title: Complete videoendoscopic harvest and transposition of latissimus dorsi muscle for the treatment of Poland syndrome: a first report.
abstract: Poland syndrome is a rare congenital anomaly characterized by unilateral chest wall hypoplasia and ipsilateral hand abnormalities. The indications for chest and breast reconstruction are determined on the basis of functional and aesthetic concerns. The traditional open approach uses a latissimus dorsi muscle flap to attain chest symmetry. Endoscopically assisted latissimus dorsi muscle harvesting has been reported previously, combined with an additional incision for muscle fixation. We present a case series using minimally invasive surgery in Poland syndrome. In our last case, latissimus dorsi muscle harvesting and transposition was performed completely videoendoscopically. We believe we are the first to report this technique in the literature.
authors.affiliation: Divisions of Pediatric Surgery, National Children's Hospital J.P. Garrahan, Buenos Aires, Argentina. martinezferro@fibertel.com.ar
authors.forename: Marcelo
authors.initials: M
authors.lastname: Martinez-Ferro
authors.forename: Carlos
authors.initials: C
authors.lastname: Fraire
authors.forename: Lily
authors.initials: L
authors.lastname: Saldaña
authors.forename: Aixa
authors.initials: A
authors.lastname: Reussmann
authors.forename: Pedro
authors.initials: P
authors.lastname: Dogliotti
mesh_terms: D000293:Adolescent; D002648:Child; D005260:Female; D006801:Humans; D016462:Mammaplasty / Q000379:methods; D018482:Muscle, Skeletal / Q000601:surgery*; D011045:Poland Syndrome / Q000601:surgery*; D013905:Thoracoplasty / Q000379:methods*; D020858:Tissue and Organ Harvesting / Q000379:methods*; D014743:Videotape Recording