Large Diaphragm Defect Reconstruction Using Reverse Latissimus Dorsi Muscle Flap
Summary. Surgical treatment of bronchobiliary fistula (BBF) is difficult. A 47-year-old woman presented with a cough with yellow yielding sputum due to BBF. The patient had the adhesion of the liver, diaphragm, and lung. We performed liver, diaphragm, and lung resections. Patient had a large defect...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer
2020-11-01
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| Series: | Plastic and Reconstructive Surgery, Global Open |
| Online Access: | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000003199 |
| _version_ | 1818929155225419776 |
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| author | Sotatsu Fukuyama, MD Masayuki Okochi, MD, PhD Yuzo Komuro, MD, PhD Yukinori Sakao, MD, PhD Keiji Sano, MD, PhD |
| author_facet | Sotatsu Fukuyama, MD Masayuki Okochi, MD, PhD Yuzo Komuro, MD, PhD Yukinori Sakao, MD, PhD Keiji Sano, MD, PhD |
| author_sort | Sotatsu Fukuyama, MD |
| collection | DOAJ |
| description | Summary. Surgical treatment of bronchobiliary fistula (BBF) is difficult. A 47-year-old woman presented with a cough with yellow yielding sputum due to BBF. The patient had the adhesion of the liver, diaphragm, and lung. We performed liver, diaphragm, and lung resections. Patient had a large defect of diaphragm. Diaphragm reconstruction was performed using a pedicled reverse latissimus dorsi muscle flap. No flap necrosis was observed. Seven months after surgery, the patient did not present yellow yielding sputum and the BBF was not observed in the computed tomography. This surgical procedure was useful for treating the diaphragm defect both safely and easily. We believe that the reverse pedicled latissimus dorsi muscle flap is a reliable alternative for large diaphragm reconstruction after severe BBF. |
| first_indexed | 2024-12-20T03:40:18Z |
| format | Article |
| id | doaj.art-44f97852bc89438c833ec03f69c16a37 |
| institution | Directory Open Access Journal |
| issn | 2169-7574 |
| language | English |
| last_indexed | 2024-12-20T03:40:18Z |
| publishDate | 2020-11-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Plastic and Reconstructive Surgery, Global Open |
| spelling | doaj.art-44f97852bc89438c833ec03f69c16a372022-12-21T19:54:46ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742020-11-01811e319910.1097/GOX.0000000000003199202011000-00038Large Diaphragm Defect Reconstruction Using Reverse Latissimus Dorsi Muscle FlapSotatsu Fukuyama, MD0Masayuki Okochi, MD, PhD1Yuzo Komuro, MD, PhD2Yukinori Sakao, MD, PhD3Keiji Sano, MD, PhD4From the Department of Plastic and Reconstructive Surgery, Teikyo University, Tokyo, Japan.From the Department of Plastic and Reconstructive Surgery, Teikyo University, Tokyo, Japan.From the Department of Plastic and Reconstructive Surgery, Teikyo University, Tokyo, Japan.From the Department of Plastic and Reconstructive Surgery, Teikyo University, Tokyo, Japan.From the Department of Plastic and Reconstructive Surgery, Teikyo University, Tokyo, Japan.Summary. Surgical treatment of bronchobiliary fistula (BBF) is difficult. A 47-year-old woman presented with a cough with yellow yielding sputum due to BBF. The patient had the adhesion of the liver, diaphragm, and lung. We performed liver, diaphragm, and lung resections. Patient had a large defect of diaphragm. Diaphragm reconstruction was performed using a pedicled reverse latissimus dorsi muscle flap. No flap necrosis was observed. Seven months after surgery, the patient did not present yellow yielding sputum and the BBF was not observed in the computed tomography. This surgical procedure was useful for treating the diaphragm defect both safely and easily. We believe that the reverse pedicled latissimus dorsi muscle flap is a reliable alternative for large diaphragm reconstruction after severe BBF.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000003199 |
| spellingShingle | Sotatsu Fukuyama, MD Masayuki Okochi, MD, PhD Yuzo Komuro, MD, PhD Yukinori Sakao, MD, PhD Keiji Sano, MD, PhD Large Diaphragm Defect Reconstruction Using Reverse Latissimus Dorsi Muscle Flap Plastic and Reconstructive Surgery, Global Open |
| title | Large Diaphragm Defect Reconstruction Using Reverse Latissimus Dorsi Muscle Flap |
| title_full | Large Diaphragm Defect Reconstruction Using Reverse Latissimus Dorsi Muscle Flap |
| title_fullStr | Large Diaphragm Defect Reconstruction Using Reverse Latissimus Dorsi Muscle Flap |
| title_full_unstemmed | Large Diaphragm Defect Reconstruction Using Reverse Latissimus Dorsi Muscle Flap |
| title_short | Large Diaphragm Defect Reconstruction Using Reverse Latissimus Dorsi Muscle Flap |
| title_sort | large diaphragm defect reconstruction using reverse latissimus dorsi muscle flap |
| url | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000003199 |
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