Latissimus dorsi free flap for sacral wound closure: the world's longest vein grafts for free tissue transfer.

Fudem, G M; Marble, K R · Microsurgery · 1996

case_report · Level V

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Abstract

In 1983, Salibian et al. reported the use of a two-stage latissimus dorsi free tissue transfer to cover a sacral radiation ulcer using 28-centimeter thoracodorsal interposition vein grafts. In 1985, Nahai and Hagerty reported a similar case in which the procedure was performed in one stage with 25-centimeter vein grafts. We present a case in which a large sacral osteoradionecrosis ulcer is closed using this one-stage technique with 46-centimeter vein grafts, the longest ever reported for free tissue transfer.

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