Reconstruction of a Major Abdominal and Chest Wall Defect Using Latissimus Dorsi and Extended Deep Inferior Epigastric Artery Flap

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Abstract
Large defects of the chest and abdominal cavity are a challenging reconstructive problem. We present reconstruction of a major chest and abdominal wall defect in a patient who had recurrent chondrosarcoma. The defect extended from just below the nipple almost to the umbilicus, and measured 28 x 30 cm. An “extended” latissimus dorsi muscle flap and extended deep inferior epigastric artery flap were used for reconstruction of the defect. A 1-year follow-up of the patient is presented.

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