared with Latissimus Dorsi Myocutaneous Flap in Expander-Based Breast Reconstruction.

Plast Reconstr Surg Glob Open 2019 Sep 30;7(9):e2414. Epub 2019 Sep 30.

Department of Plastic Surgery, Vanderbilt University Medical Center, Nashville, Tenn.

Latissimus dorsi myocutaneous flap (LDMF) with tissue expander provides excellent results in breast reconstruction. Acellular dermal matrix (ADM) has been used in expander-based reconstruction (EBR) with good results. This study assesses how ADM compares to LDMF in EBR. Read More

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http://dx.doi.org/10.1097/GOX.0000000000002414DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6908382PMC
September 2019

Latissimus Dorsi Myocutaneous Flap in Immediate Reconstruction after Salvage Mastectomy Post-Lumpectomy and Radiation Therapy.

Plast Reconstr Surg Glob Open 2019 Jul 5;7(7):e2296. Epub 2019 Jul 5.

Breast Surgical Unit, University Hospital of Parma, Parma, PR, Italy.

Breast reconstruction after salvage mastectomy (SM) for recurrent cancer represents a challenge in preradiated patients due to the increased complication rate. Latissimus dorsi myocutaneous flap (LDMF) represents a good reconstructive option due to its versatility, safety, and adaptability.

Methods: Fifty-nine patients treated in the Breast Surgery Unit at the University Hospital of Parma (Italy) between January 2010 and December 2017 for ipsilateral breast recurrent cancer, previously treated by partial mastectomy plus whole-breast radiation therapy, were analyzed. Read More

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http://dx.doi.org/10.1097/GOX.0000000000002296DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6952149PMC

Pre-Expanded Latissimus Dorsi Myocutaneous Flap for Total Scalp Defect Reconstruction.

J Craniofac Surg 2020 Mar/Apr;31(2):e151-e153

Department of Plastic and Burn Surgery, West China Hospital of Sichuan University, Chengdu.

Scalp defects can be caused by various factors, and reconstruction options for scalp defects include skin grafts, local flaps, tissue expanders, and free flaps. However, currently, it is widely accepted that the use of free flaps is the most feasible method for extensive scalp defect reconstruction. While multiple flaps have been used to reconstruct scalp defects, the reconstruction of total scalp defects still remains challenging. Read More

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http://dx.doi.org/10.1097/SCS.0000000000006084DOI Listing
December 2019

A Study on Breast Reconstruction in a Developing Country: A Comprehensive Evaluation of the Techniques and Oncologic Outcomes.

Ann Plast Surg 2020 May;84(5):512-517

Division of Pulmonary, Allergy and Critical Care Medicine, Department of Medicine, University of Pittsburgh, Pittsburgh, PA.

Background: Breast cancer, with an incidence of 33.2 per 100,000 in Iranian population, is considered as the most common cancer in Iranian women. Nowadays, with the increasing survival rates, breast reconstruction has been integrated into surgical techniques of breast cancer treatment. Read More

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http://dx.doi.org/10.1097/SAP.0000000000002125DOI Listing

[Limb salvage strategies for patients with high voltage electric burns of extremities on the verge of amputation].

Zhonghua Shao Shang Za Zhi 2019 Nov;35(11):776-783

Department of Burns, Beijing Jishuitan Hospital, Beijing 100035, China.

To explore the limb salvage strategies for patients with high voltage electric burns of extremities on the verge of amputation. From January 2003 to March 2019, 61 patients with high voltage electric burns of extremities on the verge of amputation were treated in our hospital. All of them were male, aged 15-58 years, including 49 cases of upper limbs and 12 cases of lower limbs. Read More

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http://dx.doi.org/10.3760/cma.j.issn.1009-2587.2019.11.003DOI Listing
November 2019

Restoration of Elbow Flexion with a Pedicled Latissimus Dorsi Myocutaneous Flap to a Brachial Plexus Injury at the Terminal Nerve Level.

Plast Reconstr Surg Glob Open 2019 Oct 28;7(10):e2472. Epub 2019 Oct 28.

Department of Regional Medical Support for Orthopaedics, Fukushima Medical University, Fukushima, Japan.

A pedicled latissimus dorsi (LD) myocutaneous flap is a reliable reconstructive method for elbow flexion, though there are no reports regarding its application to a terminal nerve level injury of the brachial plexus. A 29-year-old man presented with dysfunction of elbow flexion, wrist extension, and finger extension. Physical examination and electromyography showed that the palsy was caused by an injury at the terminal nerve level of the brachial plexus without dysfunction of the axillary nerve. Read More

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http://dx.doi.org/10.1097/GOX.0000000000002472DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6846311PMC
October 2019

Latissimus Dorsi-Myocutaneous Flap in the Repair of Titanium Mesh Exposure and Scalp Defect After Cranioplasty.

J Craniofac Surg 2020 Mar/Apr;31(2):351-354

Department of Plastic Surgery, Xijing Hospital, Air Force Medical University, Xi'an, China.

Titanium mesh was widely used for cranium defect repair but associated with high complication rates. In this study, the authors describe a method using latissimus dorsi-myocutaneous flap in the repair of titanium mesh exposure and scalp defect after cranioplasty, and the plate retaining is also achieved. Fifteen patients from April 2012 to May 2016 underwent this procedure, the age ranged from 32 to 62 years and 47 years old on average, and all the patient had plate exposure combined with surgical site infection and variation of scalp defect. Read More

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http://dx.doi.org/10.1097/SCS.0000000000006016DOI Listing
November 2019

Flap reconstruction for sacrectomy defects: A systematic review and meta-analysis.

J Plast Reconstr Aesthet Surg 2020 Feb 11;73(2):255-268. Epub 2019 Oct 11.

Division of Plastic Surgery, Department of Surgery, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, United States; Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN, United States. Electronic address:

Background: Following the excision of sacral tumors, plastic surgeons are often faced with a large soft tissue defect that necessitates flap coverage to promote wound healing and obliterate the resulting dead space. We aimed to evaluate the outcomes and complications following soft tissue reconstruction of sacrectomy defects.

Methods: Applying the Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA), a comprehensive search of several databases was performed from 1950 to 2019 for articles reporting outcomes of soft tissue flap reconstruction after sacrectomy. Read More

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http://dx.doi.org/10.1016/j.bjps.2019.09.049DOI Listing
February 2020

Revisiting the musculocutaneous external oblique flap as a versatile alternative in large thoracic wall defects.

Surg Case Rep 2019 Oct 22;5(1):148. Epub 2019 Oct 22.

Division of Plastic and Reconstructive Surgery, Reading Hospital, Reading, PA, USA.

Background: The external oblique myocutaneous flap has been previously described for reconstruction of chest-thoracic wall defects smaller than 400-500 cm. However, it is utilized less often than workhorse flaps such as the omental, pectoralis, rectus abdominis, and latissimus dorsi myocutaneous flaps as many plastic surgeons are not aware that the flap can cover larger areas than previously documented.

Case Presentation: We report a 57-year-old female tobacco user who underwent a resection of a grade 3 breast angiosarcoma resulting in a high left chest wall soft tissue defect approximating 900 cm. Read More

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http://dx.doi.org/10.1186/s40792-019-0708-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6805842PMC
October 2019
9 Reads

Latissimus Dorsi Musculocutaneous Flap Inset Innovation in Breast Reconstruction.

World J Plast Surg 2019 Sep;8(3):394-400

Department of Statistics, Mashhad Branch, Islamic Azad University, Mashhad, Iran.

Background: Breast reconstruction is distinct among plastic surgery techniques. This study analysed the results of breast reconstruction with the Latissimus dorsi (LD) myocutaneous flap as a strategy for better coverage and positioning of the implant.

Methods: Twenty patients who underwent surgery between September 2013 and September 2016 were enrolled. Read More

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http://dx.doi.org/10.29252/wjps.8.3.394DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6790255PMC
September 2019
2 Reads

Postoperative Cancer Surveillance Following Oncoplastic Surgery with Latissimus Dorsi Flap: a Matched Case-Control Study.

Ann Surg Oncol 2019 Dec 11;26(13):4681-4691. Epub 2019 Oct 11.

Department of Plastic and Reconstructive Surgery, and Institute for Human Tissue Restoration, Yonsei University College of Medicine, Seoul, Korea.

Background: The latissimus dorsi (LD) myocutaneous flap is a widely used local option in oncoplastic surgery for avoiding breast deformities; however, concerns exist regarding its influence in monitoring recurrence. In this study, we evaluated the impact of this flap on postoperative cancer surveillance.

Methods: Each patient receiving oncoplastic surgery with LD flap after partial mastectomy were matched in age, cancer stage, and body mass index with patients receiving partial mastectomy alone. Read More

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http://dx.doi.org/10.1245/s10434-019-07898-4DOI Listing
December 2019
2 Reads
3.930 Impact Factor

Refining the Latissimus Dorsi Flap: A Useful Tool to Salvage Complex Breast Defects.

Ann Plast Surg 2019 10;83(4S Suppl 1):S11-S16

From the Department of Plastic and Reconstructive Surgery, Lahey Hospital and Medical Center, Burlington, MA.

The latissimus dorsi flap has been used to reconstruct mastectomy defects for more than 100 years. It has remained relevant in breast reconstruction because of its consistent anatomy, robust vascular supply, congruent vector, and ability to cover large surface areas. With the evolution of oncologic and reconstructive techniques as well as improvements in prosthetic devices, however, this myocutaneous flap has largely fallen out of favor in primary breast reconstruction. Read More

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http://dx.doi.org/10.1097/SAP.0000000000002092DOI Listing
October 2019
2 Reads

Invited Discussion on: Identifying Preoperative Factors Associated with the Volume Discrepancy in Patients Undergoing Breast Reconstruction with the Extended Latissimus Dorsi Musculocutaneous Flap Coverage.

Authors:
Rieka Taghizadeh

Aesthetic Plast Surg 2019 12 20;43(6):1497-1499. Epub 2019 Aug 20.

Department of Plastic Surgery, St Helen and Knowsley Teaching Hospitals, Liverpool, UK.

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http://dx.doi.org/10.1007/s00266-019-01473-8DOI Listing
December 2019

Subtotal calvarial vault reconstruction utilizing a customized polyetheretherketone (PEEK) implant with chimeric microvascular soft tissue coverage in a patient with syndrome of the trephined: A case report.

Arch Plast Surg 2019 Jul 15;46(4):365-370. Epub 2019 Jul 15.

Department of Plastic Surgery, Center for Wound Healing, MedStar Georgetown University Hospital, Washington, DC, USA.

The syndrome of the trephined is a neurologic phenomenon that manifests as sudden decline in cognition, behavior, and sensorimotor function due to loss of intracranial domain. This scenario typically occurs in the setting of large craniectomy defects, resulting from trauma, infection, and/or oncologic extirpation. Cranioplasty has been shown to reverse these symptoms by normalizing cerebral hemodynamics and metabolism. Read More

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http://dx.doi.org/10.5999/aps.2018.00360DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6657197PMC
July 2019
4 Reads

Staged Treatment of Chest Wall Radiation-Induced Ulcer With Negative Pressure Wound Therapy and Latissimus Dorsi Myocutaneous Flap Transplantation.

J Craniofac Surg 2019 Jul;30(5):e450-e453

Department of Burns and Plastic Surgery.

Chest wall ulcer induced by postmastectomy radiation therapy (PRMT) remains challenging for plastic surgeons because of the reduced blood supply, fibrosis, and impaired cellular potential in the irradiated area. In this study, chest wall ulcer was treated with negative pressure wound therapy (NPWT) and the latissimus dorsi myocutaneous (LDM) flap reconstruction in 2 stages. A retrospective study was performed on consecutive patients with chronic radiation-induced ulcers in chest wall from June 2012 to June 2017. Read More

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http://dx.doi.org/10.1097/SCS.0000000000005514DOI Listing
July 2019
3 Reads

The versatility of the thoracodorsal artery based composite flaps with vascularized rib and a systematic review of the literature.

J Surg Oncol 2019 Sep 13;120(3):527-539. Epub 2019 Jun 13.

Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan.

Pedicled and free composite flaps derived from the thoracodorsal artery system, including the latissimus dorsi-rib (LD-R) and the serratus anterior-rib (SA-R) osteo-muscular or osteo-myocutaneous flaps, are potential options to address head and neck, thorax, upper and lower extremity bone, and soft tissue defects' reconstruction. We aimed to report our series of LD/SA-R composite pedicled and free flaps, evaluating outcomes and complications, and to systematically identify all literature reporting results following LD/SA-rib reconstructions. Read More

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http://dx.doi.org/10.1002/jso.25579DOI Listing
September 2019
4 Reads

A Rare Case of Parietal Skull Fibrosarcoma: Reconstruction with Free Myocutaneous Flap and Infrared Thermography Monitoring.

J Neurol Surg A Cent Eur Neurosurg 2019 Sep 6;80(5):387-390. Epub 2019 Jun 6.

Department of Plastic Surgery, Medical University, Sofia, Bulgaria.

Fibrosarcoma of the skull is an extremely rare condition. We report a case of a male patient surgically treated by radical tumor excision and plastic reconstruction with a free myocutaneous latissimus dorsi flap. Revascularization on the side of the intervention was verified intraoperatively by using an infrared thermography camera in the follow-up period to evaluate flap vitality in addition to standard clinical monitoring. Read More

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http://dx.doi.org/10.1055/s-0039-1688688DOI Listing
September 2019
25 Reads

The Latissimus Dorsi Myocutaneous Flap Is a Safe and Effective Method of Partial Breast Reconstruction in the Setting of Breast-Conserving Therapy.

Plast Reconstr Surg 2019 05;143(5):927e-935e

Houston, Texas From the Department of Plastic Surgery, University of Texas M. D. Anderson Cancer Center.

Background: Reconstruction of partial breast defects in low-volume, nonptotic breasts can be challenging. The authors hypothesized that use of the latissimus dorsi flap in partial breast reconstruction is safe and associated with low complication and high patient satisfaction rates.

Methods: All patients who underwent breast-conserving therapy and latissimus dorsi flap reconstruction from January 1, 2006, to December 31, 2016, were identified in a prospectively maintained database. Read More

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http://dx.doi.org/10.1097/PRS.0000000000005577DOI Listing
May 2019
19 Reads

Perfusion Zones of Extended Transverse Skin Paddles in Muscle-Sparing Latissimus Dorsi Myocutaneous Flaps for Breast Reconstruction.

Plast Reconstr Surg 2019 05;143(5):920e-926e

Weston and Hollywood, Fla. From the Department of Plastic Surgery, Cleveland Clinic Florida; and Plastic Surgery Specialists of South Florida.

Background: The authors report their experience using extended transversely oriented skin paddles in muscle-sparing latissimus dorsi pedicled flaps for breast reconstruction as an alternative to thoracodorsal artery perforator flaps.

Methods: A retrospective review was conducted of patients who underwent muscle-sparing latissimus dorsi flap pedicled breast reconstruction from January of 2009 to July of 2014 with at least 3-month follow-up. Surgical outcomes and complications were analyzed. Read More

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http://dx.doi.org/10.1097/PRS.0000000000005520DOI Listing
May 2019
4 Reads

Sternal resection and reconstruction for metastasis due to breast cancer: the Marlex sandwich technique and implantation of a pedicled latissimus dorsi musculocutaneous flap.

J Cardiothorac Surg 2019 Apr 18;14(1):79. Epub 2019 Apr 18.

Department of Thoracic Surgery, Kanazawa Medical University, 1-1 Daigaku, Uchinada, Ishikawa, 920-0293, Japan.

Background: The treatment of hemotogenous solitary sternal metastases by breast cancer remains a controversial issue. Sternal resection for select patients might provide good long-term local control.

Case Presentation: A 63-year-old woman was admitted to our hospital with a mass at the sternum and right second to third costochondral cartilage. Read More

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https://cardiothoracicsurgery.biomedcentral.com/articles/10.
Publisher Site
http://dx.doi.org/10.1186/s13019-019-0905-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6471832PMC
April 2019
17 Reads

Ultrasound-guided modified serratus anterior plane block for perioperative analgesia in breast oncoplastic surgery: A case series.

Indian J Anaesth 2019 Mar;63(3):231-234

Department of Anaesthesia and Critical Care, Tata Medical Center, 14, MAR (EW), Newtown, Kolkata, West Bengal, India.

Ultrasound-guided serratus anterior plane (SAP) block has been described to provide complete anaesthesia and analgesia to the lateral thoracic wall. Its use has been recently reported in breast reconstruction surgeries. We present a series of 11 patients where ultrasound-guided SAP block was used as part of multimodal analgesia in breast reconstruction surgery using latissimus dorsi (LD) myocutaneous flap after mastectomies. Read More

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http://dx.doi.org/10.4103/ija.IJA_752_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6423945PMC
March 2019
3 Reads

Delayed breast reconstruction with transverse latissimus dorsi myocutaneous flap using Becker expander implants in patients submitted to radiotherapy: A series of cases.

J Plast Reconstr Aesthet Surg 2019 Jul 12;72(7):1067-1074. Epub 2019 Mar 12.

Plastic Surgery Department, A.C. Camargo Cancer Center, Rua Bartolomeu de Gusmão 200 Ap 201B, 04111 020 São Paulo, Brazil. Electronic address:

Background: Breast reconstruction with a latissimus dorsi myocutaneous flap associated with a breast implant is a well-established procedure. However, there are few published articles regarding latissimus association with expanders and radiotherapy. This study assess data of breast reconstructions using a latissimus dorsi myocutaneous flap associated with Becker expander implant (TLDMF/E) in patients submitted to radiotherapy. Read More

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http://dx.doi.org/10.1016/j.bjps.2019.02.023DOI Listing
July 2019
7 Reads

Pedicled pectoralis major flap in head and neck reconstruction - our experience.

Acta Chir Plast 2019 ;60(1):26-29

Introduction: The pedicled pectoralis major flaps are still harvested and mainly indicated for reconstruction in the polymorbid patient. Other indications are combinations of pedicled pectoralis major flaps with free microvascular flap, salvage reconstruction following complications, free flap failure and recurrent or extended primary disease.

Materials And Methods: We describe the pedicled pectoralis major flap in 18 patients operated on at the Department of Oral and Maxillofacial Surgery, Olomouc from 1st January 2014 to 1st December 2016. Read More

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June 2019
32 Reads

Volumetric change of the latissimus dorsi muscle after immediate breast reconstruction with an extended latissimus dorsi musculocutaneous flap.

Arch Plast Surg 2019 Mar 31;46(2):135-139. Epub 2019 Mar 31.

Department of Plastic and Reconstructive Surgery, Pusan National University School of Medicine, Yangsan, Korea.

Background: In immediate breast reconstruction using an extended latissimus dorsi musculocutaneous (eLDMC) flap, the volume of the flap decreases, which causes a secondary deformity of the breast shape. Since little research has investigated this decrease in muscle volume, the authors conducted an objective study to characterize the decrease in muscle volume after breast reconstruction using an eLDMC flap.

Methods: Research was conducted from October 2011 to November 2016. Read More

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http://dx.doi.org/10.5999/aps.2017.01690DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6446034PMC
March 2019
30 Reads

Free flaps for lower limb soft tissue reconstruction in children: Systematic review.

J Plast Reconstr Aesthet Surg 2019 May 1;72(5):711-728. Epub 2019 Mar 1.

Department of Plastic Surgery, Ghent University Hospital, C. Heymanslaan 10, 9000 Gent, Belgium.

Background: Since the first reports on microsurgery in children, there has been an evolution in the reconstruction of soft tissue defects as evidenced by a shift to free flaps as the first-line treatment.

Methods: The primary objective of this systematic review was to compare the complication rate of free perforator/fasciocutaneous flaps with free muscular/myocutaneous flaps in pediatric lower limb soft tissue reconstructions. The secondary objective was to evaluate the frequency and severity of complications for both reconstructive options. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S17486815193009
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http://dx.doi.org/10.1016/j.bjps.2019.02.028DOI Listing
May 2019
11 Reads

Patient satisfaction with breast reconstructionusing musculocutaneous flap from latissimus dorsiversus from rectus abdominis: a cross-sectional study.

Sao Paulo Med J 2018 Nov-Dec;136(6):551-556

MD, PhD. Physician and Titular Professor, Discipline of Plastic Surgery, Universidade Federal de São Paulo (UNİFESP), São Paulo (SP), Brazil.

Background: Breast cancer is the second most frequent type of cancer worldwide and the most common type among women. The treatment for this condition has evolved over recent decades with therapeutic and technological advances. Breast reconstruction techniques using musculocutaneous flaps from the latissimus dorsi and rectus abdominis have aroused interest regarding patients' quality of life. Read More

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http://dx.doi.org/10.1590/1516-3180.2018.032916112018DOI Listing
June 2019
8 Reads

[Free latissimus dorsi flap lacing and local care in two-stage scalp reconstruction].

Ann Chir Plast Esthet 2019 Aug 1;64(4):380-383. Epub 2019 Mar 1.

Chirurgie plastique, reconstructrice et esthétique, hôpital Maison-Blanche, CHU de Reims, 45, rue Cognacq-Jay, 51100 Reims, France; EA 3801, université de Champagne-Ardenne, 51, rue Cognacq-Jay, 51100 Reims, France. Electronic address:

Surgical treatment of large and multiple lesions of irradiated scalp may require subtotal scalp exeresis and reconstruction in two-stage free flap surgery: harvesting and placing the flap first, then scalp removing and defect covering in a second step. This strategy raises the question of how to care the flap between the two surgeries. We report an original technique of free latissimus dorsi flap lacing. Read More

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http://dx.doi.org/10.1016/j.anplas.2019.01.002DOI Listing
August 2019
6 Reads

Musculocutaneous latissimus dorsi flap for phalloplasty in female to male gender affirmation surgery.

World J Urol 2019 Apr 23;37(4):631-637. Epub 2019 Jan 23.

Belgrade Center for Genital Reconstructive Surgery, Belgrade, Serbia.

Purpose: Despite a variety of free flaps that have been described for creation of the neophallus in gender affirmation surgery, none present an ideal solution. We evaluated our patients and outcomes after gender affirmation phalloplasty using musculocutaneous latissimus dorsi free flap.

Methods: Between January 2007 and May 2017, 129 female transsexuals, aged 20-53 years (mean 24 years) underwent total phalloplasty using latissimus dorsi free flap. Read More

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http://dx.doi.org/10.1007/s00345-019-02641-wDOI Listing
April 2019
35 Reads

Standardized Musculocutaneous Flap for the Coverage of Deep Sternal Wounds After Cardiac Surgery.

Ann Thorac Surg 2019 03 26;107(3):802-808. Epub 2018 Oct 26.

Department of Orthopedics, Trauma and Plastic Surgery, University Hospital Leipzig, Leipzig, Germany.

Background: Deep sternal wound infection remains a serious complication after cardiac surgery, leading to increased morbidity, mortality, and cost. The goal of our study was to develop a standardized, reproducible method to safely cover deep sternal wounds and ensure improved healing rates.

Methods: The study was developed as a retrospective cohort study. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00034975183153
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http://dx.doi.org/10.1016/j.athoracsur.2018.09.017DOI Listing
March 2019
32 Reads

Dimensional changes in reconstructed nipples: autologous versus prosthetic breast reconstruction.

Ann Surg Treat Res 2019 Jan 26;96(1):8-13. Epub 2018 Dec 26.

Department of Plastic & Reconstructive Surgery, Institute for Human Tissue Restoration, Yonsei University College of Medicine, Seoul, Korea.

Purpose: The creation of the nipple-areola complex is the final stage in breast reconstruction and highly affects patient satisfaction. The neo-nipple is well known to shrink over time, particularly in the nipple projection. Currently, no reconstruction technique is clearly superior in terms of nipple size maintenance. Read More

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https://synapse.koreamed.org/DOIx.php?id=10.4174/astr.2019.9
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http://dx.doi.org/10.4174/astr.2019.96.1.8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6306505PMC
January 2019
18 Reads

[Clinical application of computed tomography angiography and three-dimensional reconstruction in repairing high-voltage electrical burn wounds in necks, shoulders, axillas, and upper arms with tissue flaps].

Zhonghua Shao Shang Za Zhi 2018 Dec;34(12):874-880

Department of Burns and Plastic Surgery, General Hospital of Ningxia Medical University, Yinchuan 750004, China.

To explore the application value of computed tomography angiography (CTA) and three-dimensional reconstruction in repairing high-voltage electrical burn wounds in necks, shoulders, axillas, and upper arms with tissue flaps. From December 2014 to December 2018, 12 patients with high-voltage electrical burns in necks, shoulders, axillas, and upper arms were hospitalized. The size of wounds ranged from 13 cm×10 cm to 32 cm×15 cm after complete debridement. Read More

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http://dx.doi.org/10.3760/cma.j.issn.1009-2587.2018.12.011DOI Listing
December 2018
6 Reads

Reverse turnover pedicled latissimus dorsi muscle flap for lower back reconstruction: Two case reports.

Medicine (Baltimore) 2018 Dec;97(51):e13851

Department of Orthopedic Surgery, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.

Rationale: Large soft tissue defects on the lower back represent a treatment challenge. Among a variety of reconstructive procedures, the latissimus dorsi (LD) muscle or musculocutaneous flap is one of most frequently used pedicled flaps. However, the pedicled LD flap carries a bulky pivot point and a short arc of rotation. Read More

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http://Insights.ovid.com/crossref?an=00005792-201812210-0013
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http://dx.doi.org/10.1097/MD.0000000000013851DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6320210PMC
December 2018
41 Reads

Autologous Breast Reconstruction With the Latissimus Dorsi Muscle With Immediate Fat Grafting: Long-term Results and Patient Satisfaction.

Ann Plast Surg 2019 02;82(2):152-157

From the Breast Surgery Department, Hospital Santa Casa de Misericórdia de São Paulo, São Paulo, Brazil.

Objective: The aim of this study was to describe a variation of the breast reconstruction technique with myocutaneous flap of the fat-grafted latissimus dorsi muscle and its outcomes and evaluation of patient satisfaction.

Method: This prospective cohort study included 18 patients and 19 reconstructed breasts, with 1 bilateral case. There were 7 cases of late reconstruction and 11 cases of immediate reconstruction. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001764DOI Listing
February 2019
5 Reads

One-stage reconstruction by dual-innervated double muscle flap transplantation with the neural interconnection between the ipsilateral masseter and contralateral facial nerve for reanimating established facial paralysis: A report of 2 cases.

Microsurgery 2019 Jul 4;39(5):457-462. Epub 2018 Dec 4.

Department of Plastic and Reconstructive Surgery, School of Medicine, Tokyo Women's Medical University, Tokyo, Japan.

The authors developed a one-stage double-muscle reconstruction technique for facial paralysis using a latissimus dorsi (LD) flap and a serratus anterior (SA) flap, which were dually reinnervated by the contralateral facial nerve (FN) and ipsilateral masseter nerve (MN). The procedure was performed for 61-year-old man 3-years after resection of a malignant tumor and a 24-year-old woman 10-years after temporal fracture with facial paralysis. A double-muscle flap comprising left LD and SA flaps was harvested, a 15-cm thoracodorsal nerve (TN) section was attached to the LD flap, and 5-cm and 1-cm sections of the long thoracic nerve (LTN) were attached to the proximal and distal sides of SA flap. Read More

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http://dx.doi.org/10.1002/micr.30397DOI Listing
July 2019
2 Reads

[A giant sacral chordoma resection and reconstruction with a gluteal perforator flap, a case report and literature review].

Ann Chir Plast Esthet 2019 Jun 1;64(3):271-277. Epub 2018 Dec 1.

Service de chirurgie orthopédique et traumatologie, chirurgie du rachis, hôpital Bicêtre, 78, rue du Général-Leclerc, 94270 Le Kremlin-Bicêtre, France.

Background: Sacral chordomas are rare primary bone tumors and represent more than half of all primary malignant sacral tumors. Surgical resection is the only treatment with close to 50% of remission at 10 years, with or without radiotherapy. This tissue removal can be very extensive and morbid, particularly for evolved tumors. Read More

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http://dx.doi.org/10.1016/j.anplas.2018.10.004DOI Listing
June 2019
18 Reads