Reverse latissimus dorsi muscle flap for complex back defects: our experience

Abstract

Aim: The aim was to study the effectiveness of the reverse latissimus dorsi muscle flap in reconstruction of complex defects of the back.

Methods: This is a retrospective study of patients who underwent reverse latissimus dorsi flap for reconstruction of the back, in a tertiary care hospital. The patient demographics, etiology, surgery indications and complications were studied.

Results: The study had five patients between 2012 and 2016 who underwent reverse latissimus dorsi flap for reconstruction. The flaps survived in all the patients. Two patients had complications, unrelated to the latissimus dorsi muscle flap.

Conclusion: The vascularity of the flap is reliable can be used to obliterate the dead space, can be used to control the infection, in complex cases of the back.

Keywords

Reverse latissimus dorsi muscle flap / complex back defects / reverse turn over flap

References

[1] Shaw WW,Zide BM.McCarthy JG.Reconstruction of the Trunk..Plastic Surgery vol 6. The trunk and lower extremity.1990;PhiladelphiaW.B. Saunders Company3675-796

[2] Mathes SJ.Mathes SJ.Latissimus dorsiflap..Reconstructive Surgery Principles, Anatomy and Technique.1997;New YorkChurchill Liningstone565-615

[3] Sydorak RM,Lee H,Longaker M,Smith B,Albanese CT.Reverse latissimus dorsi muscle flap for repair of congenital diaphragmatic hernia.J Pediatr Surg2003;38:296-300

[4] Ayad W,Refaae AS,Elewa S.The versatility of reversed turn over latissimus dorsi muscle flap for reconstruction of meningomyelocele defects.Egypt J Plast Reconstr Surg2012;36:33-9

[5] Rajput DU.Reverse latissimus dorsi turnover muscle flap for coverage of secondary midline lumbar defect following spinal surgery.J Spinal Surg2016;3:12-4

[6] Yoo CM,Hwang SH.Reverse latissimus dorsi muscle flap for an extensive soft tissue defect accompanied by infectious spondylitis.J Korean Neuro Surg Soc2012;52:423-6

[7] Zakaria Y.Reversed turnover latissimus dorsi muscle flap for closure of myelomeningocele defects.J Plast Reconstr Aesthet Surg2010;63:1513-8

[8] Kotti B,Ben Hassouna J.The “reverse” latissimus dorsi flap for large lower lumbar defect.Case Rep Surg2012;2012:964625

[9] Söyüncü Y,Söyüncü İ.Omentum and reverse turnover latissimus dorsi musculocutaneous flap for the treatment of cerebrospinal fluid fistula.Acta Orthop Traumatol Turc2015;49:571-5

[10] de Fontaine S,Berthe JV.The reverse turnover latissimus dorsi flap for clsure of midline lumbar defects.J Plast Reconstr Aesthet Surg2008;61:917-24

[11] Stevenson TR,Pollock RA,Bostwick J3rd.More experience with the “reverse” latissimus dorsi musculocutaneous flap: precise location of blood supply.Plast Reconstr Surg1984;74:237-43

[12] Watanabe K,Rikimaru H,Yamaki K.Anatomical study of latissimus dorsi musculocutaneous flap vascular distribution.J Plast Reconstr Aesthet Surg2010;63:1091-8

[13] Hayashida K,Kamebuchi K.Case report reconstruction of exposed ilium with reverse turnover latissimus dorsi muscle flap.Eplasty2011;11:e17

[14] Schwabeggar A,Brenner E.Seroma as a common donor site morbidity after harvesting the latissimus dorsi flap: observations on cause and prevention.Ann Plast Surg1997;38:594-7

[15] Hung SJ,Wei FC.Free flaps for reconstruction of the lower back and sacral area..Microsurgery2000;20:72-6

[16] Nahai F.One-stage microvascular transfer of a latissimus flap to the sacrum using vein grafts..Plast Reconstr Surg1986;77:312-5

[17] Cigna E,Chen HC,Sassu P,Lieu YT,Ribuffo D.An improved method of supercharged transposed latissimus dorsi flap with the skin paddle for the management of a complicated lumbosacral defect..Eur Rev Med Pharmacol Sci2015;19:921-6

[18] Osinga R,Meuli M,von Campe A.Assessment of long term donor site morbidity after harvesting the latissimus dorsi flap for neonatal myelomeningocele repair..J Plast Reconstr Aesthet Surg2014;67:1070-5

[19] Latiung JK.Shoulder function following the loss of the latissimus dorsi muscle..Br J Plast Surg1985;38:375-9