The posterior approach to the thoracodorsal vessels for microsurgical free tissue transfer

Summary: The latissimus dorsi (LD) muscle is a workhorse flap in reconstructive surgery (e.g., breast reconstruction, chest wall defects, and lower limb trauma). The thoracodorsal artery and its venae comitantes supply this muscle. Recipient vessel options for microsurgical free flap reconstruction...

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Main Authors: Ibrahim Natalwala, Chung Yan Vernon Lee, Simon Kay
Format: Article
Language:English
Published: Elsevier 2023-09-01
Series:JPRAS Open
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2352587823000323
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author Ibrahim Natalwala
Chung Yan Vernon Lee
Simon Kay
author_facet Ibrahim Natalwala
Chung Yan Vernon Lee
Simon Kay
author_sort Ibrahim Natalwala
collection DOAJ
description Summary: The latissimus dorsi (LD) muscle is a workhorse flap in reconstructive surgery (e.g., breast reconstruction, chest wall defects, and lower limb trauma). The thoracodorsal artery and its venae comitantes supply this muscle. Recipient vessel options for microsurgical free flap reconstruction of the posterior thorax and lower back are limited. The thoracodorsal vessels are an excellent option due to their reliable anatomy and ease of access. In circumstances when the patient is best positioned prone, the posterior approach to access the thoracodorsal vessels is advantageous. We describe the technique to identify and isolate these vessels via a posterior approach.
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spelling doaj.art-1ab42e3350d94a2b9a230e807aefc7862023-08-31T05:03:17ZengElsevierJPRAS Open2352-58782023-09-01377781The posterior approach to the thoracodorsal vessels for microsurgical free tissue transferIbrahim Natalwala0Chung Yan Vernon Lee1Simon Kay2Corresponding author at: Department of Plastic Surgery, Leeds Teaching Hospitals, Great George St., Leeds, West Yorkshire, LS1 3EX, United Kingdom.; Department of Plastic and Reconstructive Surgery, Leeds Teaching Hospitals, Leeds, United KingdomDepartment of Plastic and Reconstructive Surgery, Leeds Teaching Hospitals, Leeds, United KingdomDepartment of Plastic and Reconstructive Surgery, Leeds Teaching Hospitals, Leeds, United KingdomSummary: The latissimus dorsi (LD) muscle is a workhorse flap in reconstructive surgery (e.g., breast reconstruction, chest wall defects, and lower limb trauma). The thoracodorsal artery and its venae comitantes supply this muscle. Recipient vessel options for microsurgical free flap reconstruction of the posterior thorax and lower back are limited. The thoracodorsal vessels are an excellent option due to their reliable anatomy and ease of access. In circumstances when the patient is best positioned prone, the posterior approach to access the thoracodorsal vessels is advantageous. We describe the technique to identify and isolate these vessels via a posterior approach.http://www.sciencedirect.com/science/article/pii/S2352587823000323TechniqueMicrosurgeryPosterior approachThoracodorsal vesselsReconstruction
spellingShingle Ibrahim Natalwala
Chung Yan Vernon Lee
Simon Kay
The posterior approach to the thoracodorsal vessels for microsurgical free tissue transfer
JPRAS Open
Technique
Microsurgery
Posterior approach
Thoracodorsal vessels
Reconstruction
title The posterior approach to the thoracodorsal vessels for microsurgical free tissue transfer
title_full The posterior approach to the thoracodorsal vessels for microsurgical free tissue transfer
title_fullStr The posterior approach to the thoracodorsal vessels for microsurgical free tissue transfer
title_full_unstemmed The posterior approach to the thoracodorsal vessels for microsurgical free tissue transfer
title_short The posterior approach to the thoracodorsal vessels for microsurgical free tissue transfer
title_sort posterior approach to the thoracodorsal vessels for microsurgical free tissue transfer
topic Technique
Microsurgery
Posterior approach
Thoracodorsal vessels
Reconstruction
url http://www.sciencedirect.com/science/article/pii/S2352587823000323
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