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Case Reports in Surgery
Volume 2012, Article ID 964625, 5 pages
http://dx.doi.org/10.1155/2012/964625
Case Report

The “Reverse” Latissimus Dorsi Flap for Large Lower Lumbar Defect

Department of Surgical Oncology, Salah Azaiez Institute, 36, Nelson Mandela Street, 2045 L'aouina, Tunis, Tunisia

Received 17 June 2012; Accepted 6 September 2012

Academic Editors: P. De Nardi and R. Nascimbeni

Copyright © 2012 Bouraoui Kotti et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The latissimus dorsi (LD) flap is one of the most common flaps used in plastic surgery based on its dominant thoracodorsal pedicle as well as free tissue transfer. The “distally based” or “reverse” fashion design has been used to repair myelomeningoceles, congenital diaphragmatic agenesis, or thoracolumbar defects. We present a case of a large lumbar defect after cancer resection covered by a combined tegument solution starring the “reverse” LD flap in its muscular version with a cutaneous gluteal flap. This flap is a safe and reliable way to cover large distal lumbar defect.