The pedicled transverse partial latissimus dorsi myocutaneous flap for reconstruction of the radiated partial mastectomy defect

Zachary Farris; Andrew L. Kochuba

doi:10.1016/j.jpra.2014.12.002

The pedicled transverse partial latissimus dorsi myocutaneous flap for reconstruction of the radiated partial mastectomy defect

Zachary Farris, Andrew L. Kochuba

Surgery

Research output: Contribution to journal › Article › peer-review

Abstract

The pedicled partial latissimus dorsi myocutaneous flap based on the transverse branch of the thoracodorsal artery is described as it offers several advantages for reconstruction of radiated partial mastectomy defects. It maintains bulk and vascularity while having a favorable morbidity profile compared to the total flap. Specifically, seroma rates and length of drain use should be reduced. The anatomical location of the transverse branch allows creation of the flap outside the radiated field. Further, the flap preserves the lateral and inferior portions of the latissimus dorsi and the muscle is not detached from its insertion allowing preservation of the posterior axillary fold. Finally, the transversely oriented skin paddle offers favorable scar healing.

Original language	English (US)
Pages (from-to)	1-5
Number of pages	5
Journal	JPRAS Open
Volume	3
Issue number	1
DOIs	https://doi.org/10.1016/j.jpra.2014.12.002
State	Published - 2015

Keywords

Breast reconstruction
Latissimus dorsi
Partial flap
Partial latissimus
Partial mastectomy defect

ASJC Scopus subject areas

Surgery

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10.1016/j.jpra.2014.12.002

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title = "The pedicled transverse partial latissimus dorsi myocutaneous flap for reconstruction of the radiated partial mastectomy defect",

abstract = "The pedicled partial latissimus dorsi myocutaneous flap based on the transverse branch of the thoracodorsal artery is described as it offers several advantages for reconstruction of radiated partial mastectomy defects. It maintains bulk and vascularity while having a favorable morbidity profile compared to the total flap. Specifically, seroma rates and length of drain use should be reduced. The anatomical location of the transverse branch allows creation of the flap outside the radiated field. Further, the flap preserves the lateral and inferior portions of the latissimus dorsi and the muscle is not detached from its insertion allowing preservation of the posterior axillary fold. Finally, the transversely oriented skin paddle offers favorable scar healing.",

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AU - Kochuba, Andrew L.

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N2 - The pedicled partial latissimus dorsi myocutaneous flap based on the transverse branch of the thoracodorsal artery is described as it offers several advantages for reconstruction of radiated partial mastectomy defects. It maintains bulk and vascularity while having a favorable morbidity profile compared to the total flap. Specifically, seroma rates and length of drain use should be reduced. The anatomical location of the transverse branch allows creation of the flap outside the radiated field. Further, the flap preserves the lateral and inferior portions of the latissimus dorsi and the muscle is not detached from its insertion allowing preservation of the posterior axillary fold. Finally, the transversely oriented skin paddle offers favorable scar healing.

AB - The pedicled partial latissimus dorsi myocutaneous flap based on the transverse branch of the thoracodorsal artery is described as it offers several advantages for reconstruction of radiated partial mastectomy defects. It maintains bulk and vascularity while having a favorable morbidity profile compared to the total flap. Specifically, seroma rates and length of drain use should be reduced. The anatomical location of the transverse branch allows creation of the flap outside the radiated field. Further, the flap preserves the lateral and inferior portions of the latissimus dorsi and the muscle is not detached from its insertion allowing preservation of the posterior axillary fold. Finally, the transversely oriented skin paddle offers favorable scar healing.

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The pedicled transverse partial latissimus dorsi myocutaneous flap for reconstruction of the radiated partial mastectomy defect

Abstract

Keywords

ASJC Scopus subject areas

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