Reconstruction of posterior lumbar defects in oncologic patients using two island flaps of the back in series.

Abstract

Reconstruction of the large lumbar defect is a challenge for plastic surgeons. We report our experience with the reverse latissimus dorsi myocutaneous flap for the coverage of large lumbar wounds in 2 oncologic patients. Meanwhile, a pedicled ascending scapular flap was used to aid the donor closure of the musculocutaneous flap. This allows for easy closure of both the donor sites and reduces the donor site morbidity to the minimum. The procedure is highly reliable, and in our opinion, the first option in reconstruction of large lumbar defects, particularly when a large surface coverage is needed.