[Posterior thoracic reconstruction with latissimus dorsi flap after partial amputation of the latissimus dorsi muscle for sarcoma of the back. Report of four cases].
Malignant fibrous histiocytomas (MFH) arising from the subcutaneous tissues of the posterior thoracic wall require wide, but usually non-transfixing, resection to ensure adequate resection margins, the only way to reduce the local recurrent rate. Due to its size and position, the Latissimus dorsi muscle usually requires partial amputation. However, its vascular anatomy allows it to be used as a musculocutaneous flap of the residual muscle to fill the defects created. Four clinical cases are reported. This technique reduces the complication rate and simplifies the postoperative course.
Service de Chirurgie Plastique, Chirurgie Maxillo-Faciale et Stomatologie, Lyon, France.
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Payement
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Delay
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Richard
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Lucas
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Rivoire
D000328:Adult; D000368:Aged; D001415:Back / Q000601:surgery*; D005260:Female; D018219:Histiocytoma, Benign Fibrous / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D013524:Surgical Flaps; D016896:Treatment Outcome
Reconstruction thoracique postérieure par lambeau de grand dorsal après amputation partielle du muscle grand dorsal pour sarcome du dos. A propos de quatre cas.