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The free latissimus dorsi flap in reconstructive microsurgery
The Netherlands Journal of Surgery
|February 1, 1985
Summary
Free vascularized latissimus dorsi flaps successfully treated incurable skin defects in 32 patients, achieving a 90% success rate. Early detection of thrombosis via screening allows for timely revision and flap salvage.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
- Microsurgery
Background:
- Skin defects of the extremities, particularly the leg, foot, and hand, often present significant reconstructive challenges.
- Previously, such defects were considered incurable, necessitating innovative surgical solutions.
Observation:
- This study evaluated the efficacy of free vascularized musculocutaneous latissimus dorsi flaps for coverage of complex skin defects.
- Thirty-two patients with previously incurable defects of the leg, foot, and hand were treated using this technique.
Findings:
- The latissimus dorsi flap demonstrated a high success rate of 90% in coverage.
- The primary complications observed were thrombosis of arterial or venous anastomoses, which were manageable with prompt intervention.
Implications:
- The free vascularized latissimus dorsi flap is a viable and effective option for reconstructing extensive skin defects in challenging anatomical locations.
- Adequate postoperative monitoring, including transcutaneous partial oxygen pressure (tcPO2) and temperature assessment, is crucial for early complication detection and successful flap survival.