title: [Sequelae after harvesting latissimus dorsi flap and derivates--review].
abstract: BACKGROUND
  The latissimus dorsi (LD) appears as a therapeutic option in many cases of reconstruction. Its large surface and reliability make it an ideal therapeutic choice. Since its initial description in 1896 by Tansini, many publications have been reported on its clinical application and the low donor site morbidity. However, harvesting of LD can be a source of functionnal and aesthetic sequelae. The purpose of this study is to provide a state of the science regarding the potential functional, aesthetic and pain sequelae related to harvesting of LD flap in its original description, but also in its modifications (muscle-sparing LD flap [MSLD-flap] and thoracodorsal artery perforator flap [TAP-flap]).
  
  
  METHODS
  A review of the literature was realized, the database PubMed was chosen. Keywords used for the research were: LD flap; LD flap morbidity; donor site sequelae of LD flap; TAP-flap AND donor site morbidity; MSLD-flap AND donor site morbidity.
  
  
  RESULTS
  Literature report suggests that harvesting of the whole LD muscle flap can provoke pain and functional deficit which diminish and even tend to disappear over time due to functional replacement by the other muscle groups. The partial (MSLD) or total (TAP-flap) preservation of the muscle leads to less pain, functional and aesthetic sequelae. These results are supported by objective, reliable and reproducible studies.
  
  
  CONCLUSIONS
  Well-targeted and well-designed studies could allow for better evaluation of the advantages and disadvantages of each technique. This would lead to better selection of candidates for each technique.
authors.affiliation: Service de chirurgie plastique, reconstructrice et esthétique, université Claude-Bernard Lyon 1, CHU, hôpital de la Croix-Rousse, hospices civils de Lyon, 103, Grande rue de la Croix-Rousse, 69004 Lyon, France.
authors.forename: M
authors.initials: M
authors.lastname: Ismaïl
authors.affiliation: Service de chirurgie plastique, reconstructrice et esthétique, université Claude-Bernard Lyon 1, CHU, hôpital de la Croix-Rousse, hospices civils de Lyon, 103, Grande rue de la Croix-Rousse, 69004 Lyon, France. Electronic address: fabienboucher@orange.fr.
authors.forename: F
authors.initials: F
authors.lastname: Boucher
authors.affiliation: Service de chirurgie plastique, reconstructrice et esthétique, université Claude-Bernard Lyon 1, CHU, hôpital de la Croix-Rousse, hospices civils de Lyon, 103, Grande rue de la Croix-Rousse, 69004 Lyon, France.
authors.forename: J
authors.initials: J
authors.lastname: Chauvel-Picard
authors.affiliation: Service de chirurgie plastique, reconstructrice et esthétique, université Claude-Bernard Lyon 1, CHU, hôpital de la Croix-Rousse, hospices civils de Lyon, 103, Grande rue de la Croix-Rousse, 69004 Lyon, France.
authors.forename: H
authors.initials: H
authors.lastname: Shipkov
authors.affiliation: Service de chirurgie plastique, reconstructrice et esthétique, université Claude-Bernard Lyon 1, CHU, hôpital de la Croix-Rousse, hospices civils de Lyon, 103, Grande rue de la Croix-Rousse, 69004 Lyon, France.
authors.forename: F
authors.initials: F
authors.lastname: Braye
authors.affiliation: Service de chirurgie plastique, reconstructrice et esthétique, université Claude-Bernard Lyon 1, CHU, hôpital de la Croix-Rousse, hospices civils de Lyon, 103, Grande rue de la Croix-Rousse, 69004 Lyon, France.
authors.forename: A
authors.initials: A
authors.lastname: Mojallal
mesh_terms: D006801:Humans; D061525:Perforator Flap; D064171:Superficial Back Muscles / Q000601:surgery*; D020858:Tissue and Organ Harvesting / Q000009:adverse effects*
keywords: Functional and aesthetic sequelae; Lambeau de grand dorsal à prélèvement partiel; Lambeau grand dorsal; Lambeau perforant thoracodorsal; Latissimus dorsi flap; MSLD; Séquelles fonctionnelles et esthétiques; TAP flap