Grafts, Flaps, and Microsurgery
Flaps, Experimental and Clinical
Treatment of Recalcitrant Air Leaks: The Combined Latissimus Dorsi-Serratus Anterior Flap
Woo E, Tan B-K, Lim C-H (Singapore General Hosp) Ann Plast Surg 63:188-192, 2009§
Evidence Ranking
• E
Expert Rating
• 1
Abstract
Pleural space problems after lung resection and persistent air leaks are among the commonest challenges posed to thoracic surgeons. Surgical repair of air leaks are indicated when conventional tube thoracostomy has failed to solve the problem.
We would like to propose the novel application of the combined latissimus dorsi-serratus anterior transposition flap for selected cases of air leaks that are recalcitrant to conventional treatment. We discuss its indications and the surgical technique.