Reconstruction of the Hemidiaphragm and Hemipericardium Using Combined Reversed Latissimus Dorsi and Serratus Anterior Muscle Flaps

AbstractThis article describes a rare case of giant cell tumor of the tendon sheath (GCTTS) that was developed over the substance of chimeric-free latissimus dorsi and serratus anterior muscle flaps performed for lower limb reconstruction. To our knowledge, development of GCTTS over a free flap is first described in the literature. A 71-year-old woman was presented with a large protuberant ulcerated tumor mass that was developed over the substance of chimeric free muscle flaps at the foot and ankle. We performed an extensive tumor resection, and the pathology report confirmed the presence of a primary giant cell tumor. The patient was advised to have a below-knee amputation. However, the patient refused the amputation, and 4 months later, she was presented with a metastatic mass proximally at the upper thigh. We believe that the GCTTS was associated with the chronic inflammation of the soft tissue and bones along with the recurrent episodes of infection, mainly due to proteus mirabilis and proteus syndrome (PS). PS may lead to the development of malformations and overgrowth of different tissues in unusual locations. In cases resistant to antibiotics, the radical surgical debridement should be considered as the most effective treatment.

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Reconstruction of congenital agenesis of hemidiaphragm by combined reverse latissimus dorsi and serratus anterior muscle flaps

Journal of Pediatric Surgery ◽

10.1053/jpsu.2001.27937 ◽

2001 ◽

Vol 36 (11) ◽

pp. 1637-1640 ◽

Cited By ~ 28

Author(s):

U. Samarakkody ◽

M. Klaassen ◽

B. Nye

Keyword(s):

Latissimus Dorsi ◽

Serratus Anterior Muscle ◽

Serratus Anterior ◽

Muscle Flaps ◽

Congenital Agenesis

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Composite skull and dura defect reconstruction using combined latissimus dorsi musculocutaneous and serratus anterior muscle-rib free flap coupled with vascularized galea transfer: A case report

Microsurgery ◽

10.1002/micr.20808 ◽

2010 ◽

Vol 30 (8) ◽

pp. 632-635 ◽

Cited By ~ 9

Author(s):

Jing-Wei Lee ◽

Yuan-Yu Hsueh ◽

Jung-Shun Lee

Keyword(s):

Case Report ◽

Free Flap ◽

Latissimus Dorsi ◽

Serratus Anterior Muscle ◽

Serratus Anterior ◽

Defect Reconstruction ◽

Dura Defect

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A comparative evaluation of intrathoracic latissimus dorsi and serratus anterior muscle transposition✩

European Journal of Cardio-Thoracic Surgery ◽

10.1016/s1010-7940(00)00538-8 ◽

2000 ◽

Vol 18 (4) ◽

pp. 435-439 ◽

Cited By ~ 30

Author(s):

Matthias Kurt Widmer ◽

Thorsten Krueger ◽

Didier Lardinois ◽

Andrej Banic ◽

Hans Beat Ris

Keyword(s):

Comparative Evaluation ◽

Latissimus Dorsi ◽

Serratus Anterior Muscle ◽

Serratus Anterior ◽

Muscle Transposition

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Coverage of Amputation Stumps Using a Latissimus Dorsi Flap With a Serratus Anterior Muscle Flap

Annals of Plastic Surgery ◽

10.1097/sap.0000000000000220 ◽

2016 ◽

Vol 76 (1) ◽

pp. 88-93 ◽

Cited By ~ 3

Author(s):

Sang Wha Kim ◽

Seung Bae Jeon ◽

Kyu Tae Hwang ◽

Youn Hwan Kim

Keyword(s):

Latissimus Dorsi ◽

Muscle Flap ◽

Latissimus Dorsi Flap ◽

Serratus Anterior Muscle ◽

Serratus Anterior ◽

Amputation Stumps

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Thoracomyoplasty in the Treatment of Empyema: Current Indications, Basic Principles, and Results

Pulmonary Medicine ◽

10.1155/2012/418514 ◽

2012 ◽

Vol 2012 ◽

pp. 1-6 ◽

Cited By ~ 4

Author(s):

Petre Vlah-Horea Botianu ◽

Alexandru Mihail Botianu

Keyword(s):

Latissimus Dorsi ◽

Modern Medicine ◽

Pleural Space ◽

Serratus Anterior ◽

Muscle Flaps ◽

Basic Principles ◽

Chronic Empyema ◽

Definitive Solution ◽

Rate Of Success

Empyema remains a challenge for modern medicine. Cases not amenable to lung decortication are particularly difficult to treat, requiring prolonged hospitalizations and mutilating procedures. This paper presents the current role of thoracomyoplasty procedures, which allow complete and definitive obliteration of the infected pleural space by a combination of thoracoplasty and the use of neighbourhood muscle flaps (latissimus dorsi, serratus anterior, pectoralis, rectus abdominis, omentum, etc). Recent publications show an overall rate of success of 90%, with a quick and definitive healing. Although rarely indicated in our days, this kind of procedures remain in the armamentarium of modern thoracic surgery. The importance of thoracomyoplasty derives from the fact that it may be a simple and definitive solution for complicated cases of chronic empyema not amenable to standard decortication.

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