The unilateral reverse latissimus dorsi flap for soft tissue coverage of midline thoracal defects after spine surgery procedure: A case report

Meirizal, Meirizal and Magetsari, Rahadyan and Agatha, Dea Prista (2021) The unilateral reverse latissimus dorsi flap for soft tissue coverage of midline thoracal defects after spine surgery procedure: A case report. International Journal of Surgery Case Reports, 87. ISSN 22102612

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Abstract

Introduction: The thoracolumbal region is often a difficult area to reconstruct for orthopaedic surgeons. Reconstruction of this area with a standard free tissue transfer is not always possible, and locoregional flaps are often failed due to poor quality outcome and mobilization difficulty. Case report: A case was presented with unilateral distally based latissimus dorsi flaps reconstruction in patient with midline thoracal soft tissue defect underwent kyphosis deformity correction surgery. This study reported a patient, male, 33 years old who was diagnosed with ankylosing spondylitis and kyphosis deformity. The patient underwent surgical correction of the kyphosis deformity. After 1 month, the patient complained about his open surgical wounds. Clinical discussion: In our institution, this patient underwent second debridement surgery and unilateral reverse latissimus dorsi flap for thoracal soft tissue defect coverage to obtain well-vascularised tissue, with good resistance to bacterial contamination and easy to shape into such defect. After follow-up for 6 months, the patient shows good outcome and postoperative wound healing was favorable. Conclusion: We believe that the “reverse” latissimus dorsi flap is a good option to cover this particular region. It is simple, safe, and reliable. It also provides a backup plan for the microsurgery in this region. © 2021

Item Type: Article
Additional Information: Cited by: 1; All Open Access, Gold Open Access, Green Open Access
Uncontrolled Keywords: antibiotic agent; cefazolin; hemoglobin; adult; albumin level; ankylosing spondylitis; Article; backache; bacterium contamination; body position; case report; clinical article; debridement; donor site; follow up; free tissue graft; hospital discharge; human; human tissue; kyphosis; lateral position; latissimus dorsi flap; latissimus dorsi muscle; male; Mongoloid; outcome assessment; prone position; radiodiagnosis; soft tissue; soft tissue defect; spine surgery; subcutaneous tissue; surgical patient; surgical wound; thoracolumbar spine; wound healing
Subjects: R Medicine > RD Surgical Divisions
Divisions: Faculty of Medicine, Public Health and Nursing > Biomedical Sciences
Depositing User: Sri JUNANDI
Date Deposited: 26 Sep 2024 06:58
Last Modified: 26 Sep 2024 06:58
URI: https://ir.lib.ugm.ac.id/id/eprint/4611

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