918 results match your criteria Latissimus Myocutaneous Flap


Volume Change of Muscle and Fat Portions of Latissimus Dorsi Myocutaneous Flap after Breast Reconstruction.

Plast Reconstr Surg Glob Open 2021 Apr 15;9(4):e3536. Epub 2021 Apr 15.

Department of Medical Statistics, Daegu Catholic University, School of medicine, Daegu, Republic of Korea.

Background: Myocutaneous flaps are composed of muscle and fat portions, and exhibit volume changes with time. However, no consideration is generally given to volume changes of muscle and fat portions occurring in the flap. Therefore, we conducted this study to analyze the volume changes of muscle and fat portions of pedicled latissimus dorsi myocutaneous flaps over time. Read More

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[Flap design and preliminary clinical experience of the lower trapezius musculocutaneous flap carrying a portion of the latissimus dorsi muscle].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2021 Mar;35(3):349-355

Scar Comprehensive Treatment Center, Plastic Surgery Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, 100144, P.R.China.

Objective: To explore the reliability and effectiveness of soft tissue defect reconstruction using the lower trapezius musculocutaneous flap carrying a portion of the latissimus dorsi muscle.

Methods: Between December 2014 and December 2019, 13 patients underwent the reconstruction of soft tissue defects in various sites using the lower trapezius musculocutaneous flap carrying a portion of the latissimus dorsi muscle. There were 10 males and 3 females, with an average age of 52. Read More

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[Staged repair strategy for chronic sacrococcygeal radiation ulcer].

Zhonghua Shao Shang Za Zhi 2021 Mar;37(3):225-231

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

To investigate the clinical effect of staged repair strategy for chronic sacrococcygeal radiation ulcer. The retrospective cohort study method was applied. Twelve patients with chronic sacrococcygeal radiation ulcer were admitted to Beijing Jishuitan Hospital from January 2010 to June 2020, including 7 males and 5 females, aged 38-74 years. Read More

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[Indication and selection and effect for application of skin flap to repair scar carcinoma in the lower leg and ankle].

Zhonghua Shao Shang Za Zhi 2021 Mar 3;37(3):1-7. Epub 2021 Mar 3.

Department of Plastic Surgery, Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University, Guangzhou 510120, China.

To explore the indication, selection and clinical effect for application of skin flap to repair scar carcinoma in the lower leg and ankle. A retrospective cohort study was conducted. From June 2008 to December 2018, six patients with scar carcinoma in the lower leg and ankle were treated in Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University. Read More

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The Role of Pedicled Latissimus Dorsi Flap in Scalp Defect Reconstruction Following Tumour Excision.

Indian J Otolaryngol Head Neck Surg 2021 Mar 24;73(1):129-132. Epub 2020 Aug 24.

Department of Head and Neck Surgery, Mahavir Cancer Sansthan, Patna, Bihar India.

Scalp is a common site for skin tumors mainly squamous cell carcinoma and basal cell carcinoma. It is always challenging to reconstruct the scalp defect following tumor excision. Conventional methods of skin grafting or rotation flap is not always feasible for large scalp defect. Read More

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Efficacy of Low Power, Pure Cut Mode of Monopolar Electrosurgery and Quilting Sutures for Preventing Seroma Formation After Latissimus Dorsi Myocutaneous Flap Harvest.

Ann Plast Surg 2021 03;86(3):265-267

From the Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, Osaka University.

Background: Latissimus dorsi myocutaneous (LD) flaps are widely used in breast reconstruction surgery. However, seromas often form postoperatively at the donor site as a complication. This study aimed to determine the impact of different electrocautery modes during flap elevation, with or without subsequent quilting sutures, on postoperative seroma formation. Read More

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Long-term outcomes of latissimus dorsi flap breast reconstructions: A single-centre observational cohort study with up to 12 years of follow up.

J Plast Reconstr Aesthet Surg 2020 Dec 26. Epub 2020 Dec 26.

Jasmine Breast Unit, Doncaster and Bassetlaw Teaching Hospitals NHS FT, Armthorpe Road, Doncaster, United Kingdom; Department of Oncology and Metabolism, E Floor, Medical School, Beech Hill Road, University of Sheffield, S10 2RX, United Kingdom. Electronic address:

Introduction: The Latissimus Dorsi Myocutaneous Flap (LDMF) is used in post-mastectomy reconstruction. This study has evaluated long-term (up to 12 years) surgical- and patient-reported outcomes from LDMF procedures.

Method: A retrospective analysis of consecutive LDMF procedures in two UK hospitals, performed between 2006 and 2016. Read More

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December 2020

Developing a Breast Reconstruction Program in a Resource-Constrained Ghanaian Teaching Hospital: Needs Assessment and Implementation.

Ann Plast Surg 2021 02;86(2):129-131

From the Division of Plastic Surgery, University of Utah Health Sciences Center, Salt Lake City, UT.

Abstract: As the detection of breast cancer in Ghana improves, the incidence of mastectomy has increased and the outcomes have improved. As a secondary result, the need for breast reconstruction is increasing. The cultural hesitation to undergo a mastectomy and live without a breast can be decreased by making breast reconstruction available, cost-effective, and acceptable. Read More

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February 2021

Autologous Breast Reconstruction Trends in the United States: Using the Nationwide Inpatient Sample Database.

Ann Plast Surg 2021 Jan 9. Epub 2021 Jan 9.

From the Department of Plastic Surgery, University of Texas MD Anderson Cancer Center, Houston, TX.

Background: Autologous tissue is the criterion standard in breast reconstruction, but traditionally has been used as a secondary option after implant-based options because of reduced reimbursement relative to effort and required additional technical skill. We intended to evaluate the overall frequency and trends of autologous breast reconstruction (ABR), the trends of ABR in teaching versus nonteaching hospitals and the trends of ABR in different hospital regions in the United States.

Methods: Using the Nationwide Inpatient Sample database, we examined the clinical data of patients who underwent immediate or delayed ABR from 2009 to 2016 in the United States. Read More

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January 2021

Versatility of the Pedicled Latissimus Dorsi Myocutaneous Flap in Reconstruction of Upper Limb and Trunk Soft Tissue Defects.

J Hand Microsurg 2020 Dec 20;12(3):168-176. Epub 2019 Aug 20.

Department of Plastic Reconstructive and Burns Surgery, All India Institute of Medical Sciences, New Delhi, India.

The purpose of the study was to share our indications, technique, outcome, and complications associated with the pedicled latissimus dorsi myocutaneous flap (LDMF) for reconstructing various upper limb and trunk soft tissue defects. We reviewed the prospectively collected data of the patients who underwent reconstruction of upper limb/trunk soft tissue defects with pedicled LDMF between January 2016 and March 2019. By analyzing the clinical scenarios, the location of flap inset, the arc of rotation, reach of the flap, and associated complications, we put forward few significant findings from our experience. Read More

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December 2020

[Methods of repairing large soft tissue defect with latissimus dorsi myocutaneous flap and management of secondary wound in donor site].

Zhonghua Shao Shang Za Zhi 2020 Dec;36(12):1199-1203

Department of Plastic and Reconstructive Surgery, the First Medical Center of Chinese PLA General Hospital, Beijing 100039, China.

To explore the methods of repairing large soft tissue defect with latissimus dorsi myocutaneous flap and the management of secondary wound in donor site. From June 2015 to June 2019, 30 patients with soft tissue defect caused by various reasons or hyperplastic scar were hospitalized in the First Medical Center of Chinese PLA General Hospital, including 10 males and 20 females, aged 25-64 years, with 18 cases of head soft tissue defects caused by the growth and rupture of tumor, 7 cases of hypertrophic scar in trunk and limbs, and 5 cases of facial and neck soft tissue defects caused by trauma. The area of primary wound after debridement or enlarged lesion resection was 14 cm×10 cm-18 cm×16 cm. Read More

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December 2020

ACTA2 Mutation: Microsurgeon Beware!

Plast Reconstr Surg Glob Open 2020 Nov 25;8(11):e3146. Epub 2020 Nov 25.

Plastic Surgery, Case Western Reserve University, Cleveland, Ohio.

Patients with the alpha actin 2 genetic mutation suffer early onset aneurismal and vascular-occlusive conditions due to dysfunctional smooth muscle contractility. Outcomes of free flap reconstruction in this patient population are unknown. Here we report the case of a 21-year-old woman with alpha actin 2 mutation who required decompressive hemicraniectomy following an acute stroke. Read More

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November 2020

Fat-augmented latissimus dorsi myocutaneous flap for total breast reconstruction: A report of 54 consecutive Asian cases.

J Plast Reconstr Aesthet Surg 2020 Nov 7. Epub 2020 Nov 7.

Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, Osaka University, 2-2 Yamadaoka Suita, Osaka 5650871, Japan.

Immediate fat grafting to the latissimus dorsi myocutaneous (LD) flaps is a breakthrough that addresses the issue of insufficient volume of LD. However, the use of this procedure in Asian patients has not yet been reported. Retrospective chart reviews were conducted on 54 Japanese cases of total breast reconstruction using fat-augmented LD flaps at our hospital from September 2017 to June 2019. Read More

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November 2020

Latissimus dorsi free flap phalloplasty: a systematic review.

Int J Impot Res 2020 Nov 12. Epub 2020 Nov 12.

Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.

A phalloplasty is a complex genital reconstruction procedure of creating a neophallus. Several techniques to create a neophallus are described, based on different vascularized flaps, and each of them has its advantages and drawbacks. The aim of this study is to present musculocutaneous latissimus dorsi (MLD) flap as a viable option for total phalloplasty, with an interest in clinical outcomes and complications. Read More

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November 2020

Autologous Can Be Ambulatory: The Outpatient Latissimus Dorsi Myocutaneous Flap for Breast Reconstruction.

Plast Reconstr Surg 2021 Feb;147(2):361e-362e

Department of Plastic and Reconstructive Surgery, Hackensack University Medical Center, Hackensack, N.J.

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February 2021

Outcomes of free anterolateral thigh perforator flaps versus free modified latissimus dorsi myocutaneous flaps for Gustilo type IIIB open tibial fractures with necrosis and infection.

Am J Transl Res 2020 15;12(9):5836-5843. Epub 2020 Sep 15.

Department of Orthopedics, The Xiang-Ya Hospital of Central South University 87# Xiangya Road, Changsha 410008, Hunan, People's Republic of China.

Background: Infection and non-union of fractures are potential complications of Gustilo type IIIB open tibial fractures. It is important to choose the most effective type of flap to reduce the incidence of infection and non-union.

Method: This study reviewed outcomes of 44 patients (aged 16-65 years) who underwent reconstruction of Gustilo type IIIB tibial fractures from January 2004 to January 2017. Read More

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September 2020

Pedicled Latissimus Dorsi Myocutaneous Flap-an Effective Reconstructive Option for Extensive Buccal Cancer Resection in Resource Constrained and Salvage Settings.

Indian J Surg Oncol 2020 Sep 17;11(3):462-468. Epub 2020 Jun 17.

Homi Bhabha Cancer Hospital, Varanasi, India.

Free flaps are the gold standard for reconstruction of extensive buccal cancer resections. However, salvage surgeries in previously operated and radiated necks, cost, increased operating time, and patient co-morbidities limit their routine use in high volume and resource-constrained settings. Pectoralis major myocutaneous (PMMC) flap is the mainstay of reconstruction of large buccal defects. Read More

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September 2020

A Prospective Study of the Efficacy of Cell-Assisted Lipotransfer with Stromal Vascular Fraction to Correct Contour Deformities of the Autologous Reconstructed Breast.

Aesthetic Plast Surg 2020 Sep 29. Epub 2020 Sep 29.

Department of Plastic and Reconstructive Surgery, School of Medicine, Kyungpook National University, 130 Dongdeok-ro, Daegu, 41944, Korea.

Background: Autologous lipotransfer has increasingly become popular for breast reconstruction. Moreover, owing to the emergence of information regarding the efficacy of stromal vascular fraction (SVF) in terms of oncological safety and survival rate, procedures based on cell-assisted lipotransfer (CAL) have been widely employed recently. However, quantitative data of CAL with SVF are lacking. Read More

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September 2020

Clinical Outcome of Free Latissimus Dorsi Flaps for Coverage of Soft Tissue Defects in Multiply Revised Total Knee Arthroplasties.

J Arthroplasty 2021 02 19;36(2):664-669. Epub 2020 Aug 19.

Royal National Orthopaedic Hospital, London, United Kingdom.

Background: Multiply revised total knee arthroplasties (TKAs) may present with large anterior soft tissue defects, which can be challenging to reconstruct. In the rare cases where local flaps are insufficient, we use free latissimus dorsi (LD) myocutaneous flaps to achieve soft tissue coverage. This study looked to determine implant survivorship, infection status, and patient-reported outcomes of patients undergoing simultaneous revision TKA and LD flaps in a tertiary unit. Read More

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February 2021

Giant squamous cell carcinomas of the shoulder.

Pan Afr Med J 2020 27;36:215. Epub 2020 Jul 27.

Radiology Service, University Hospital Mohammed VI, Oujda, Morocco.

Giant squamous cell carcinomas (SCC) larger than 5 cm in diameter are uncommon; there is no guideline on the size of an SCC that is considered giant. Treatment may be difficult with the need for large tissue resections and complex surgical reconstruction. We report a rare case of giant squamous cell carcinoma of the shoulder attached to deep anatomic planes. Read More

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December 2020

Recurrent syringomatous adenoma of the nipple following a misdiagnosis: A case report.

Niger J Clin Pract 2020 Sep;23(9):1324-1327

Faculty of Medicine; Clinic of Rheumatology, Orthopedics, Traumatology and Reconstructive Surgery, Vilnius University, Vilnius, Lithuania.

Infiltrating syringomatous adenoma of the nipple (SAN) is a rare benign neoplasm of the breast that is often misdiagnosed. SAN may present with a subareolar lesion and clinical, mammographic, and ultrasonographic findings associated with malignancy. We present the case of a 60-year-old woman with a painful, firm, solid tumor in her left breast and deformation of the left nipple-areolar complex (NAC). Read More

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September 2020

[Musculocutaneous grafting in the treatment of irradiation-induced chest osteomyelitis].

Khirurgiia (Mosk) 2020 (8):29-34

Vishnevsky Research Center for Surgery, Moscow, Russia.

Objective: To report our own experience of one-stage surgical treatment of irradiation-induced osteomyelitis as a complication of radiotherapy for breast cancer (BC).

Material And Methods: The study included 25 patients with irradiation-induced chest osteomyelitis after previous radiotherapy for breast cancer. All patients were examined according to the same protocol. Read More

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September 2020

Pregnancy after Breast Reconstruction.

Adv Exp Med Biol 2020 ;1252:189-193

Department of Plastic and Breast Surgery, Gustave Roussy Cancer Campus, Grand Paris, France.

Breast cancer is one of the most commonly diagnosed malignancies in women of childbearing age. One of the surgeries performed in the management of the disease is mastectomy , which might negatively affect body image and quality of life, and breast reconstruction is seen as a remedy to this problem. However, for the women who are interested in having children after treatment of breast cancer, the debate is whether they can have a successful pregnancy and delivery after breast reconstruction. Read More

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September 2020

Autologous tissue reconstruction after mastectomy-A cross-sectional survey of 110 hospitals in China.

Eur J Surg Oncol 2020 12 29;46(12):2202-2207. Epub 2020 Jul 29.

Department of Breast Surgery, Fudan University Shanghai Cancer Center and Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, 200032, China. Electronic address:

Background: Autologous reconstruction after mastectomy became more and more popular, so this study aimed to obtain up-to-date and comprehensive data on autologous reconstruction in China.

Methods: An electronic questionnaire was sent to 110 hospitals, which were chosen depending on geographical distribution and hospital types. The questionnaire investigated the demographics, characteristics, breast cancer treatment and reconstruction situation of these hospitals through different modules. Read More

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December 2020

Latissimus Dorsi Myocutaneous Flap Procedure in a Swine Model.

J Invest Surg 2020 Aug 5:1-8. Epub 2020 Aug 5.

Department of Plastic and Reconstructive Surgery, Vascularized Composite Allotransplantation (VCA) Laboratory, School of Medicine, Johns Hopkins University, Baltimore, Maryland, USA.

Background: As surgical research expands in both breadth and scope, translational models become increasingly important. The accessibility, reproducibility, and clinical applicability of translational models is of vital importance to ensure adequate and accurate research. Though different flap models have been described, the literature lacks an in-depth, technical description of an easy large-animal preclinical model. Read More

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Plastic-Reconstructive Treatment Algorithm for Dead Space Management Following Septic Total Hip Arthroplasty Removal: AV Loop and Two-Stage Free Myocutaneous Latissimus Dorsi Flap.

Z Orthop Unfall 2020 Jun 25. Epub 2020 Jun 25.

University Centre for Orthopaedic and Trauma Surgery, Carl Gustav Carus University Hospital, Dresden.

Background: A 61-year-old patient presented with a right Girdlestone hip and wound dehiscence due to extensive dead space after radical debridement and septic arthroplasty removal. A two-stage reconstruction with the application of a subcutaneous autologous arterio-venous (AV) loop using an autologous vena saphena magna (VSM) interposition graft followed by a free latissimus dorsi flap was performed.

Method: We decided to perform a two-stage procedure with AV loop creation in the first step and free flap transplantation seven days after it. Read More

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Skin- and Nipple-Areola-Sparing Mastectomy with Immediate Breast Reconstruction Using Transverse Rectus Abdominis Myocutaneous Flap and Silicone Implants in Breast Carcinoma Patients.

Oncol Res Treat 2020 22;43(7-8):354-361. Epub 2020 Jun 22.

Department of Burn and Plastic Surgery, Central Hospital of Zibo, Zibo, China.

Background: We aimed to assess patient satisfaction and aesthetic outcome in breast cancer patients undergoing nipple-sparing mastectomy (NSM) and immediate breast reconstruction.

Materials And Methods: The study population comprised 215 patients with histopathologically diagnosed breast cancer. The inclusion criteria were as follows: a diagnosis of breast cancer, a tumor of any size, any stage of nodal metastasis, and a tumor margin >2. Read More

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September 2020

Breast Reconstruction in Obese Patients: The Fat Grafted Latissimus versus Abdominal Free Tissue Transfer.

Plast Reconstr Surg Glob Open 2020 Mar 20;8(3):e2668. Epub 2020 Mar 20.

Division of Plastic and Reconstructive Surgery, Department of Surgery, Baylor Scott and White Health, Texas A&M College of Medicine, Temple, Tex.

Immediate fat grafting to the pedicled myocutaneous latissimus dorsi (LD) flap has recently gained in popularity as a means to supplement volume for breast reconstruction. The aim of this study is to compare complication rates of the immediately fat-grafted LD to free tissue transfer in the obese population.

Methods: In this retrospective cohort, 82 patients (149 breasts) from 2015 to 2019 were included. Read More

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