Clinical application of extended V-Y latissimus dorsi myocutaneous flap in the reconstruction of chest wall defects
10.3760/cma.j.cn114453-20200319-00167
- VernacularTitle:V-Y推进式背阔肌肌皮瓣在胸壁缺损创面修复重建中的临床应用
- Author:
Lu LU
1
;
Jiaqi LIU
;
Ming ZHU
;
Rufan ZHANG
;
Nanhang LU
;
Yanwen YANG
;
Cheng CHEN
;
Jianying GU
;
Fazhi QI
;
Yong ZHANG
Author Information
1. 复旦大学附属中山医院整形外科，上海 200032
- Keywords:
Surgical flaps;
Latissimus dorsi myocutaneous flap;
Chest-wall defect;
Reconstruction
- From:
Chinese Journal of Plastic Surgery
2022;38(2):138-142
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To review clinical outcomes of extended V-Y latissimus dorsi myocutaneous flap in reconstruction of chest wall defects.Methods:Patients receiving chest wall defect reconstruction with extended V-Y latissimus dorsi myocutaneous flap at Fudan University Zhongshan Hospital from January 2016 to December 2018 were enrolled. Patients were followed up for more than 6 months to detect complications such as blood supply disorder of the flap, wound dehiscence, seroma or tumor recurrence.Results:A total of 16 patients, aged 28-78 years, with an average age of 54.8 years, were included. The chest wall defect size ranged from 10 cm×15 cm to 19 cm×26 cm. Among these cases, 1 case had venous congestion in the distal triangle area of the flap, 1 case had partial wound dehiscence of the flap, 2 cases developed seroma on the back and 2 cases under the flap. All cases healed after changing dressing and drain placement. All the other cases had complete flap survival and primary wound healing. All cases were followed up from 7 to 29 months, with good flap appearance and function and patient satisfaction with results.Conclusions:Chest wall defect reconstruction with V-Y latissimus dorsi myocutaneous flap is safe and reliable. It can repair a large chest wall wound and allow primary closure of the donor site simultaneously, which is worthy of being popularized in chest wall reconstruction.
