title: Diaphragmatic reconstruction using combined reversed extended latissimus dorsi and serratus anterior fascia flaps.
abstract: The autologous or "extended" latissimus dorsi flap is a standard technique in breast reconstruction. The authors report a case of gastrobronchial fistula after sleeve gastrectomy managed by a new option, combing a reversed "extended" latissimus dorsi flap and a serratus anterior fascia flap. It provides good quality autologous living tissue to treat thoracoabdominal infection associated with diaphragmatic necrosis. Aggressive management, such as surgical resection, should be performed for these patients with a benign but life-threatening disease.
authors.affiliation: Federation of Digestive Diseases, France, Amiens North Hospital, Amiens, France.
authors.forename: Raphael
authors.initials: R
authors.lastname: Sinna
authors.forename: Florence
authors.initials: F
authors.lastname: De Dominicis
authors.forename: Quentin
authors.initials: Q
authors.lastname: Quassemyar
authors.forename: David
authors.initials: D
authors.lastname: Fuks
authors.forename: David
authors.initials: D
authors.lastname: Perignon
authors.forename: Jean-Marc
authors.initials: JM
authors.lastname: Regimbeau
authors.forename: Pascal
authors.initials: P
authors.lastname: Berna
mesh_terms: D001983:Bronchial Fistula / Q000209:etiology / Q000601:surgery*; D003964:Diaphragm / Q000601:surgery*; D005205:Fascia / Q000637:transplantation*; D005260:Female; D005743:Gastrectomy / Q000009:adverse effects; D005747:Gastric Fistula / Q000209:etiology / Q000601:surgery*; D006801:Humans; D018482:Muscle, Skeletal / Q000637:transplantation*; D009767:Obesity, Morbid / Q000601:surgery; D013524:Surgical Flaps; D014057:Tomography, X-Ray Computed; D055815:Young Adult