OBJECTIVE Treatment of non-healing wounds of lower back often poses a powerful challenge. We present one of the first report of treatment of a lumbosacral defect with a supercharged latissimus dorsi flap with the skin paddle. CASE REPORT We report a case of a 59 year-old man with myeloma of the sacral spine who underwent radiotherapy and chemotherapy and subsequently, laminectomies and placem...

OBJECTIVE Severe ballistic injuries to the face create complex, composite defects of 2 facial subunits. These injuries have an extremely high economic impact for the Medicare system. The surgical goal with these patients is to restore basic functions of the face with a rapid morphological improvement. Our hypothesis is as follows: Early restoration of facial segments with a single free multiple...

The cover image is based on the Clinical Article Triple-lobe combined latissimus dorsi and scapular flap for reconstruction of a large defect after sarcoma resection by Ryo Karakawa et al., https://doi.org/10.1002/micr.30627.

The latissimus dorsi muscle flap is a versatile flap used in a variety of reconstructive procedures. The major complication reported with its use is donor-site seroma, reported to occur in 20 to 79 percent of cases. A retrospective review of 47 patients undergoing latissimus dorsi muscle harvest from April of 1998 through May of 2002 was performed. Progressive tension sutures were used during d...

The study was conducted to evaluate the viability and healing process of a pedicled latissimus dorsi muscular flap for use as an implant for herniorrhaphy in canine diaphragmatic muscle. After a three month acclimatization period, twelve clinically healthy mongrel dogs, of both sexes weighing 10 to 20 kg were induced with an iatrogenic diaphragmatic defect and divided into three groups A, B & C...

BACKGROUND Currently, breast conservation therapy is commonly performed for the treatment of early breast cancer. Depending on the volume excised, patients may require volume replacement, even in cases of partial mastectomy. The use of the latissimus dorsi muscle is the standard method, but this procedure leaves an unfavorable scar on the donor site. We used an endoscope for latissimus dorsi ha...

Resection of tumors affecting the hip abductors can cause significant decrease in muscle strength and may lead to abnormal gait and poor function. We present a case report showing full functional recovery after resection of a synovial sarcoma affecting the right gluteus medius and minimus muscles with reconstruction free neurovascular latissimus dorsi muscle transplantation. The latissimus dors...

We describe the use of a pedicled unipolar latissimus dorsi flap to restore finger extension. The patient had large defects in the radial nerve and extensor musculature. A long-tailed, 50-cm-long flap was prepared, which enabled the end of the flap to be sutured to the extensor digitorum.

Latissimus dorsi (LD) myocutaneous flap can be regarded as the choice flap for autologous breast reconstruction following a total mastectomy in a case of large breast cancer with skin graft where microsurgical expertise are not available and patient are not suitable for other different types of flap .It is regarded as a relatively safe procedure, no microsurgical expertise is needed with fever ...