Accidental latissimus dorsi flap pedicle avulsion during immediate breast reconstruction: Salvage by conversion to free flap

作者：Martano A; Malata C M^*

来源：Journal of Plastic Reconstructive and Aesthetic Surgery, 2012, 65(8): 1107-1110.

DOI：10.1016/j.bjps.2012.01.017

• Latissimus dorsi flap
• Totally autologous LD flap
• Immediate breast reconstruction
• Intra-operative complications
• &quot
• Emergency&quot
• free flap
• Flap pedicle avulsion
• Salvage microvascular surgery

Pedicle damage is a rare complication of latissimus dorsi (LD) flap breast reconstruction. We report a case of accidental avulsion of the vascular pedicle of a totally autologous (extended) LD flap during immediate breast reconstruction in a patient who had previously undergone contralateral breast reconstruction with a pedicled TRAM flap based on the opposite superior epigastric vessels. The intra-operative strategy to salvage the avulsed LD flap by conversion to a free flap while not compromising the contralateral breast reconstruction is discussed.

• 出版日期2012-8