Pedicled latissimus flap. Advantages of bipolar transfer of the latissimus include Sep 15, 2023 · The latissimus dorsi myocutaneous flap (LDMF) is one of the most reliable and versatile flaps used in reconstructive surgery. The latissimus dorsi flap may also be em-ployed as a pedicled flap, and can reach as high as the temporal region or even the vertex if the skin paddle is placed caudally enough. The latissimus dorsi muscle flap is useful for myoplasty of infected pleural spaces and bronchial fistulas, as well as for reconstruction of large soft tissue defects. Apr 1, 2024 · Surgeons harvest the flap from the latissimus dorsi muscle, which is richly vascularized by the thoracodorsal vessels. Jun 20, 2014 · When compared with other salvage regional flaps (Table 1), such as using the pectoralis major myocutaneous flap (PMMF), the PLDMF has the advantages of broader soft tissue availability, less donor site morbidity, and less noticeable donor site scarring. 5%) is the result of proper patient selection and adherence to three technical fundamentals: skin paddle design, pedicle dissection, and pedicle stabilization. The use of a pedicled latissimus dorsi flap for reconstruction of large soft-tissue defects following musculoskeletal tumor excision around the shoulder provides adequate well-vascularized and healthy tissue to maximize the chances of successful Because its thoracodorsal pedicle comes off the highly branched subscapular system, the latissimus dorsii can be used as a flow-through free flap. This ensures flap viability and enables its use as a pedicled or free tissue transfer method. Mar 3, 2019 · The latissimus dorsi flap, either as pedicled or as microvascular free tissue transfer, is one of the most commonly used flaps in reconstructive surgery, with large vessel diameters and a long reliable pedicle. Its size and versatility make it an extraordinary graft that has been a workhorse in reconstructive surgery for more than two decades. These . See full list on microsurgeon. If the flap is used in a pedicled fashion, the humeral insertion of the pectoralis is partially divided to create a subcutaneous tunnel into the neck. This may be advantageous in cases where arterial reconstruction and coverage are both desired. Conclusion: The excellent flap survival rate (98. Demonstration of the two-team approach for the simultaneous harvest of pedicled latissimus dorsi flap and head and neck ablation using the Spider Arm Positioner system. org May 8, 2017 · If the flap is used as a free flap, the vascular pedicle is traced proximally and divided. We believe the pedicled latissimus dorsi flap is an effective and safe technique that provides reliable and durable coverage of considerably larger soft tissue defects around the elbow and proximal Bipolar latissimus dorsi transfer has been considered a viable option for the restoration of elbow flexion in patients with large traumatic defects of the anterior arm compartment. Aug 20, 2017 · Background: The pedicled latissimus flap has been shown to provide effective coverage of wounds around the elbow with an average size of 100 to 147 cm 2 but with complication rates of 20% to 57%. It is known for its use in chest wall and postmastectomy reconstruction and has also been used effectively for coverage of large soft tissue defects in the head and neck, either as a pedicled flap or as a microvascular Mar 7, 2018 · Also, after division of the dominant vascular pedicle, the latissimus dorsi can be prepared as an inverted flap and used for reconstruction of the diaphragm. In addition to the latissimus muscle and its overlying skin paddle, several other tissues can be taken with this pedicle to form chimeric flaps. ql7 19wr ao 4pm f5thr blv8r xzsyb w3tcq 2lirk jyj