Rekonstruksiyonda çok amaçlı kullanılabilen bir seçenek: Latissimus dorsi kası

Giriş: Latissimus dorsi vücudun birçok bölgesinde defektlerin onarımında çok amaçlı olarak kullanılabilen bir kastır. Yöntem ve Gereçler: 2007-2011 seneleri arasında farklı bölge ve nitelikteki 12 hastaya ait çeşitli defektler gerek pediküllü gerekse serbest latissimus dorsi kas transferi ile onarıldı. Defektin özelliklerine göre kas kaldırılırken beraberinde bir deri adası veya skapuladan bir kemik segmenti flebe dahil edildi. Bulgular: Kasın geniş olması ve iyi kanlanması sayesinde travmalar, enfekte yaralar, kanser cerrahisi sonrası ortaya çıkan veya doğumsal olarak var olan geniş ve problemli defektlerin rahatlıkla onarılabilmesi, deneyimsiz cerrahlar için öğrenme periodunun kısa ve kolay olması gibi avantajlarının yanısıra kol adduksiyonundaki hafif zorluk ve verici sahada kalan skar izi gibi olumlu özellikleri de mevcuttur. Sonuç: Her türlü defekte kolay adapte edilebilirliği, iyi vaskülarizasyonu ile bakteriyel kontaminasyona dirençliliği ile bu flep rekonstrüksiyonda iyi bir seçenektir.

A versatile muscle for salvage reconstruction: Musculus latissimus dorsi

Introduction: Latissimus dorsi muscle is a versatile source for defect reconstruction for many areas of the body. Material Methods: Between 2007 and 2011, 12 defects were reconstructed using latissimus dorsi flap. Depending on the defect, flaps were transferred as a pedicled flap on its major pedicle, and segmental pedicles or a free flap and with a skin island, or a part of scapula was contained in the muscle during flap elevation. Results: The size and good vascularization are great advantages in covering large and problematic wounds which may occur after trauma, cancer surgery and congenital defects. Other advantages are easy harvesting and quick and easy learning period for inexperienced plastic surgeons. Disadvantages are restriction in adduction of arm and donor site scar. Conclusion: In order to obtain well-vascularized tissue with good resistance to bacterial contamination and flexibility to shape into the defects, latissimus dorsi flap is a useful surgical option.

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