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Abstract
A case is reported in which perfusion of a latissimus dorsi musculocutaneous flap was maintained through its secondary blood supply during transfer to a sacral defect, while its thoracodorsal pedicle was being lengthened by saphenous vein grafts. The secondary blood supply was divided only when the microvascular anastomoses were seen to be functioning so this flap was never a truly “free” flap.
Reference
- Clinical Applications for Muscle and Musculocutaneous Flaps.C. V. Mosby Co., St Louis1982
- One-stage microvascular transfer of a latissimus flap to the sacrum using vein grafts.Plastic and Reconstructive Surgery. 1986; 77: 312
- Staged transfer of a free microvascular latissimus dorsi myocutaneous flap using saphenous vein grafts.Plastic and Reconstructive Surgery. 1983; 71: 543
- More experience with the “reverse” latissimus dorsi musculocutaneous flap: precise location of blood supply.Plastic and Reconstructive Surgery. 1984; 74: 237
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© 1987 The Trustees of British Association of Plastic Surgeons. All rights reserved. Published by Elsevier Inc.
