Functional donor site morbidity following latissimus dorsi muscle flap transfer
The latissimus dorsi flap is highly versatile and reliable, making it a commonly transferred muscle flap. This study evaluated the subjective donor site morbidity, with special attention to activities of daily living. A review of 85 consecutive female patients who underwent latissimus dorsi muscle t...
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| Veröffentlicht in: | Annals of plastic surgery 2004-07, Vol.53 (1), p.6-11 |
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| container_title | Annals of plastic surgery |
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| creator | ADAMS, William P LIPSCHITZ, Avron H ANSARI, Mona KENKEL, Jeffrey M ROHRICH, Rod J |
| description | The latissimus dorsi flap is highly versatile and reliable, making it a commonly transferred muscle flap. This study evaluated the subjective donor site morbidity, with special attention to activities of daily living. A review of 85 consecutive female patients who underwent latissimus dorsi muscle transfer was performed. Patients were mailed detailed questionnaires concerning cosmesis, use of the shoulder, time to return to work, weakness, and multiple specific activities of daily living. Up to 39% of patients reported at least moderate weakness, 50% experienced back numbness/tightness, and 22% of patients rated their scar as unacceptable. A significant number of patients had difficulty with vigorous activities of daily living (P < 0.05) compared with more sedentary activities. We conclude that latissimus harvest is not totally without postoperative donor site morbidity, and patients should be counseled accordingly prior to flap transfer. |
| doi_str_mv | 10.1097/01.sap.0000106430.56501.b5 |
| format | Article |
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This study evaluated the subjective donor site morbidity, with special attention to activities of daily living. A review of 85 consecutive female patients who underwent latissimus dorsi muscle transfer was performed. Patients were mailed detailed questionnaires concerning cosmesis, use of the shoulder, time to return to work, weakness, and multiple specific activities of daily living. Up to 39% of patients reported at least moderate weakness, 50% experienced back numbness/tightness, and 22% of patients rated their scar as unacceptable. A significant number of patients had difficulty with vigorous activities of daily living (P < 0.05) compared with more sedentary activities. We conclude that latissimus harvest is not totally without postoperative donor site morbidity, and patients should be counseled accordingly prior to flap transfer.</description><identifier>ISSN: 0148-7043</identifier><identifier>EISSN: 1536-3708</identifier><identifier>DOI: 10.1097/01.sap.0000106430.56501.b5</identifier><identifier>PMID: 15211190</identifier><identifier>CODEN: APCSD4</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams & Wilkins</publisher><subject>Activities of Daily Living ; Adult ; Aged ; Aged, 80 and over ; Biological and medical sciences ; Breast Neoplasms - rehabilitation ; Breast Neoplasms - surgery ; Cicatrix ; Female ; Humans ; Mammaplasty - rehabilitation ; Medical sciences ; Middle Aged ; Morbidity ; Patient Satisfaction ; Retrospective Studies ; Surgery (general aspects). Transplantations, organ and tissue grafts. 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This study evaluated the subjective donor site morbidity, with special attention to activities of daily living. A review of 85 consecutive female patients who underwent latissimus dorsi muscle transfer was performed. Patients were mailed detailed questionnaires concerning cosmesis, use of the shoulder, time to return to work, weakness, and multiple specific activities of daily living. Up to 39% of patients reported at least moderate weakness, 50% experienced back numbness/tightness, and 22% of patients rated their scar as unacceptable. A significant number of patients had difficulty with vigorous activities of daily living (P < 0.05) compared with more sedentary activities. We conclude that latissimus harvest is not totally without postoperative donor site morbidity, and patients should be counseled accordingly prior to flap transfer.</description><subject>Activities of Daily Living</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Breast Neoplasms - rehabilitation</subject><subject>Breast Neoplasms - surgery</subject><subject>Cicatrix</subject><subject>Female</subject><subject>Humans</subject><subject>Mammaplasty - rehabilitation</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Morbidity</subject><subject>Patient Satisfaction</subject><subject>Retrospective Studies</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgical Flaps</subject><issn>0148-7043</issn><issn>1536-3708</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpNkEtL7TAQgIMoenz8hUsRdNdjpnm0dXcRjwqCG12HNA-JpM25mZaL_96oB3QWM8PwzQx8hJwDXQPt2ysKa9TbNS0BVHJG10KKMhzEHlmBYLJmLe32yYoC7-qWcnZEjhHfCt50XB6SIxANAPR0RZ42y2TmkCYdK5umlCsMs6vGlIdgw_xe-RRj-h-m1yrqOSCGccFCZgxV6Ux0lY96W81ZT-hdPiUHXkd0Z7t6Ql42t8839_Xj093Dzd_H2jAu5tr7xpi2GyTXTUO91U4ysL1kRhghTddbB8YbQ1vZlcwcp5paa3xnW9a3PTshl993tzn9WxzOagxoXIx6cmlBJaXkkoMs4PU3aHJCzM6rbQ6jzu8KqPrUqSioolP96FRfOtUgyvKf3ZdlGJ39Wd35K8DFDtBodPTFggn4i-uhA8bYB20ygP4</recordid><startdate>20040701</startdate><enddate>20040701</enddate><creator>ADAMS, William P</creator><creator>LIPSCHITZ, Avron H</creator><creator>ANSARI, Mona</creator><creator>KENKEL, Jeffrey M</creator><creator>ROHRICH, Rod J</creator><general>Lippincott Williams & Wilkins</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20040701</creationdate><title>Functional donor site morbidity following latissimus dorsi muscle flap transfer</title><author>ADAMS, William P ; LIPSCHITZ, Avron H ; ANSARI, Mona ; KENKEL, Jeffrey M ; ROHRICH, Rod J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c345t-ff2cc78b64a220fdae631d963c5c56c89de1cfcc0768cc03e40a0ddcf8d739793</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Activities of Daily Living</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Breast Neoplasms - rehabilitation</topic><topic>Breast Neoplasms - surgery</topic><topic>Cicatrix</topic><topic>Female</topic><topic>Humans</topic><topic>Mammaplasty - rehabilitation</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Morbidity</topic><topic>Patient Satisfaction</topic><topic>Retrospective Studies</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgical Flaps</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>ADAMS, William P</creatorcontrib><creatorcontrib>LIPSCHITZ, Avron H</creatorcontrib><creatorcontrib>ANSARI, Mona</creatorcontrib><creatorcontrib>KENKEL, Jeffrey M</creatorcontrib><creatorcontrib>ROHRICH, Rod J</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Annals of plastic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>ADAMS, William P</au><au>LIPSCHITZ, Avron H</au><au>ANSARI, Mona</au><au>KENKEL, Jeffrey M</au><au>ROHRICH, Rod J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Functional donor site morbidity following latissimus dorsi muscle flap transfer</atitle><jtitle>Annals of plastic surgery</jtitle><addtitle>Ann Plast Surg</addtitle><date>2004-07-01</date><risdate>2004</risdate><volume>53</volume><issue>1</issue><spage>6</spage><epage>11</epage><pages>6-11</pages><issn>0148-7043</issn><eissn>1536-3708</eissn><coden>APCSD4</coden><abstract>The latissimus dorsi flap is highly versatile and reliable, making it a commonly transferred muscle flap. This study evaluated the subjective donor site morbidity, with special attention to activities of daily living. A review of 85 consecutive female patients who underwent latissimus dorsi muscle transfer was performed. Patients were mailed detailed questionnaires concerning cosmesis, use of the shoulder, time to return to work, weakness, and multiple specific activities of daily living. Up to 39% of patients reported at least moderate weakness, 50% experienced back numbness/tightness, and 22% of patients rated their scar as unacceptable. A significant number of patients had difficulty with vigorous activities of daily living (P < 0.05) compared with more sedentary activities. We conclude that latissimus harvest is not totally without postoperative donor site morbidity, and patients should be counseled accordingly prior to flap transfer.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams & Wilkins</pub><pmid>15211190</pmid><doi>10.1097/01.sap.0000106430.56501.b5</doi><tpages>6</tpages></addata></record> |
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| ispartof | Annals of plastic surgery, 2004-07, Vol.53 (1), p.6-11 |
| issn | 0148-7043 1536-3708 |
| language | eng |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Activities of Daily Living Adult Aged Aged, 80 and over Biological and medical sciences Breast Neoplasms - rehabilitation Breast Neoplasms - surgery Cicatrix Female Humans Mammaplasty - rehabilitation Medical sciences Middle Aged Morbidity Patient Satisfaction Retrospective Studies Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgical Flaps |
| title | Functional donor site morbidity following latissimus dorsi muscle flap transfer |
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