Pneumothorax: A rare or underreported complication following latissimus dorsi muscle flap

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Date: January-April 2018
From: Indian Journal of Plastic Surgery(Vol. 51, Issue 1)
Publisher: Medknow Publications and Media Pvt. Ltd.
Document Type: Letter to the editor
Length: 530 words
Lexile Measure: 1270L

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Byline: Amish. Gohil, Subhash. Sahu, Shashank. Lamba, Ashish. Gupta

Sir,

Latissimus dorsi (LD) is one of the most commonly used muscles for coverage of moderate-to-large-sized defects post-tumour excision or trauma.

Seroma (21%-79%) is the most common donor site complication after LD muscle harvest.[1] Other common complications include haematoma, skin margin necrosis and contour deformity.[2] Rarely, brachial plexus injury and lumbar hernia are also reported.

Pneumothorax following LD harvest is a potential and probably an underreported complication.[2],[3] We report two patients who developed pneumothorax after raising the flap. Both patients sustained Gustilo-Anderson type III B lower limb fracture. There were no pre-operative symptoms or signs suggestive of chest trauma in either of them. They underwent debridement, skeletal stabilisation with external fixator and microvascular LD flap cover. LD muscle was raised in a standard...

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Gale Document Number: GALE|A541254595