The latissimus dorsi muscle is the largest muscle in the body that allows coverage of extremely large wounds. It can be harvested on a single pedicle and can even be combined with other flaps to create a flap complex that can cover massive wounds. However, despite the large size, removal of the muscle does not result in a functional deficit.
It is one of the most dependable and versatile flaps used in reconstructive surgery, and it is well-known for its use in chest wall and postmastectomy reconstruction. It has also been used successfully to cover significant soft tissue defects in the head and neck, either as a pedicled flap or as a microvascular free flap.
Postoperative care necessitates regular inspection of the donor area for the presence of hematoma and seroma, which may necessitate the use of drains for a short period of time. However, no special dressings are necessary, and you can use the arm that corresponds to the donor area.
Mrs. M. Mariyamma from Hyderabad successfully underwent Reconstructive Surgery with Latissimus Dorsi Muscle Flap for Wound Closure at Yashoda Hospitals, Hyderabad, under the supervision of Dr. Sasikanth Maddu, Consultant Plastic & Cosmetic Surgeon.
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