We read with interest the paper by Abolhoda et al. about a harvest technique for pedicled transposition of latissimus dorsi muscle, and congratulate the authors [1]. We are used to transpose intrathoracically the whole latissimus dorsi muscle to obliterate an infected apical or mid-thoracic dead space and we use the same technique as described by the authors but we have modified the harvest tec...

BACKGROUND The latissimus dorsi flap provides suitable recipient tissue for fat transfer, with a good blood supply and a reasonable volume of host tissue to inject into. The authors present their experience with use of the pedicled latissimus dorsi flap for fat grafting in total autologous immediate breast reconstruction without implants. METHODS From 2010 to 2013, 23 patients underwent breas...

Autologous breast reconstruction has become a standard option during the recovery of breast cancer survivors. Although pedicle damage is a rare complication of this procedure, extensive torsion or tension can lead to partial or total flap failure. We report a case of partial flap salvage after accidental transection of the pedicled blood supply within the intramuscular course of a latissimus do...

We surely agree with them that the procedure can be long and that it submits the patient to a larger surgical trauma compared with the reverse latissimus dorsi flap, which we find anyway a valid and in some cases very indicated reconstructive option. The point is that we used the prolonged flap in patients affected by multiple recurrences in the lumbar or sacral areas where several other proced...

Background: The latissimus dorsi muscle has long been a valuable muscle for reconstruction. Our study aims to determine the true anatomic origin of the latissimus dorsi muscle and identify the possibility of performing an extended musculocutaneous flap for better aesthetic outcome and avoiding the need of implant based reconstruction to add volume. Methods: 55 human cadaver bodies were dissecte...

BACKGROUND Free flap surgery in the pediatric population has gained widespread acceptance regarding its technical utility and reliability. Initial concerns as to the feasibility and reliability of the procedure in children were resolved over time. METHODS Thirty children (15 boys, 15 girls) were treated in Sisli Etfal Training and Research Hospital, Plastic and Reconstructive Surgery Clinic. ...

Radical resection of an extended malignant sarcoma of the chest wall requires full-thickness thoracic chest wall reconstruction. Reconstruction is tedious in the case of posteriorly located tumours, because the ipsilateral pedicled myocutaneous latissimus dorsi flap is involved and hence not usable for soft tissue coverage. We report an original case of a left giant dorsal chondrosarcoma origin...

Objective: Postmastectomy radiation therapy is a well-established risk factor for complications after breast reconstruction. Even if the surgeon has a suspicion that radiation therapy may be needed, it may be beneficial to place tissue expanders during the mastectomy procedure as a temporizing measure, complete radiation therapy, and then reconstruct the breast with a latissimus flap. The purpo...

Severe upper extremity injuries are considered a potential source of significant disability. Appropriate soft tissue restoration is an essential component of any treatment protocol and often requires a vascularized flap to protect the neurovascular and musculo-tendinous structures. The use of latissimus dorsi muscle or myocutaneous flap is considered in ideal solution in such conditions as it p...

SUMMARY This study described a technique for reconstruction of a large lateral thoracic region defect after locally advanced breast cancer resection that allows for full coverage of the defect and primary closure of the flap donor site. The authors performed reconstruction using the newly designed 180-degree rotationally-divided latissimus-dorsi-musculocutaneous flap in a 42-year-old woman for ...