Abstract

BENITO DUQUE, P.; JUAN HUELVES, A. de; CANO ROSAS, M.  and  ELENA SORANDO, E.. Bilateral lumbar perforator flap in reconstruction of a wide toracolumbar defect. Cir. plást. iberolatinoam. [online]. 2006, vol.32, n.2, pp.141-144. ISSN 1989-2055.

Thoracolumbar defects have been treated by a variety of surgical methods. Primary closure, skin grafting, reverse latissimus dorsi musculocutaneous flap, transverse lumbosacral back flap, local randomly designed rotation, or transposition flaps may be indicated in occasional cases, but there is limited indication for their use in some cases with a wide lesion or when the surrounding tissues have been compromised by previous surgery or irradiation. Perforator flaps are specially indicated for ambulatory patients, in which large amounts of well-vascularized skin and subcutaneous tissue are transfered easily based on one perforator vessel without sacrificing main vessels or muscles. The authors present a patient with a 17 cm wide defect in the midback region and exposed bone after excision of a squamous cell carcinoma, treated by two perforator flaps based on paralumbar arteries transposed into the defect, in addition to a rotation latissimus dorsi musculocutaneous flap.

Keywords : Chest wall reconstruction; Lumbar perforator flap.

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