Shuck John W, Felder John A, Shammas Ronnie L, Chang Edward I, Selber Jesse C, Phillips Brett T
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.
Plast Reconstr Surg Glob Open. 2023 Jan 13;11(1):e4755. doi: 10.1097/GOX.0000000000004755. eCollection 2023 Jan.
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.
背阔肌在用于覆盖大面积缺损的游离组织移植中，仍然是从头到脚的主力肌。传统的整块肌肉切取是在侧卧位进行的，这种体位往往不理想，或者需要根据受区部位和左右侧别改变体位。我们展示了一个多机构的病例系列，即32例患者在仰卧位切取整块肌皮瓣用于修复一系列缺损。描述了相关的手术设置和技术。根据我们的经验，与侧卧位相比，仰卧位切取已成为首选的开放切取技术，因为它既能最佳地暴露蒂部，又能缩短手术时间。
