Down with the Bean Bag: A Multi-institutional Experience with Total Latissimus Muscle Free Flap Harvest in the Supine Position
Summary:. The latissimus muscle continues to be a head to toe workhorse in free tissue transfer for coverage of large defects. Traditional full muscle harvest is performed in the lateral decubitus position which is frequently suboptimal or requires position change based on the recipient site and lat...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer
2023-01-01
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| Series: | Plastic and Reconstructive Surgery, Global Open |
| Online Access: | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000004755 |
| _version_ | 1797947132880093184 |
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| author | John W. Shuck, MD John A. Felder, MD Ronnie L. Shammas, MD Edward I. Chang, MD Jesse C. Selber, MD Brett T. Phillips, MD |
| author_facet | John W. Shuck, MD John A. Felder, MD Ronnie L. Shammas, MD Edward I. Chang, MD Jesse C. Selber, MD Brett T. Phillips, MD |
| author_sort | John W. Shuck, MD |
| collection | DOAJ |
| description | Summary:. The latissimus muscle continues to be a head to toe workhorse in free tissue transfer for coverage of large defects. Traditional full muscle harvest is performed in the lateral decubitus position which is frequently suboptimal or requires position change based on the recipient site and laterality. We present a multi-institutional case series of full muscle flap harvest from the supine position for a range of defects in 32 patients. The relevant operative setup and technique are described. In our experience, supine harvest has become the preferred open harvest technique compared to lateral positioning for both optimal exposure of the pedicle and reduction in operating time. |
| first_indexed | 2024-04-10T21:21:56Z |
| format | Article |
| id | doaj.art-994151b642cc44b89b65bd695515176f |
| institution | Directory Open Access Journal |
| issn | 2169-7574 |
| language | English |
| last_indexed | 2024-04-10T21:21:56Z |
| publishDate | 2023-01-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Plastic and Reconstructive Surgery, Global Open |
| spelling | doaj.art-994151b642cc44b89b65bd695515176f2023-01-20T02:34:50ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742023-01-01111e475510.1097/GOX.0000000000004755202301000-00022Down with the Bean Bag: A Multi-institutional Experience with Total Latissimus Muscle Free Flap Harvest in the Supine PositionJohn W. Shuck, MD0John A. Felder, MD1Ronnie L. Shammas, MD2Edward I. Chang, MD3Jesse C. Selber, MD4Brett T. Phillips, MD5From the * Department of Plastic Surgery, University of Texas M.D. Anderson Cancer Center, Houston, Tex.† Department of Plastic Surgery, Washington University at St. Louis, St. Louis, Minn.‡ Department of Plastic Surgery, Duke University, Durham, N.C.From the * Department of Plastic Surgery, University of Texas M.D. Anderson Cancer Center, Houston, Tex.From the * Department of Plastic Surgery, University of Texas M.D. Anderson Cancer Center, Houston, Tex.‡ Department of Plastic Surgery, Duke University, Durham, N.C.Summary:. The latissimus muscle continues to be a head to toe workhorse in free tissue transfer for coverage of large defects. Traditional full muscle harvest is performed in the lateral decubitus position which is frequently suboptimal or requires position change based on the recipient site and laterality. We present a multi-institutional case series of full muscle flap harvest from the supine position for a range of defects in 32 patients. The relevant operative setup and technique are described. In our experience, supine harvest has become the preferred open harvest technique compared to lateral positioning for both optimal exposure of the pedicle and reduction in operating time.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000004755 |
| spellingShingle | John W. Shuck, MD John A. Felder, MD Ronnie L. Shammas, MD Edward I. Chang, MD Jesse C. Selber, MD Brett T. Phillips, MD Down with the Bean Bag: A Multi-institutional Experience with Total Latissimus Muscle Free Flap Harvest in the Supine Position Plastic and Reconstructive Surgery, Global Open |
| title | Down with the Bean Bag: A Multi-institutional Experience with Total Latissimus Muscle Free Flap Harvest in the Supine Position |
| title_full | Down with the Bean Bag: A Multi-institutional Experience with Total Latissimus Muscle Free Flap Harvest in the Supine Position |
| title_fullStr | Down with the Bean Bag: A Multi-institutional Experience with Total Latissimus Muscle Free Flap Harvest in the Supine Position |
| title_full_unstemmed | Down with the Bean Bag: A Multi-institutional Experience with Total Latissimus Muscle Free Flap Harvest in the Supine Position |
| title_short | Down with the Bean Bag: A Multi-institutional Experience with Total Latissimus Muscle Free Flap Harvest in the Supine Position |
| title_sort | down with the bean bag a multi institutional experience with total latissimus muscle free flap harvest in the supine position |
| url | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000004755 |
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