Byline: Amish. Gohil, Subhash. Sahu, Shashank. Lamba, Ashish. Gupta
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. Other common complications include haematoma, skin margin necrosis and contour deformity. Rarely, brachial plexus injury and lumbar hernia are also reported.
Pneumothorax following LD harvest is a potential and probably an underreported complication., 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...