Latissimus dorsi muscle flap based on arterial branch to serratus anterior as salvage of a failed bipedicled transverse rectus abdominis muscle flap. A case report.
We present a case of a failed bipedicled (unilateral rectus flap with superior epigastric pedicle preserved and inferior epigastric vessels anastomosed to the thoracodorsal trunk as the second pedicle) transverse rectus abdominis muscle flap that had compromised the dominant pedicle of the latissimus dorsi muscle. A salvage procedure was possible using this muscle as a pedicle flap based on the back-flow from the serratus anterior arterial branch with success. The use of the reconstructive ladder is highlighted.
Mohammed
F
F
Department of Plastic Surgery, Port of Spain General Hospital, Trinidad and Tobago, West Indies. labonzi2000@yahoo.com
Romany
S
S
Bissoon
D
D
Ali
T
T
Ragbir
M
M
D001158:Arteries / Q000601:surgery; D005260:Female; D006801:Humans; D008875:Middle Aged; D017568:Rectus Abdominis / Q000098:blood supply* / Q000601:surgery*; D012086:Reoperation; D016879:Salvage Therapy; D013524:Surgical Flaps