[Latissimus dorsi free flap with "Y" anastomoses. Technical variant and use in leg reconstruction].
The authors report a new technique for harvesting and anastomosis of the latissimus dorsi free flap. The latissimus dorsi free flap is elevated with the subscapular and circumflex scapular vessels forming a "Y" pedicle. The recipient artery is sectioned and the arterial tree of the flap is anastomosed to the recipient vessel by two end-to-end anastomoses. This technique is particularly useful in leg reconstructive surgery when only one vessel remains: it simplifies transfer (end-to-end anastomosis), anastomoses are easier because more superficial.
Auquit-Auckbur
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I
Revol
M
M
Rives
J M
JM
Servant
J M
JM
D000328:Adult; D000714:Anastomosis, Surgical / Q000379:methods; D001415:Back; D006801:Humans; D007869:Leg Injuries / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D018482:Muscle, Skeletal / Q000098:blood supply / Q000637:transplantation*; D013524:Surgical Flaps; D016896:Treatment Outcome