962 results match your criteria Latissimus Myocutaneous Flap


The U-Turn Tournedos (UTT) Flap: A Technical Surgical Evolution for Deep Complex Calvarial Defects.

J Craniofac Surg 2022 May;33(3):935-938

Division of Plastic and Reconstructive Surgery, MUHC, McGill University, Montreal, QC, Canada.

Abstract: Patients treated for complex oncological calvarial defects are at a higher risk of severe complications (38%): infection, meningitis, dehiscence, and hardware/brain exposure. The patient cohorts at our center have led to the development of the "U-Turn" technical (UTT) addition of our previously reported turnover "tournedos" myocutaneous latissimus dorsi free flap. This allows for an improved ability to fill these large, round, complex defects, maintaining the safety of our original surgical technique, while improving aesthetic outcomes. Read More

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Use of Serial Flap Transfer Technique in En Bloc Reconstruction of Extensive Soft Tissue Defects in the Head and Neck.

J Craniofac Surg 2022 May 12;33(3):809-813. Epub 2021 Apr 12.

Department of Plastic and Reconstructive Surgery, Plastic Surgery Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Shijingshan District, Beijing, china.

Abstract: En bloc reconstruction of extensive head and neck defects is feasible with matched tissue from the medial arm or chest. Nevertheless, the donor site faces significant morbidity following massive cutaneous flap harvesting. The serial flap transfer technique can increase the reconstructive ability of these flaps and minimize the donor site morbidity. Read More

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Latissimus dorsi myocutaneous flap repair is effective after neoadjuvant chemotherapy for locally advanced breast cancer.

World J Surg Oncol 2022 Apr 27;20(1):134. Epub 2022 Apr 27.

Department of Hepatopancreatobiliary Surgery, The Affiliated Calmette Hospital of Kunming Medical University, No. 1228, Beijing Road, Panlong District, Kunming, 650224, Yunnan, China.

Objective: To describe the clinical outcome and physical condition of patients with locally advanced breast cancer (LABC) who received neoadjuvant chemotherapy followed by mastectomy and latissimus dorsi myocutaneous flap repair.

Methods: A retrospective review of 142 patients with locally advanced breast cancer was selected from 1156 breast cancer patients in the South and North areas of The Affiliated Calmette Hospital of Kunming Medical University between May 2008 and December 2018.

Results: All participants (n = 142) were women aged 40-55 years (average age 47. Read More

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[Clinical effects of free latissimus dorsi myocutaneous flap combined with artificial dermis and split-thickness skin graft in the treatment of degloving injury in lower extremity].

Zhonghua Shao Shang Za Zhi 2022 Apr;38(4):347-353

Department of Hand Surgery, Ningbo No.6 Hospital, Ningbo 315040, China.

To observe the clinical effects of free latissimus dorsi myocutaneous flap combined with artificial dermis and split-thickness skin graft in the treatment of degloving injury in lower limbs. A retrospective observational study was conducted. From December 2017 to December 2020, 8 patients with large skin and soft tissue defect caused by degloving injury in lower extremity were admitted to Ningbo No. Read More

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A cost-effectiveness analysis of delayed breast reconstruction with pedicled flaps from the back.

J Plast Reconstr Aesthet Surg 2022 Feb 26. Epub 2022 Feb 26.

Department of Plastic and Breast Surgery, Aarhus University Hospital, Denmark.

Background: Variability in breast reconstruction methods provides an opportunity to investigate whether a method is superior to another with regard to cost, quality, or both. We performed a cost-effectiveness analysis (CEA) study based on tertiary endpoint data from a randomized clinical trial to compare the cost-effectiveness of delayed breast reconstruction by either a latissimus dorsi flap (LD) or a thoracodorsal artery perforator flap (TAP).

Material & Methods: A total of 50 women were included for unilateral delayed breast reconstruction and were randomized to reconstruction by either the LD flap (n = 18) or the TAP flap (n = 22). Read More

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February 2022

Comparison of nine methods of immediate breast reconstruction after resection of localized breast cancer: A cost-effectiveness Markov decision analysis of prospective studies.

Microsurgery 2022 Mar 31. Epub 2022 Mar 31.

Division of Plastic Surgery, Department of Surgery, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA.

Background: Women undergoing immediate breast reconstruction without radiation therapy have reconstruction methods available with uncertain long-term costs associated with complications requiring surgery and revisions. We evaluated cost-effectiveness of nine methods of immediate breast reconstruction for women with localized breast cancer.

Methods: Markov modeling was performed over 10-years for unilateral/bilateral breast reconstructions from healthcare/societal perspectives. Read More

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Superior gluteal artery perforator flap salvaged via hyperbaric oxygen therapy.

BMJ Case Rep 2022 Mar 29;15(3). Epub 2022 Mar 29.

Department of Surgery, Michigan State University, East Lansing, Michigan, USA.

The superior gluteal artery perforator (SGAP) flap can be challenging and in common with all flaps can develop venous and arterial insufficiency. Several prior studies have demonstrated the successful utility of hyperbaric oxygen therapy (HBOT) in the salvage of compromised flaps, mainly with deep inferior epigastric perforator, latissimus dorsi or transverse rectus abdominis myocutaneous flaps. SGAP flaps are autologous alternatives to abdominal-based flaps and provides adequate adipose tissue for breast reconstruction. Read More

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Incidence and Outcomes of Completion Mastectomy following Oncoplastic Reduction: A Case Series.

Plast Reconstr Surg Glob Open 2022 Mar 2;10(3):e4151. Epub 2022 Mar 2.

Emory Division of Plastic and Reconstructive Surgery, Atlanta, Ga.

Background: Patients occasionally need completion mastectomy (CM) following oncoplastic reduction for various reasons necessitating definitive reconstructive techniques. The purpose of this study was to evaluate those patients who required CM following oncoplastic reduction and evaluate indications, technique, and outcomes.

Methods: Patients who underwent a completion mastectomy at some time point following the oncoplastic reduction were identified. Read More

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Deep inferior epigastric artery as a collateral pathway to the lower extremities: A case report.

JPRAS Open 2022 Jun 23;32:13-17. Epub 2022 Jan 23.

Department of Orthopaedic Surgery, Graduate School of Medical Science, Kanazawa University.

We describe a patient in whom the deep inferior epigastric artery served as a collateral pathway to the lower extremities, and free latissimus dorsi myocutaneous flap transfer was successfully used for reconstruction instead of the originally planned free rectus abdominis myocutaneous flap. A 74-year-old woman underwent subtotal tongue resection, followed by free flap tongue reconstruction for tongue cancer. Reconstruction using a free rectus abdominis myocutaneous flap was considered; however, preoperative contrast-enhanced computed tomography revealed complete occlusion of the bilateral external iliac arteries. Read More

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Procedural Trends in Medicare Reimbursement and Utilization for Breast Reconstruction: 2000-2019.

Ann Plast Surg 2022 Jul;89(1):28-33

Division of Plastic and Reconstructive Surgery, Department of Surgery, Mayo Clinic, Phoenix, AZ.

Purpose: Development of appropriate reimbursement models for breast reconstruction in the United States requires an understanding of relevant economic trends. The purpose of this study is to evaluate longitudinal patterns in Medicare reimbursement for frequently performed breast reconstruction procedures between 2000 and 2019.

Methods: Reimbursement data for 15 commonly performed breast reconstruction procedures were analyzed using the Centers for Medicare & Medicaid Services Physician Fee Schedule Look-Up Tool for each Current Procedural Terminology code. Read More

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Use of Double Myocutaneous Flap after Extended Resection of Locally Advanced Ulcerated Breast Carcinoma.

Plast Reconstr Surg Glob Open 2022 Feb 22;10(2):e4133. Epub 2022 Feb 22.

Postgraduate Program in Oncology, Barretos Cancer Hospital, Barretos, Brazil.

Locally advanced ulcerated breast neoplasm is a condition that frequently occurs in developing countries. Generally, it is centrally localized and submitted to neoadjuvant therapy; thereafter, upon disappearance of the ulceration, it is submitted to radical mastectomy. Presence of axillary infiltration and ulceration with incomplete response makes it necessary for the use of surgical flaps for skin closure. Read More

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February 2022

"Superman" Latissimus Dorsi Flap for Breast Reconstruction: A Technical Innovation for Covering Extensive Mastectomy Defect.

Cureus 2022 Jan 23;14(1):e21514. Epub 2022 Jan 23.

Department of Plastic Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, IND.

Breast reconstruction in extensive post-mastectomy defects is challenging for a reconstructive surgeon. While a plethora of options is available for breast reconstruction, pedicled latissimus dorsi (LD) flap remains the flap of choice for most surgeons. However, the size of the skin paddle of the LD flap may not suffice for extensive defects. Read More

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January 2022

Intramuscular Neural Arborization of the Latissimus Dorsi Muscle: Application of Botulinum Neurotoxin Injection in Flap Reconstruction.

Toxins (Basel) 2022 01 30;14(2). Epub 2022 Jan 30.

Division in Anatomy and Developmental Biology, Department of Oral Biology, Human Identification Research Institute, BK21 PLUS Project, Yonsei University College of Dentistry, 50-1 Yonsei-ro, Seodaemun-gu, Seoul 03722, Korea.

Postoperative pain after breast reconstruction surgery with the latissimus dorsi flap is a common occurrence. Botulinum neurotoxin (BoNT) injection during surgery is effective in reducing postoperative pain. This study aimed to determine the most appropriate locations for BoNT injection. Read More

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January 2022

Costal Cartilage Graft to Prevent Drooping after Free Flap Reconstruction of the Lower Lip.

Plast Reconstr Surg Glob Open 2022 Feb 17;10(2):e4110. Epub 2022 Feb 17.

Division of Plastic Surgery, Nara Medical University Hospital, Nara, Japan.

For large lower lip defects, a thin flap combined with a tendon is the standard reconstructive option. However, this method can result in flap ptosis, which occurred in two of our patients. To correct the ptosis, we transplanted costal cartilage into the reconstructed lower lips, which produced good or moderate results. Read More

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February 2022

Successful Restoration of Elbow Extension Using the Latissimus Dorsi Flap: Case Report.

Plast Reconstr Surg Glob Open 2022 Feb 15;10(2):e4121. Epub 2022 Feb 15.

Third Department of Surgery, First Faculty of Medicine, Charles University and Motol University Hospital, Prague, Czech Republic.

The latissimus dorsi (LD) myocutaneous flap is heavily used in reconstructive plastic surgery as either a local or distant flap, and mostly for coverage of large defects. To date, only a limited number of studies have described the use of an LD flap for functional reconstruction. Restoration of the extensor mechanism remains an unexplored area, and several issues remain to be addressed. Read More

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February 2022

Prognosis of Subcutaneous Mastectomy for Special Types of Breast Cancer.

Medicina (Kaunas) 2022 Jan 12;58(1). Epub 2022 Jan 12.

Department of Specialized Surgeries, Graduated School, Tokyo Medical and Dental University, Tokyo 1138519, Japan.

In the treatment of the special type of breast cancer (STBC), the choice of chemotherapeutic agents is often based on the characteristic features of the histological type. On the other hand, the surgical strategy is usually determined by the tumor size and presence of lymph node metastasis, and the indication for immediate reconstruction is rarely discussed based on the histological type. The prognoses of STBC and invasive ductal carcinoma of the breast (IDC) patients who underwent subcutaneous mastectomy (SCM) with immediate reconstruction at our institution were compared. Read More

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January 2022

Microvascular Free Tissue Transfer for Reconstruction of Complex Abdominal Wall Defects.

Plast Reconstr Surg 2022 Jan;149(1):74e-78e

From the Division of Plastic Surgery, Department of Surgery, University of Pennsylvania; and Department of Plastic Surgery, The University of Texas M. D. Anderson Cancer Center.

Summary: Patients with significant loss of abdominal wall soft tissue represent a reconstructive challenge. The purpose of this study was to describe the authors' experience using microvascular free tissue transfer to repair complex abdominal wall defects with insufficient overlying soft tissue. In this report, the authors highlight their techniques and experiences in performing microvascular free tissue transfer to the abdominal wall for these massive, complex defects. Read More

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January 2022

Designing Lateral Thoracic Wall Perforator Flaps for Breast Reconstruction Using Ultrasound.

J Reconstr Microsurg 2022 Mar 6;38(3):228-232. Epub 2021 Dec 6.

UOC Chirurgia Plastica, Dipartimento Scienze Salute della Donna, del Bambino e di Sanità Pubblica, Università Cattolica del "Sacro Cuore," Milan, Italy.

Background:  Lateral thoracic flaps represent a precious source for partial and total breast reconstruction, in some cases as first option and in other cases as alternative of free flaps. This article describes the ultrasound (US)-based planning of the lateral thoracic wall perforator adipocutaneous flaps and it reports our experience on 52 consecutive flaps.

Methods:  From November 2018 to May 2021, 52 consecutive lateral thoracic wall perforator flaps were performed using the US-based method for reconstruction of partial breast defects and total breast reconstruction. Read More

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A Myocutaneous Latissimus Dorsi Propeller Flap Based on a Single Dorsal Intercostal Perforator.

Plast Reconstr Surg Glob Open 2021 Nov 22;9(11):e3881. Epub 2021 Nov 22.

Department of Plastic and Hand Surgery, Laboratory for Tissue Engineering and Regenerative Medicine, University Hospital Erlangen, Friedrich Alexander University Erlangen-Nürnberg FAU, Germany.

This study presents a novel surgical technique for the reconstruction of highly challenging large lower back defects. In this case, a 72-year-old man initially diagnosed with renal cell carcinoma received nephrectomy followed by the dissection of an iliac crest metastasis and repeated high-dose irradiation therapy. Several years later, an osteocutaneous fistula at the right caudal posterior trunk made the reconstruction of the lower back defect necessary. Read More

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November 2021

Effect of modified radical mastectomy combined with latissimus dorsi musculocutaneous flap breast reconstruction on patients' psychology and quality of life.

Am J Transl Res 2021 15;13(10):11548-11555. Epub 2021 Oct 15.

Thyroid & Breast Surgery, Shanghai Fifth People's Hospital, Fudan University Shanghai 200240, China.

Background: Breast carcinoma (BC) is a commonly seen malignancy in women. Although traditional radical mastectomy can improve the survival of patients, it can cause breast loss and chest wall deformities, which seriously affects the daily life of patients and causes anxiety and depression. The purpose of this research project is to investigate the effect of breast reconstruction with latissimus dorsi myocutaneous flap (LDMF) after nipple- and areola-sparing modified radical mastectomy (MRM) on the psychological mood and quality of life (QoL) of patients with stage I BC. Read More

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October 2021

Salvage of Prosthetic Vascular Graft Infection in the Distal Thigh Using Free Latissimus Dorsi Musculocutaneous Flap: A Case Report.

Ann Vasc Surg 2022 Mar 12;80:394.e1-394.e5. Epub 2021 Nov 12.

Department of Plastic and Reconstructive Surgery, Hiroshima University Hospital, Hiroshima, Japan.

Background: Prosthetic vascular graft infection (PVGI) in the distal thigh is a rare wound; thus, little is known about which muscle flaps are the most useful and cause less lower extremity morbidity in such cases. Moreover, very few reliable muscle flaps are available around the distal thigh.

Case Report: We report the case of a 72-year-old woman suffering from a distal thigh wound with PVGI. Read More

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Successful Pre-Operative Local Control of Skin Invasion of Breast Cancer Using a Combination of Systemic Chemotherapy and Mohs Paste.

J Breast Cancer 2021 Oct;24(5):481-490

Department of Surgery 1, School of Medicine, University of Occupational and Environmental Health, Fukuoka, Japan.

Locally advanced breast cancer (tumor > 5 cm, widespread infiltration of the skin and muscle, or metastases to lymph nodes) is difficult to resect by surgery, and even when it is resectable, there is a high probability of local recurrence and distant metastasis. Therefore, systemic therapy should be administered first. However, as cutaneous infiltration progresses, the patient's quality of life is impaired by pain, bleeding, presence of exudates, and a foul-smelling odor. Read More

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October 2021

The application of local rotating flap and latissimus dorsi flap in thoracic deformity correction.

J Cosmet Dermatol 2021 Oct 30. Epub 2021 Oct 30.

Department of Plastic Surgery, Peking University Third Hospital, Beijing, China.

Background: Wound healing problem is one of the main complications after correction of chest wall deformity. Orthopedic flap tissue repair technique has a clear significance in non-healing wound and defect wound and provides a new choice for poor wound healing after orthopedic surgery of chest wall deformity.

Objective: To investigate, the application value of modified local rotary flap and latissimus dorsi myocutcutaneous flap in the treatment of poor wound healing after orthodontic treatment of chest wall deformity. Read More

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October 2021

Extra-Anatomical Bypass Grafting and Latissimus Dorsi Myocutaneous Flap Reconstruction for Post-sternotomy Mediastinitis With Prosthetic Aortic Graft Infection.

Cureus 2021 Sep 18;13(9):e18086. Epub 2021 Sep 18.

Department of Plastic Surgery, Kobe University Graduate School of Medicine, Kobe, JPN.

Extra-anatomical bypass grafting is a surgical method used to remove an infected aortic graft and promote revascularization with a new graft in the non-infected area. Here, we report a case of intractable post-sternotomy mediastinitis (PSM) with aortic graft infection which was treated with extra-anatomical bypass grafting. A 56-year-old woman with a history of multiple aortic dissection and prosthetic graft replacement in the thoracoabdominal area developed PSM with aortic arch graft infection. Read More

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September 2021

The triple conjoined scapular-latissimus dorsi-groin flap for reconstruction of long lower extremity degloving injury: A case report.

Microsurgery 2022 Mar 20;42(3):277-281. Epub 2021 Oct 20.

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

Since the introduction of the angiosome concept, many attempts have been made to push the dimensional limits of free tissue transfers. While initially limited by the boundaries of random vascularization of adjacent angiosomes, wider flaps were transferred by combining contiguous source vessels. Combined flaps, either chimeric or conjoined, represent nowadays the largest reconstructive options in the human body. Read More

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Development of A Surgical Treatment Algorithm for Breast Reconstruction in Poland Syndrome Patients Considering Severity, Sex, and BMI.

J Clin Med 2021 Sep 29;10(19). Epub 2021 Sep 29.

Department of Plastic and Reconstructive and Aesthetic Surgery, Marienhospital Stuttgart, Teaching Hospital of the Eberhard Karls University, 70199 Tuebingen, Germany.

Introduction: Poland syndrome is a rare, challenging combination of chest wall and breast deformities for reconstructive surgeons and selecting the treatment can prove difficult. This study aims to help surgeons in choosing the best viable option for treatment by sharing our institutional experience and proposing a guiding algorithm.

Methods: A retrospective analysis of all patients with Poland syndrome undergoing treatment for breast and chest wall deformities at a single institution between December 2011 and May 2020 was performed. Read More

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September 2021

Treatment of chronic bronchopleural fistula and recurrent empyema using a latissimus dorsi myocutaneous flap: a case report and literature review.

Arch Plast Surg 2021 Sep 15;48(5):494-497. Epub 2021 Sep 15.

Department of Plastic and Reconstructive Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea.

Bronchopleural fistula is a severe complication with a high mortality rate that occurs after pulmonary resection. Several treatment options have been suggested; however, it is a challenge to treat this condition without recurrence or other complications. In this case report, we describe the successful performance of a pedicled latissimus dorsi myocutaneous flap transfer, with no recurrence or donor site morbidity. Read More

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September 2021

[Application of modified designed bilobed latissimus dorsi myocutaneous flap in chest wall reconstruction of locally advanced breast cancer patients].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2021 Sep;35(9):1172-1176

Department of Oncology Plastic Surgery, Hunan Province Cancer Hospital, Changsha Hunan, 410008, P.R.China.

Objective: To explore the effectiveness of the modified designed bilobed latissimus dorsi myocutaneous flap in chest wall reconstruction of locally advanced breast cancer (LABC) patients.

Methods: Between January 2016 and June 2019, 64 unilateral LABC patients were admitted. All patients were female with an average age of 41. Read More

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September 2021

A Retrospective Comparative Analysis of Latissimus Dorsi (LD) Flap Versus Thoracodorsal Artery Perforator (TDAP) Flap in Total Breast Reconstruction with Implants: A Pilot Study.

J Reconstr Microsurg 2021 Sep 7. Epub 2021 Sep 7.

Department of Plastic Surgery, Hand Surgery and Reconstructive Microsurgery, Ospedale San Gerardo - ASST Monza, Monza, Italy.

Introduction:  In breast surgery, an autologous flap combined with implant may reduce the risk or repair the soft-tissue defects in several cases. Traditionally, the preferred flap is the myocutaneous latissimus dorsi (LD) flap. In the perforator flap era, the evolution of LD flap is the thoracodorsal artery perforator (TDAP) flap. Read More

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September 2021

Periorbital and Perioral Defect Reconstruction Using the Split Pre-Expanded Medial Arm Flap Aided by Using Indocyanine Green Angiography.

J Craniofac Surg 2021 Nov-Dec 01;32(8):2816-2820

Department of Plastic and Reconstructive Surgery, Plastic Surgery Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Shijingshan District, Beijing, China.

Abstract: The pre-expanded medial arm flap provides suitable skin for the resurfacing of a periorbital or perioral defect. However, the flap must be intraoperatively split to imitate the appearance of the oral or ophthalmic fissure, which can compromise flap perfusion. This study aimed to evaluate the safety and effectiveness of splitting pre-expanded medial arm flaps with the aid of indocyanine green angiography. Read More

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November 2021