scholarly journals Boomerang-shaped Lateral-to-back Flap Utilizing Multiple Thoracodorsal Artery Perforators around the Lateral Border of Latissimus Dorsi Muscle for Reconstruction of Large Circular Defect

2020 ◽  
Vol 8 (2) ◽  
pp. e2644
Author(s):  
Yu Kagaya ◽  
Masaki Arikawa ◽  
Takuya Sekiyama ◽  
Satoshi Akazawa
2010 ◽  
Vol 138 (7-8) ◽  
pp. 449-455 ◽  
Author(s):  
Marko Ilic ◽  
Aleksandar Lesic ◽  
Marko Bumbasirevic

Introduction. Considering operative treatment of various pathological conditions and traumatic injuries of extremities latissimus dorsi flap presents the most frequently used flap in reconstructive surgery. Objective. The aim of this paper was to analyze anatomical characteristics of the vascular pedicle of the latissimus dorsi muscle followed by morphometric analyzes of vascular elements. Methods. This paper was carried out in cooperation with the Institute of Anatomy of the School of Medicine, University of Belgrade. The study was based on 40 cadaver dissections followed by anatomical and morphometric analyzes. The first analysis included the determination of thoracodorsal artery (TDA) origin and its lateral and terminal branches, and the second one the observation of artery path. Furthermore the same features were analyzed on the thoracodorsal vein. During morphometric analyzes artery and vein length and diameter were recorded. Results. Our results showed that TDA always contains one lateral branch, while three other lateral branches were inconstant. In most cases TDA terminated in two branches, upper and lower, with average distance of 3.4 cm from the muscle. The mean recorded pedicle length was 9.9 cm. The average inner diameter of TDA was 1.85 mm. In further analyses the average observed thoracodorsal vein length was 10.5 cm with mean diameter of 2.93 mm. The result showed that vein origin was usually represented with two branches. Conclusion. The thoracodorsal artery is a blood vessel of considerable length and diameter which represents a great advantage in reconstructive flap surgery.


2020 ◽  
Vol 16 (1) ◽  
pp. 43-48
Author(s):  
Jin An Cha ◽  
Sung Ho Yoon

For axillary reconstruction, most reconstructive surgeons use the latissimus dorsi flap because of its usefulness and reliability. However, the latissimus dorsi musculocutaneous flap poses complications such as donor site morbidity and poor aesthetic results. Moreover, the thoracodorsal artery perforator (TDAP) flap, without muscle, presents difficulties for the delicate procedure of dissecting the perforators separately. Therefore, we propose the use of a pedicled TDAP flap including a latissimus dorsi muscle strip for axillary reconstruction, as it is believed to be easier and safer to perform.


1996 ◽  
Vol 81 (6) ◽  
pp. 2365-2372 ◽  
Author(s):  
Richard E. Klabunde ◽  
William A. Anderson ◽  
Marius Locke ◽  
Sigrid E. Ianuzzo ◽  
C. David Ianuzzo

Klabunde, Richard E., William A. Anderson, Marius Locke, Sigrid E. Ianuzzo, and C. David Ianuzzo. Regional blood flows in the goat latissimus dorsi muscle before and after chronic stimulation. J. Appl. Physiol. 81(6): 2365–2372, 1996.—Latissimus dorsi muscle (LDM) regional blood flows were determined in anesthetized goats by using colored microspheres under noncontracting and contracting conditions, either before or after 8–10 wk of chronic muscle stimulation. Surgical dissection of the LDM, leaving only the thoracodorsal artery to supply the muscle, did not alter regional noncontracting blood flows but significantly reduced the normal hyperemic response to muscle contraction in muscle regions (posterior-medial) furthest from the entrance of the thoracodorsal artery. Eight to 10 wk after acute muscle dissection, posterior-medial hyperemic flows were restored. Chronic stimulation of the LDM for 8–10 wk, in either dissected or nondissected muscles, did not alter regional blood flows in noncontracting muscle; however, it significantly reduced hyperemic flows in all muscle regions, although capillary density was increased and the muscle was transformed into a predominantly type I fiber type. These results, coupled with data from previous experiments, suggest that the muscle damage observed in the posterior-medial regions of the LDM after surgical dissection and chronic stimulation may be related to reduced hyperemic flow responses caused by surgical isolation of the muscle.


1986 ◽  
Vol 39 (2) ◽  
pp. 206-209 ◽  
Author(s):  
Anthony R. Rowsell ◽  
Norman Eisenberg ◽  
David M. Davies ◽  
G. Ian Taylor

2006 ◽  
Vol 22 (03) ◽  
Author(s):  
H. Molina ◽  
R. Gomez ◽  
W. Calderon ◽  
C. Ramos ◽  
P. Marchetti ◽  
...  

Circulation ◽  
1995 ◽  
Vol 92 (9) ◽  
pp. 483-489 ◽  
Author(s):  
Mario Petrou ◽  
Dylan G. Wynne ◽  
Kenneth R. Boheler ◽  
Magdi H. Yacoub

2007 ◽  
Vol 2 (2) ◽  
pp. 88-93
Author(s):  
G. Balakrishnan ◽  
A. Sivakumar ◽  
S. Vijayaragavan

1991 ◽  
Vol 260 (2) ◽  
pp. C206-C212 ◽  
Author(s):  
P. K. Winchester ◽  
M. E. Davis ◽  
S. E. Alway ◽  
W. J. Gonyea

Satellite cell activity was examined in the stretch-enlarge anterior latissimus dorsi muscle (ALD) of the adult quail. Thirty-seven birds had a weight equal to 10% of their body mass attached to one wing while the contralateral wing served as an intra-animal control. At various time intervals after application of the wing weight (from 1 to 30 days), the birds were injected with tritiated thymidine and killed 1 h later. Stretched muscle length was greater by day 1 and mass by day 3 when compared with the contralateral muscle. Satellite cells actively synthesizing DNA were quantitated in fiber segments of the control and stretched ALD. A minimum of 1,500 muscle nuclei (satellite cell nuclei and myonuclei) were counted in each muscle. Labeling in stretched muscle was expressed by the percent labeled nuclei per total nuclei counted. Satellite cell labeling was initiated by day 1, peaked between days 3 and 7, and was not statistically different from control values at day 30. These results demonstrate that satellite cells are induced to enter the cell cycle in the stretch-enlarged ALD muscle from the adult quail, and the peak of proliferative activity is within the first week of stretch.


1996 ◽  
Vol 11 (4) ◽  
pp. 256-263 ◽  
Author(s):  
Michel Tapia ◽  
Juan C. Chachques ◽  
Michael J. Tolan ◽  
Michel Pellerin ◽  
Fabrice Fontaliran ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document