Department of Plastic Reconstructive and Aesthetic Surgery, Faculty of Medicine, Ataturk University, Erzurum, Turkey.
Microsurgery. 2013 Mar;33(3):203-6. doi: 10.1002/micr.22071. Epub 2012 Dec 19.
Latissimus dorsi (LD) flap is one of the most common options utilized in reconstructive armamentarium. In this report, we present our experience on harvest of the full LD muscle flap through a short incision. Twelve free and two pedicled full LD muscle flaps were raised in 14 patients (9 males and 5 females). In this technique, an oblique incision was placed 5-7 cm caudal to axillary apex, beginning from the posterior axillary line, so as to center the neurovascular hilus. The length of incision was 10 cm in adults and 8 cm in children. Mean dissection time was 45 min. All flaps survived totally. Seroma formation developed in two cases and treated with syringe aspiration and compressive dressing. In late postoperative period, donor site scars became inconspicuous and patient satisfaction was high. Short incision technique may be a good option to overcome scar problems in donor site of the LD flap. The technique reduces the dissection time and does not require sophisticated surgical devices and skill, when compared to endoscopic LD flap harvesting from the literature.
背阔肌（LD）皮瓣是重建武器库中最常用的选择之一。在本报告中，我们介绍了通过短切口采集完整 LD 肌肉皮瓣的经验。在 14 名患者（9 名男性和 5 名女性）中进行了 12 次游离和 2 次带蒂的完整 LD 肌肉皮瓣。在该技术中，在腋窝顶点下方 5-7cm 处放置斜切口，从前后腋线开始，以便将神经血管蒂置于中心。成人切口长度为 10cm，儿童为 8cm。平均解剖时间为 45 分钟。所有皮瓣均完全存活。有两例发生血清肿，采用注射器抽吸和加压包扎治疗。在术后晚期，供区瘢痕变得不明显，患者满意度高。与文献中从内镜下采集 LD 皮瓣相比，短切口技术可能是克服 LD 皮瓣供区瘢痕问题的一种较好选择。该技术减少了手术时间，且不需要复杂的手术设备和技术。
