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Fig. 1 | BMC Surgery

Fig. 1

From: Deep sternal wound infection – latissimus dorsi flap is a reliable option for reconstruction of the thoracic wall

Fig. 1

a Side positioning of the patient making a two team approach possible b Debridement of the sternum and harvesting the latissimus dorsi flap with a 18x7cm skin island simultaneously c Fully harvested myocutaneous flap solely connected to the body by a skeletonized 12 cm long pedicle (double arrow) making a wide advancement of the flap into the anterior mediastinal region possible d Fixation of the tendinous part of the latissimus muscle on the thorax wall preventing the vessels from uncontrolled tension and movement (double arrow) e The muscular part of the flaps fills up the deep cavity of the mediastinum and the skin island makes a relaxed closing of the already retracted skin edges possible f 1 Week post operatively the flap shows an excellent state of perfusion without any signs of wound healing disorder

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