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V-Y advancement LDMF in chest wall reconstruction
Full text linkCorrespondence V-Y advancement LDMF in chest wall reconstruction
I reviewed the paper “Utility of large V-Y advancement of the latissimus dorsi myo-cutaneous flap
in the reconstruction of large thoracic defects: a case series and literature review” by Lichtenberg NJ,
Sheena Y, Papini RPG with great enthusiasm.
I strongly support the mechanics of V-Y advancement of latissimus dorsi myo-cutaneous flap with
extended skin paddles and its movement in different directions. I agree that this technique represents
a great option for large trunk defects in comorbid patients following radiotherapy, without prolonged
general anaesthesia or microsurgery.
To support the paper message, we add another example of a LDMF with a large skin paddle design
(28 × 16 cm), used to reconstruct the chest wall defect of a 69 years old female patient; this comorbid
patient was treated for radicalization of an Angiosarcoma of the right breast, after having sustained
7 months before radical right mastectomy and a cycle of radiotherapy. In this case, we stress the
importance of patient lateral positioning on the surgical table, to allow working in two teams and
shorten operative times. The V-Y LDMF was anteriorly advanced 26 cm to reach the anterior midline.
Flap experienced no skin necrosis and showed good healing at 3 months follow-u
The intradermal cutaneous suture with separate stitches using a resorbable monofilament (Polyglecaprone 25)
No full textAppendectomy scar graft for lip augmentation
Full text linkUse of scar tissue from appendectomy scar to augment upper lip for aesthetic and reconstructive purposes
Elective localization at the upper left chest of Dermatofibrosarcoma Protuberans
Full text linkElective localization at the upper left chest of Dermatofibrosarcoma Protuberan
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