Latissimus Dorsi Flap
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Latissimus Dorsi Flap

This Latissimus Dorsi Flap course will teach you:

  • The Latissimus Dorsi Flap: This flap is  either pedicled or as microvascular free tissue transfer, is to close a defect and is one of the most commonly used flaps in reconstructive surgery.

Special attention is paid to the following hazards you may encounter during the Latissimus Dorsi Flap:

  • Latissimus dorsi insertion identification
  • Axillary scar formation
  • Skin island preservation
  • Poor caudal vascularization of the latissimus dorsi muscle
  • Maintaining flap viability
  • Incorrect dissection plane
  • Perforator artery injury
  • Subscapular artery injury
  • Thoracodorsal artery injury

With the following tips you might perform the Latissimus Dorsi Flap even better:

  • Lumbar artery perforator preservation
  • Determination skin island size
  • Determination size of dissection plane
  • Latissimus dorsi muscle identification
  • Scar reduction
  • Latissimus dorsi muscle dissection
  • Minimize flap damage by placing sutures
  • Flap mobilization enhancement
  • Latissimus dorsi tendon management
  • Pedicle protection

After studying the Latissimus Dorsi Flap course you are familiar with the most common complications:

  • Donor site seroma
  • Flap necrosis
  • Incorrect dissection plane

You might also be interested in:

Radial Artery Perforator Fascial Flap

Step by step

Flap design

Skin

Mark

Mark the skin over the spine, the iliac crest, the caudal scapular border and the borders of the latissimus dorsi muscle. Mark an incision line from the posterior axillary fold extending caudally and medially over the latissimus muscle. When necessary, a skin island can be marked over the incision line.

Latissimus dorsi insertion identification

Care is taken to correctly distinguish between the insertions of the latissimus dorsi and teres major which are adjacent to and can be confused with each other.

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