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J Reconstr Microsurg 2001; 17(2): 095-098
DOI: 10.1055/s-2001-12697
Copyright © 2001 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

Latissimus Dorsi Musculocutaneous Flap Based on the Serratus Branch with Microvascular Venous Augmentation

Jin K. Chun, Thomas P. Sterry
  • Division of Plastic Surgery, Dept. of Surgery, Mount Sinai Medical Center, New York, New York
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Publication History

Publication Date:
31 December 2001 (online)

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ABSTRACT

The authors report a case of a latissimus dorsi musculocutaneous flap with microvascular venous supercharging in the setting of an acute ligation of the thoracodorsal vascular pedicle. Through their experience with this case, they have questioned a common belief that the flap will survive without the thoracodorsal vessels intact. They accept that risk is minimized when rotation of the flap takes place several weeks after ligation of the vessels. However, they do not believe it is prudent to transfer a latissimus flap of significant size immediately after ligation of the thoracodorsal vessels, unless the vascular supply is enhanced.

REFERENCES

  • 1 Fisher J, Bostwick J, Powell R W. Latissimus dorsi blood supply after thoracodorsal vessel division: the serratus collateral.  Plast Reconstr Surg . 1983;  72 502-509
    CrossrefPubMedGoogle Scholar
  • 2 Rubinstein Z J, Shafir R, Tsur H. The value of angiography prior to use of the latissimus dorsi myocutaneous flap.  Plast Reconstr Surg . 1979;  63 374-376
    PubMedGoogle Scholar
  • 3 Bostwick J, Scheflan M. The latissimus dorsi musculocutaneous flap: a one stage breast reconstruction.  Clin Plast Surg . 1980;  7 71-78
    CrossrefPubMedGoogle Scholar
  • 4 Maxwell G P, McGibbon B M, Hoopes J E. Vascular considerations in the use of a latissimus dorsi myocutaneous flap after a mastectomy with an axillary dissection.  Plast Reconstr Surg . 1979;  64 771-780
    PubMedGoogle Scholar
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