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ISSN 1561-3186 (Electronic)

2020, Number 4

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Rev Acta Médica 2020; 21 (4)

Versatility of latissimus dorsi Flap in Chest Wall Reconstruction: Our Experience

Reyes RP, Almaguer CD

Language: Spanish
References: 21
Page: 1-12
PDF size: 457.73 Kb.


ABSTRACT

Introduction: The main objectives to be achieved during the reconstruction of chest wall defects are to restore its shape and function. The effectiveness of this intervention largely depends on knowledge about anatomy and the multidisciplinary team, which has countless tools that, chosen and used properly, lead to the success of such a complex intervention.
Objective: To assess the usefulness of the latissimus dorsi muscle in the reconstruction of the thoracic wall.
Method: A retrospective descriptive study was carried out, which included all the patients who underwent complex thoracic reconstruction with the use of the latissimus dorsi flap, either muscular or as a musculocutaneous unit, in the period between January 2014 and June 2019, at the National Institute of Oncology and Radiobiology.
Results: Ten patients underwent reconstruction with a latissimus dorsi pedicle flap, either alone or as a musculocutaneous unit. The donor site was closed primarily in all patients. After tumor excision and reconstruction, there was a follow-up until July 2019. Both sexes were affected in the same amount. The mean age was 48.9. Most of the patients had three ribs removed. Chondrosarcoma and desmoid tumor were the prevailing ones in this series.
Conclusions: The use of the latissimus dorsi muscle in chest wall reconstruction is a relatively simple and highly useful option, due to its size, easy dissection, good vascularization, low morbidity, and variety of designs.


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