What Is the Ideal Free Flap for Soft Tissue Reconstruction? A Ten-Year Experience of Microsurgical Reconstruction Using 334 Latissimus Dorsi Flaps From a Universal Donor Site

Annals of Plastic Surgery
Jeong Tae KimYoun Hwan Kim

Abstract

Microsurgical free tissue transfer is regarded as the best available method of tissue reconstruction for intractable defects. The ideal soft tissue flap is thought to be the anterolateral thigh flap. On the basis of 334 procedures involving the latissimus dorsi (LD) flap, we discuss the advantages of the LD flap over the current universal option, and we aimed to establish whether the LD could also gain universal status in all reconstructive fields.Three hundred thirty-four reconstructive procedures using the LD flap were performed in 322 patients between September 2002 and July 2012. In accordance with defect characteristics, we performed 334 procedures using flaps, which included the LD muscle flap with skin graft, the myocutaneous flap, the muscle-sparing flap, the perforator flap, the chimeric flap, and the 2-flap technique using the serratus anterior branch.Flap-related complications occurred in 21 patients (6.3%), including total and partial flap failure. In 253 cases, the donor site was closed primarily, and in the remaining cases, we used split-thickness skin grafts. Donor-site complications occurred in 20 cases (6%). In 11 of the 182 cases, no suitable perforators were identified during surgery.The advantages of the LD ...Continue Reading

References

Oct 17, 1998·Plastic and Reconstructive Surgery·Y KimataK Harii
Jun 5, 2002·Plastic and Reconstructive Surgery·Fu-chan WeiChih-hung Lin
Jul 27, 2002·Plastic and Reconstructive Surgery·Maurice Y NahabedianPaul N Manson
Aug 15, 2003·Clinics in Plastic Surgery·Jeong-Tae Kim
Oct 7, 2004·Plastic and Reconstructive Surgery·Fu-Chan Wei, Samir Mardini
Aug 8, 2008·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Jeong Tae KimYoun Hwan Kim
Apr 2, 2009·Plastic and Reconstructive Surgery·Michel Saint-CyrRod J Rohrich
Jan 9, 2010·Plastic and Reconstructive Surgery·Rozina S AliMing-Huei Cheng
Jan 9, 2010·Plastic and Reconstructive Surgery·Christopher Glenn WallaceFu-Chan Wei
Jan 18, 2011·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Jeong-Tae KimYoun-Hwan Kim
May 28, 2011·Plastic and Reconstructive Surgery·Patrick B GarveyCharles E Butler
Jul 26, 2011·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Jeong Tae KimYoun Hwan Kim
Aug 26, 2011·Plastic and Reconstructive Surgery·Peirong Yu, Jesse Selber
Sep 23, 2011·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Kyu Tae HwangYoun Hwan Kim
Sep 23, 2011·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Chin-Ho WongFu-Chan Wei
Jan 28, 2012·Journal of Hand and Microsurgery·Joon Pio HongMoo Young Lee
Jan 31, 2012·Plastic and Reconstructive Surgery·Shannon ColohanMichel Saint-Cyr
Sep 25, 2012·Burns : Journal of the International Society for Burn Injuries·Yen-Chang HsiaoShiow-Shuh Chuang
Nov 14, 2012·The Journal of Craniofacial Surgery·Sang Wha KimYoun Hwan Kim
Nov 30, 2012·Plastic and Reconstructive Surgery·Chrisovalantis LakhianiMichel Saint-Cyr
Nov 30, 2012·Plastic and Reconstructive Surgery·Shannon ColohanMichel Saint-Cyr

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Citations

Dec 2, 2018·Journal of Investigative Surgery : the Official Journal of the Academy of Surgical Research·Stavros-Loukas KaramatsoukisApostolos E Papalois
Sep 13, 2018·Journal of Wound Care·Youn Hwan KimSang Wha Kim
Jun 21, 2018·Plastic and Reconstructive Surgery. Global Open·Philipp SchoenleChristoph Hirche
Apr 15, 2021·Handchirurgie, Mikrochirurgie, plastische Chirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft für Handchirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft für Mikrochirurgie der Peripheren Nerven und Gefässe : Organ der Vereinigung der Deut·Dimitra Kotsougiani-FischerLeila Harhaus

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