Indian Journal of Public Health Research & Development

Open Access Open Access  Restricted Access Subscription Access
Open Access Open Access Open Access  Restricted Access Restricted Access Subscription Access

Clinical Applications & Efficacy of Latissimus Dorsi Muscle and Myocutaneous Flap-a Hospital Based Study


Affiliations
1 Department of Surgery Subharti Medical College, Delhi- Haridwar Bypass Road, Meerut- 250002, India
2 Department of Obstretics & Gynae, Subharti Medical College, Meerut, U.P., India
3 Department of Surgery, Subharti Medical College, Meerut, U.P., India
4 Department of Physiology, Subharti Medical College, Meerut, U.P., India
     

   Subscribe/Renew Journal


The Latissimus dorsi muscle is a large, flat muscle that covers the inferior half of the posterior trunk. This is a retrospective analysis of a prospective study in which 23 patients (n=23) were studied after having informed consent from the patient or attendants or both. The data collection&storage was done on pre-formed working Performa sheets. Results were analyzed. It was found that when used as free flap or pedicled flap Latissimus dorsi can cover extensive and distant defects without obvious donor site loss of function. The Latissimus dorsi muscle and myocutaneous flap in pedicle or free flap form has provided a consistently reliable method of reconstruction of head and neck, upper limb, lower limb, chest, abdomen, breast, myelomeningocele. This study is an attempt to study the clinical applications of Latissimus dorsi muscle and myocutaneous flap and to determine the safety and efficacy of this flap.

Keywords

Myocutaneous Flap, Latissimus Dorsi Flap, Reconstruction
Subscription Login to verify subscription
User
Notifications
Font Size


  • Fritz E Barton, Thomas E. Spicer and H. Steve Byrd: Head and neck reconstruction with Latissimus dorsi flap: Anatomic Observations and Report of 60 cases. Plastic and Reconstructive Surgery 71; 2:199-204:1983.

  • Gady Har-El, Mahesh Bhaya and K.Sundaram: Latissimus dorsi myocutaneous flap for secondary head and neck reconstruction. Am J Otolaryngology:20; 5: 287-293: 1999.

  • B.N. Bailey & A.M. Godfrey: Latissimus dorsi muscle free flaps: British Journal of Plastic Surgery: 35: 47-52: 1982.

  • Leonard Gordon, H.J. Buncke and B.S. Alpert: Free Latissimus dorsi Muscle flap with split thickness skin graft cover- A Report of 16 cases. Plastic and Reconstructive Surgery: 70; 2:173-8: 1982.

  • James W. May, G.G. Gallico et al: Free Latissimus dorsi muscle flap with skin graft for treatmen44.C. Tizian, HG Borst, and A. Berger: Treatment of Total Sternal Necrosis using Latissimus dorsi Muscle flap. Plastic and Reconstructive Surgery 76; 5: 703-7: 1985.

  • R. A. Dejesus, J.D. Paletta, and R. W. Dabb: Reconstruction of the median sternotomy wound dehiscence using Latissimus dorsi Myocutaneous flap. Journal of Cardiovascular Surgery: 42; 3: 359-64: 2001.

  • C. Tizian, HG Borst, and A. Berger: Treatment of Total Sternal Necrosis using Latissimus dorsi Muscle flap. Plastic and Reconstructive Surgery 76; 5:703-7: 1985.

  • Mark K.Wax and J.Hurst: Pulmonary Atelectasis after reconstruction with Latissimus dorsi myocutaneous flap. Laryngoscope 106: 268-272, 1996.

  • F.O. Fraulin, G. Louie, L. Zorilla, et al: Functional evaluation of the shoulder following latissimus dorsi muscle transfer: Annals of Plastic Surgery: 35:349-355: 1995.

  • R.C. Russell, J. Pribaz, E.G. Zook et al: Functional evaluation of latissimus dorsi donor site: Plastic and Reconstructive Surgery: 78:336-344: 1986.

  • J.K. Laitung, F. Peck: Shoulder function following the loss of latissimus dorsi muscle: British Journal of Plastic Surgery: 38:375-379: 1985.

  • Inger M Nielsen, M. Lassen, Krag et al: Experiences with Latissimus dorsi Flap. Scandinavian Journal Plastic Reconstructive Surgery: 19:53-63: 1985.

  • J. Bostwick, F. Nahai, J.G. Wallace, L.O. Vasconez: Sixty Latissimus dorsi flaps: Plastic and Reconstructive Surgery: 63: 31: 1979.

  • James W. May, G.G. Gallico et al: Free Latissimus dorsi muscle flap with skin graft for treatment of traumatic chronic bony wounds. Plastic and Reconstructive Surgery: 73; 4:641-9:1984.

  • R.J. Brumback, MS. McBride, N.C. Ortolani, et al: Functional evaluaton of shoulder after transfer of the vascularized latissimus dorsi muscle: Journal of Bone Joint Surgery: 74:377-382: 1992.

  • Scott L Spear and Christopher L Hess: A review of the biochemical and functional changes in the shoulder following transfer of the latissimus dorsi muscle: Plastic Reconstructive Surgery june, vol 115,no 7:2005.

  • W. P. Adams, A.H. Lipschitz, M. Ansari et al: Functional Donor site morbidity following Latissimus dorsi muscle flap transfer: Annals of Plastic Surgery: 53; 1: 6-11: 2004.


Abstract Views: 404

PDF Views: 0




  • Clinical Applications & Efficacy of Latissimus Dorsi Muscle and Myocutaneous Flap-a Hospital Based Study

Abstract Views: 404  |  PDF Views: 0

Authors

Amit Bhatnagar
Department of Surgery Subharti Medical College, Delhi- Haridwar Bypass Road, Meerut- 250002, India
Kriti Bhatnagar
Department of Obstretics & Gynae, Subharti Medical College, Meerut, U.P., India
Shashank Mishra
Department of Surgery, Subharti Medical College, Meerut, U.P., India
Ruchi Tyagi
Department of Physiology, Subharti Medical College, Meerut, U.P., India

Abstract


The Latissimus dorsi muscle is a large, flat muscle that covers the inferior half of the posterior trunk. This is a retrospective analysis of a prospective study in which 23 patients (n=23) were studied after having informed consent from the patient or attendants or both. The data collection&storage was done on pre-formed working Performa sheets. Results were analyzed. It was found that when used as free flap or pedicled flap Latissimus dorsi can cover extensive and distant defects without obvious donor site loss of function. The Latissimus dorsi muscle and myocutaneous flap in pedicle or free flap form has provided a consistently reliable method of reconstruction of head and neck, upper limb, lower limb, chest, abdomen, breast, myelomeningocele. This study is an attempt to study the clinical applications of Latissimus dorsi muscle and myocutaneous flap and to determine the safety and efficacy of this flap.

Keywords


Myocutaneous Flap, Latissimus Dorsi Flap, Reconstruction

References