The pedicled transverse partial latissimus dorsi myocutaneous flap for reconstruction of the radiated partial mastectomy defect
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 comp...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2015-03-01
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| Series: | JPRAS Open |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352587814000060 |
| _version_ | 1828480999311278080 |
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| author | Zachary Farris Andrew L. Kochuba |
| author_facet | Zachary Farris Andrew L. Kochuba |
| author_sort | Zachary Farris |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-11T07:48:54Z |
| format | Article |
| id | doaj.art-18eac30ae87046659ff609935d25f974 |
| institution | Directory Open Access Journal |
| issn | 2352-5878 |
| language | English |
| last_indexed | 2024-12-11T07:48:54Z |
| publishDate | 2015-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | JPRAS Open |
| spelling | doaj.art-18eac30ae87046659ff609935d25f9742022-12-22T01:15:23ZengElsevierJPRAS Open2352-58782015-03-013C1510.1016/j.jpra.2014.12.002The pedicled transverse partial latissimus dorsi myocutaneous flap for reconstruction of the radiated partial mastectomy defectZachary FarrisAndrew L. KochubaThe 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.http://www.sciencedirect.com/science/article/pii/S2352587814000060Partial flapLatissimus dorsiPartial latissimusBreast reconstructionPartial mastectomy defect |
| spellingShingle | Zachary Farris Andrew L. Kochuba The pedicled transverse partial latissimus dorsi myocutaneous flap for reconstruction of the radiated partial mastectomy defect JPRAS Open Partial flap Latissimus dorsi Partial latissimus Breast reconstruction Partial mastectomy defect |
| title | The pedicled transverse partial latissimus dorsi myocutaneous flap for reconstruction of the radiated partial mastectomy defect |
| title_full | The pedicled transverse partial latissimus dorsi myocutaneous flap for reconstruction of the radiated partial mastectomy defect |
| title_fullStr | The pedicled transverse partial latissimus dorsi myocutaneous flap for reconstruction of the radiated partial mastectomy defect |
| title_full_unstemmed | The pedicled transverse partial latissimus dorsi myocutaneous flap for reconstruction of the radiated partial mastectomy defect |
| title_short | The pedicled transverse partial latissimus dorsi myocutaneous flap for reconstruction of the radiated partial mastectomy defect |
| title_sort | pedicled transverse partial latissimus dorsi myocutaneous flap for reconstruction of the radiated partial mastectomy defect |
| topic | Partial flap Latissimus dorsi Partial latissimus Breast reconstruction Partial mastectomy defect |
| url | http://www.sciencedirect.com/science/article/pii/S2352587814000060 |
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