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

Summary:. 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...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Alexander Geierlehner, MSc, Ingo Ludolph, MD, Andreas Arkudas, MD, Raymund E. Horch, MD
Formato:	article
Lenguaje:	EN
Publicado:	Wolters Kluwer 2021
Materias:	Surgery RD1-811
Acceso en línea:	https://doaj.org/article/5da881e219714aacac7af080e9a65ee2
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:5da881e219714aacac7af080e9a65ee2
record_format	dspace
spelling	oai:doaj.org-article:5da881e219714aacac7af080e9a65ee22021-11-25T07:58:04ZA Myocutaneous Latissimus Dorsi Propeller Flap Based on a Single Dorsal Intercostal Perforator2169-757410.1097/GOX.0000000000003881https://doaj.org/article/5da881e219714aacac7af080e9a65ee22021-11-01T00:00:00Zhttp://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000003881https://doaj.org/toc/2169-7574Summary:. 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. High-dose irradiation of the lower back and poor vascular conditions at the pelvic region disqualified the patient for previously published local or free flap options. The initial strategy of an arteriovenous loop anastomosed to the femoral vessels and a free latissimus dorsi flap transfer had to be withdrawn due to repeated intraoperative loop thrombosis. For that reason, the entire latissimus dorsi muscle was used as a myocutaneous propeller flap receiving its blood supply solely through a single dorsal intercostal artery perforator. The flap survived completely and no fistulous formation occurred postoperatively. The time to complete wound healing was 4 months. This new technique is considered a valuable addition for the reconstruction of challenging posterior caudal trunk defects.Alexander Geierlehner, MScIngo Ludolph, MDAndreas Arkudas, MDRaymund E. Horch, MDWolters KluwerarticleSurgeryRD1-811ENPlastic and Reconstructive Surgery, Global Open, Vol 9, Iss 11, p e3881 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Surgery RD1-811
spellingShingle	Surgery RD1-811 Alexander Geierlehner, MSc Ingo Ludolph, MD Andreas Arkudas, MD Raymund E. Horch, MD A Myocutaneous Latissimus Dorsi Propeller Flap Based on a Single Dorsal Intercostal Perforator
description	Summary:. 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. High-dose irradiation of the lower back and poor vascular conditions at the pelvic region disqualified the patient for previously published local or free flap options. The initial strategy of an arteriovenous loop anastomosed to the femoral vessels and a free latissimus dorsi flap transfer had to be withdrawn due to repeated intraoperative loop thrombosis. For that reason, the entire latissimus dorsi muscle was used as a myocutaneous propeller flap receiving its blood supply solely through a single dorsal intercostal artery perforator. The flap survived completely and no fistulous formation occurred postoperatively. The time to complete wound healing was 4 months. This new technique is considered a valuable addition for the reconstruction of challenging posterior caudal trunk defects.
format	article
author	Alexander Geierlehner, MSc Ingo Ludolph, MD Andreas Arkudas, MD Raymund E. Horch, MD
author_facet	Alexander Geierlehner, MSc Ingo Ludolph, MD Andreas Arkudas, MD Raymund E. Horch, MD
author_sort	Alexander Geierlehner, MSc
title	A Myocutaneous Latissimus Dorsi Propeller Flap Based on a Single Dorsal Intercostal Perforator
title_short	A Myocutaneous Latissimus Dorsi Propeller Flap Based on a Single Dorsal Intercostal Perforator
title_full	A Myocutaneous Latissimus Dorsi Propeller Flap Based on a Single Dorsal Intercostal Perforator
title_fullStr	A Myocutaneous Latissimus Dorsi Propeller Flap Based on a Single Dorsal Intercostal Perforator
title_full_unstemmed	A Myocutaneous Latissimus Dorsi Propeller Flap Based on a Single Dorsal Intercostal Perforator
title_sort	myocutaneous latissimus dorsi propeller flap based on a single dorsal intercostal perforator
publisher	Wolters Kluwer
publishDate	2021
url	https://doaj.org/article/5da881e219714aacac7af080e9a65ee2
work_keys_str_mv	AT alexandergeierlehnermsc amyocutaneouslatissimusdorsipropellerflapbasedonasingledorsalintercostalperforator AT ingoludolphmd amyocutaneouslatissimusdorsipropellerflapbasedonasingledorsalintercostalperforator AT andreasarkudasmd amyocutaneouslatissimusdorsipropellerflapbasedonasingledorsalintercostalperforator AT raymundehorchmd amyocutaneouslatissimusdorsipropellerflapbasedonasingledorsalintercostalperforator AT alexandergeierlehnermsc myocutaneouslatissimusdorsipropellerflapbasedonasingledorsalintercostalperforator AT ingoludolphmd myocutaneouslatissimusdorsipropellerflapbasedonasingledorsalintercostalperforator AT andreasarkudasmd myocutaneouslatissimusdorsipropellerflapbasedonasingledorsalintercostalperforator AT raymundehorchmd myocutaneouslatissimusdorsipropellerflapbasedonasingledorsalintercostalperforator
_version_	1718413557464301568

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

Ejemplares similares