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The Versatile Latissimus Dorsi Muscle as a Local Flap for Chest Wall Coverage

Geoffrey G. Hallock, MD1; Yoko Young Sang, MD2
1Sacred Heart Campus, St. Luke's Hospital
2Louisiana State University Shreveport

1. Introduction and Surgical Approach

2. Flap Incisions and Dissection to Latissimus Dorsi Muscle

  1. Locate Latissimus Dorsi
  2. Dissection to Anterior Border of Latissimus Dorsi
  3. Dissection to Posterior Border of Latissimus Dorsi
  4. Test Viability of Flap

3. Raising Latissimus Dorsi Muscle Flap

  1. Take Down Origin and Raise Anterior Border of Flap
  2. Divide Latissimus Dorsi and Raise Posterior Border of Flap
  3. Identification of Thoracodorsal Artery

4. Transposition

  1. Test Viability of Flap

5. Reconstruction and Closure