Combination latissimus dorsi and rectus abdominis musculocutaneous flap for primary repair of a large upper limb defect.

Abstract

The usefulness of flap transfer in reconstructive surgery is well established, and various types of flaps have been reported. However, concomitant use of skin grafts or repair by plural flaps must be utilized for large defects. We have obtained satisfactory results in the primary repair of a large defect covering the entire length of the upper limb by using a combination flap consisting of latissimus dorsi and rectus abdominis musculocutaneous flaps. This surgical procedure is relatively easy, safe, and reliable. Moreover, it is possible to harvest a combination flap possessing a wide arc of rotation with either the latissimus dorsi muscle or the rectus abdominis muscle as a pedicle. This reconstructive method should be considered for large defects.