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The "reverse" latissimus dorsi flap for large lower lumbar defect
Bouraoui Kotti1, Olfa Jaidane, Jamel Ben Hassouna
1Department of Surgical Oncology, Salah Azaiez Institute, 36, Nelson Mandela Street, 2045 L'aouina, Tunis, Tunisia.
Case Reports in Surgery
|October 20, 2012
Summary
The reverse latissimus dorsi (LD) flap, combined with a gluteal flap, offers a safe solution for reconstructing large lumbar defects after cancer surgery. This technique provides reliable tissue coverage for challenging defects.
Area of Science:
- Plastic Surgery
- Surgical Reconstruction
- Oncology
Background:
- The latissimus dorsi (LD) flap is a versatile surgical technique.
- Reverse or distally based LD flaps are utilized for specific defect reconstructions.
- Large lumbar defects pose reconstruction challenges.
Purpose of the Study:
- To present a case utilizing a "reverse" latissimus dorsi (LD) flap combined with a cutaneous gluteal flap.
- To evaluate the safety and reliability of this combined flap for large distal lumbar defects.
Main Methods:
- A "reverse" latissimus dorsi (LD) flap in its muscular version was employed.
- A cutaneous gluteal flap was combined with the LD flap.
- The combined flap was used to cover a large lumbar defect following cancer resection.
Main Results:
- The combined flap successfully covered a large distal lumbar defect.
- The technique proved to be a safe and reliable method for reconstruction.
Conclusions:
- The combined reverse LD flap and gluteal flap is an effective solution for large distal lumbar defects.
- This reconstructive approach offers a reliable option in plastic surgery for complex defect coverage.
