Extended V-Y latissimus dorsi musculocutaneous flap for anterior chest wall reconstruction

Plastic and Reconstructive Surgery
E Micali, F R Carramaschi

Abstract

Patients presenting advanced breast tumors are usually subject to major resections of the anterior chest wall tissue. Flaps taken from the abdominal wall, such as the TRAM, the external oblique flap, and the thoracoabdominal flap are frequently used for closure of this type of lesion. In this study, a different shape was planned for the skin island from the latissimus dorsi musculocutaneous flap with primary closure in V-Y for the correction of major lesions in the anterior chest wall after mastectomies occasioned by advanced breast cancer. The technique was used on eight female patients, between November of 1998 and July of 1999, victims of advanced breast cancer, who had been submitted to radical mastectomies with major resections of the cutaneous tegument. It was possible to make primary closure of lesions in the anterior chest wall, the preoperative areas of which varied between 15 x 15 and 29 x 14 cm (vertical x horizontal). This technical variant permitted use of the flap without the need to create tunnels for its advancement and rotation. It also proved to be easy to perform and presented a low morbidity rate, with three patients presenting minor complications that did not require correction through any further surgical ...Continue Reading

References

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Citations

Jul 6, 2013·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Eduardo Gustavo ArrudaRolf Gemperli
Aug 8, 2009·The Journal of Thoracic and Cardiovascular Surgery·Gaetano RoccoGerardo Botti
Sep 26, 2006·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·E-H LimV Ramakrishnan
Oct 19, 2010·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·C SchmitzJ Hankiss
Sep 27, 2012·Annales de chirurgie plastique et esthétique·N BereniD Casanova
May 28, 2015·Archives of Plastic Surgery·Joo Seok ParkEun Key Kim
Sep 1, 2017·Journal of Plastic Surgery and Hand Surgery·Hiroaki KuwaharaErkki Tukiainen
Jul 25, 2006·Annals of Plastic Surgery·Paolo PersichettiNicolò Scuderi
Feb 28, 2019·Cancer Control : Journal of the Moffitt Cancer Center·Alicia BillingtonJohn Kiluk
Feb 23, 2020·Annals of Plastic Surgery·Anne Karoline GrothAlfredo Benjamin Duarte da Silva

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