Irreparable tears of the subscapularis (SS) tendon are difficult to manage and represent a challenge for surgeon, especially in young active patients. They associated with horizontal imbalance shoulder, causing pain limitation internal rotation. Historically, alternative these patients has been transfer pectoralis major, all its variations, total or partial, up under conjoint tendon. However, t...

A patient undergoing left mastectomy and immediate latissimus dorsi breast reconstruction under combined paravertebral block and general anaesthesia developed transient, well-demarcated, right-sided hemifacial erythema and sweating, and left-sided Horner syndrome postoperatively. This "harlequin" appearance occurs because of a normal or excessive vasodilatory, thermoregulatory response to heat ...

A 21-year-old woman with a painful chest wall mass was found to have a parachordoma (PC). The tumor arose from the ®fth intercostal space. A wide chest wall resection including the tumor and a 2.5 cm free margin and the subsequent reconstruction with a Gore-Tex soft tissue patch covered with a latissimus dorsi rotational ̄ap was performed. To our knowledge, chest wall parachordoma has not been ...

PURPOSE The pedicled, descending-branch muscle-sparing latissimus dorsi (MSLD) flap has been widely used for breast reconstruction following total mastectomy. However, the superiority of the MSLD flap compared to the conventional latissimus dorsi (CLD) flap in preventing seroma formation has not been demonstrated. This study compares the morbidities related to seroma formation following pedicle...

We present our experience on 6 patients (4 females, 2 males) with elastofibroma dorsi. The diagnosis was based on imaging studies along with clinical examination. Surgery was decided due to the symptomatic nature of the tumors along with the consent and willingness of the patients. All patients had an uncomplicated course and long term follow up did not show any disease recurrence.

Ectopia cordis (EC) is characterized by a complete or partial malposition of the heart outside the thorax. Despite the interdisciplinary treatment, the repair of EC is still very difficult and offers new surgical challenges because of its complexity and various combinations with other anomalies. We report the successful outcome after using a pedicled latissimus dorsi flap in reconstructive surg...

Langer's arch is one of the rare muscular variation in the axillary region. In the present article, a case of 50 year old male cadaver with axillary arch in the right axillary region is being reported. It originated from anterior border of latissimus dorsi and merged with short head of biceps brachii. The embryological derivation, genetic basis and clinical implication of this muscular variant ...

A case is described of an anterior chest wall desmoid tumor in a 20-year-old Micronesian male that had been previously incompletely resected one year prior to presentation. A radical chest wall resection was performed with reconstruction accomplished using a gortex patch and latissimus dorsi myocutaneous flap. The patient developed a massive local recurrence within eight months following surger...

Introduction The QUEST trials are the first surgical trials comparing different types (A) and timing (B) of Latissimus dorsi (LD) reconstruction with a primary outcome of quality of life (QoL) in an attempt to improve clinical evidence. Surgical trials are challenging, necessitating a feasibility study, and the QUEST Perspectives Study (QPS), to assess the acceptability of randomisation from th...

Fig. 3. The thoracoabdominal wall could not be totally covered with the latissimus dorsi myocutaneous free flap; therefore, Permacol was applied to the remaining defect measuring about 12 cm×7 cm. (A) Immediately after flap transfer, generalized congestion was noted. (B) On postoperative day 2, the peripheral of the flap started to necrotize. (C) After debridement of the devitalized part, two-t...