Abstract | OBJECTIVE: Treatment of non-healing wounds of lower back often poses a powerful challenge. We present one of the first report of treatment of a lumbosacral defect with a supercharged latissimus dorsi flap with the skin paddle. CASE REPORT: RESULTS: This solution, allowed for augmentation of blood flow to the muscle with the inferior gluteal artery, provided coverage of the defect resistant to the pressure, and simplified post-operative management of the patient. CONCLUSIONS: Alternative treatment options, including free tissue transfer, posed difficulties in finding suitable recipient vessels near the defect, in inserting the flap so as to restore its original length without compromising blood flow, and in postoperative care of the patient. Treatment of a lumbosacral defect with a supercharged latissimus dorsi flap with the skin paddle may represent a milestone procedure for complicated lower spine wounds.
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Authors | E Cigna, S Mardini, H-C Chen, Ö Özkan, P Sassu, C J Salgado, Y-T Lieu, I Ponzo, D Ribuffo, N Scuderi |
Journal | European review for medical and pharmacological sciences
(Eur Rev Med Pharmacol Sci)
Vol. 19
Issue 6
Pg. 921-6
( 2015)
ISSN: 2284-0729 [Electronic] Italy |
PMID | 25855913
(Publication Type: Case Reports, Journal Article)
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Topics |
- Debridement
(methods)
- Disease Management
- Humans
- Lumbosacral Region
(pathology, surgery)
- Male
- Middle Aged
- Skin Transplantation
(methods)
- Superficial Back Muscles
(transplantation)
- Surgical Flaps
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