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    LD Free Flap

    Uploaded by

    Caroline Dewi
    This document discusses the latissimus dorsi free flap for reconstructive surgery. It has the following key points: - The latissimus dorsi muscle is one of the largest and most versatile muscles that can be used reliably as a free flap. It has a width of 30-40cm and long pedicle with large vessels. - The flap can include the muscle alone, musculocutaneous components, or combinations with other tissues. It has advantages of a reliable anatomy, long pedicle, and ability to orient the skin island in different directions. - Disadvantages include the skin island being bulky and requiring thinning. It may also cause shoulder and arm functional deficits. Common complications include

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    LD Free Flap

    Uploaded by

    Caroline Dewi
    20 views10 pages
    This document discusses the latissimus dorsi free flap for reconstructive surgery. It has the following key points: - The latissimus dorsi muscle is one of the largest and most versatile muscles that can be used reliably as a free flap. It has a width of 30-40cm and long pedicle with large vessels. - The flap can include the muscle alone, musculocutaneous components, or combinations with other tissues. It has advantages of a reliable anatomy, long pedicle, and ability to orient the skin island in different directions. - Disadvantages include the skin island being bulky and requiring thinning. It may also cause shoulder and arm functional deficits. Common complications include

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    LD Free flap

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    This document discusses the latissimus dorsi free flap for reconstructive surgery. It has the following key points: - The latissimus dorsi muscle is one of the largest and most versatile muscles that can be used reliably as a free flap. It has a width of 30-40cm and long pedicle with large vessels. - The flap can include the muscle alone, musculocutaneous components, or combinations with other tissues. It has advantages of a reliable anatomy, long pedicle, and ability to orient the skin island in different directions. - Disadvantages include the skin island being bulky and requiring thinning. It may also cause shoulder and arm functional deficits. Common complications include

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pptx, pdf, or txt
    20 views10 pages

    LD Free Flap

    Uploaded by

    Caroline Dewi
    This document discusses the latissimus dorsi free flap for reconstructive surgery. It has the following key points: - The latissimus dorsi muscle is one of the largest and most versatile muscles that can be used reliably as a free flap. It has a width of 30-40cm and long pedicle with large vessels. - The flap can include the muscle alone, musculocutaneous components, or combinations with other tissues. It has advantages of a reliable anatomy, long pedicle, and ability to orient the skin island in different directions. - Disadvantages include the skin island being bulky and requiring thinning. It may also cause shoulder and arm functional deficits. Common complications include

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pptx, pdf, or txt
    of 10

    LD Free Flap

    Anatomy
    • Unit musculocutaneous terbesar, versatile, sangat
    terpercaya
    • Dimensi 30x40 cm (batasan tutup primer lebar 10
    cm)
    • Origin: Spinous process T7-L5, sacrum,
    thoracolumbar fascia, iliac crest, last 3 ribs
    • Insertion: humerus (intertubercular groove)
    • Innervation: thoracodorsal n. (C6-C8)
    • Main action: Extends, adducts, and medially
    rotates humerus

    Atmodiwirjo P, Sari EP, Putri NM. How to harvest latissimus dorsi flap: step by step. LSBP
    Netter Atlas of Clinical Anatomy
    Latissimus Dorsi Free Flap
    Latissimus Dorsi Free Flap
    Latissimus Dorsi Free Flap
    Latissimus Dorsi Free Flap
    Flap Components
    • Muscle
    • Musculocutaneous
    • Osteomusculocutaneos
    • Perforator flap
    • Combinations and extension  component from subscapular system

    Germann G, Reichenberger M. Latissimus Dorsi Flap. In: Wei F, Mardini S. Flaps and Reconstructive Surgery. 2009. Chapter 41
    Advantages Disadvantages
    • Dissection is rapid, easy, and safe  reliable
    anatomy of thoracodorsal and subscapular vessels
    • Skin islands in musculocutaneous
    • Long pedicle and large calibre of vessels flaps  bulky and require
    • Skin island can ber orientated vertically, obliquely,
    or transversely secondary thinning and contour
    • Suitable for large skin defects or anastomostic sites
    remote from defect
    correction
    • When large areas of a thinner flap coverage are • Functionally deficit of shoulder
    required  muscle alone can be transferred + skin
    graft
    and arm function
    • Musculocutaneous flap  providing bulk for • Donor site complications  pain,
    correction of contour defects
    seroma formation

    Germann G, Reichenberger M. Latissimus Dorsi Flap. In: Wei F, Mardini S. Flaps


    and Reconstructive Surgery. 2009. Chapter 41
    LD Free Flap Application

    Atmodiwirjo P, Sari EP, Putri NM. How to harvest latissimus dorsi flap: step by step. LSBP
    Morbiditas
    • Komplikasi yang sering  seroma
    • Dapat diatasi dengan  pemasangan drain, quilting
    sutures, fibrin sealant

    Nicole Glassey (2008)


    • Tidak ada gangguan fungsi, nyeri, kekuatan, ROM
    setelah 1 tahun
    • 6 bulan pertama  rasa tidak nyaman dan lemah

    Scott L. Spear (2005)


    • Cepat lelah setelah aktivitas yg membutuhkan
    pergerakan mengangkat lengan di atas kepala 
    berenang, memanjat

    Atmodiwirjo P, Sari EP, Putri NM. How to harvest latissimus dorsi flap: step by step. LSBP

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