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Preliminary application of foldable pedicled latissimus dorsi myocutaneous flap for repairing soft tissue defects in shoulder and back / 中国修复重建外科杂志
Chinese Journal of Reparative and Reconstructive Surgery ; (12): 69-73, 2024.
Artículo en Chino | WPRIM | ID: wpr-1009111
ABSTRACT
OBJECTIVE@#To explore the feasibility and effectiveness of a foldable pedicled latissimus dorsi myocutaneous flap to repair soft tissue defects in the shoulder and back.@*METHODS@#Between August 2018 and January 2023, the foldable pedicled latissimus dorsi myocutaneous flaps were used to repair soft tissue defects in the shoulder and back of 8 patients. There were 5 males and 3 females with the age ranged from 21 to 56 years (mean, 35.4 years). Wounds were located in the shoulder in 2 cases and in the shoulder and back in 6 cases. The causes of injury were chronic infection of skin and bone exposure in 2 cases, secondary wound after extensive resection of skin and soft tissue tumor in 4 cases, and wound formation caused by traffic accident in 2 cases. Skin defect areas ranged from 14 cm×13 cm to 20 cm×16 cm. The disease duration ranged from 12 days to 1 year (median, 6.6 months). A pedicled latissimus dorsi myocutaneous flap was designed and harvested. The flap was divided into A/B flap and then were folded to repair the wound, with the donor area of the flap being pulled and sutured in one stage.@*RESULTS@#All 7 flaps survived, with primary wound healing. One patient suffered from distal flap necrosis and delayed healing was achieved after dressing change. The incisions of all donor sites healed by first intention. All patients were followed up 6 months to 4 years (mean, 24.7 months). The skin flap has a good appearance with no swelling in the pedicle. At last follow-up, 6 patients had no significant difference in bilateral shoulder joint motion, and 2 patients had a slight decrease in abduction range of motion compared with the healthy side. The patients' daily life were not affected, and linear scar was left in the donor site.@*CONCLUSION@#The foldable pedicled latissimus dorsi myocutaneous flap is an ideal method to repair the soft tissue defect of shoulder and back with simple operation, less damage to the donor site, and quick recovery after operation.
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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Hombro / Cicatrización de Heridas / Trasplante de Piel / Resultado del Tratamiento / Traumatismos de los Tejidos Blandos / Procedimientos de Cirugía Plástica / Colgajo Perforante / Músculos Superficiales de la Espalda / Colgajo Miocutáneo Límite: Adulto / Femenino / Humanos / Masculino Idioma: Chino Revista: Chinese Journal of Reparative and Reconstructive Surgery Año: 2024 Tipo del documento: Artículo

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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Hombro / Cicatrización de Heridas / Trasplante de Piel / Resultado del Tratamiento / Traumatismos de los Tejidos Blandos / Procedimientos de Cirugía Plástica / Colgajo Perforante / Músculos Superficiales de la Espalda / Colgajo Miocutáneo Límite: Adulto / Femenino / Humanos / Masculino Idioma: Chino Revista: Chinese Journal of Reparative and Reconstructive Surgery Año: 2024 Tipo del documento: Artículo