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Use of a Latissimus Dorsi Myocutaneous Flap for One-Stage Reconstruction of the Thoracic Wall After En bloc Resection of Primary Rib Chondrosarcoma in Five Dogs

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Objective

To describe a thoracic wall reconstructive technique using a latissimus dorsi myocutaneous flap after en bloc resection of primary rib chondrosarcoma and report outcome in 5 dogs. Study Design

Retrospective study. Animals

Dogs (n=5) with primary rib chondrosarcoma. Methods

Medical records (2003–2005) were reviewed for signalment, staging investigations, surgical findings, complications, and outcomes. Owners and veterinary surgeons were contacted for outcome information. Results

A latissimus dorsi myocutaneous flap provided an air-tight thoracic wall closure after chondrosarcoma resection. Paradoxical respiratory movement of the flap occurred; however, from physical examination and blood gas analysis (2 dogs), ventilation was adequate. All flaps survived, 1 had superficial skin necrosis distally and 2 had minor wound dehiscence. One dog without tumor-free margins died of tumor-related disease 56 days after surgery. Tumor recurrence did not occur in 4 dogs with tumor-free margins. One dog was euthanatized 10 months after surgery for unrelated disease; 3 dogs were alive at writing (median follow-up: 20 months; range, 18–27 months) and all had a satisfactory functional and cosmetic outcome. Conclusions

Reconstruction of ventral thoracic wall defects using a latissimus dorsi myocutaneous flap yields a functional, cosmetic outcome. Clinical Relevance

A latissimus dorsi myocutaneous flap can be used as a successful 1-stage reconstructive technique for ventral thoracic wall defects.
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Document Type: Research Article

Affiliations: Royal Veterinary College, Queen Mother Hospital for Animals, North Mymms, Hatfield Hertfordshire, UK

Publication date: August 1, 2007

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