An Extended Latissimus Dorsi "Non-Free" Flap.
Abstract
A case is reported in which perfusion of a latissimus dorsi musculocutaneous flap was maintained through its secondary blood supply during transfer to a sacral defect, while its thoracodorsal pedicle was being lengthened by saphenous vein grafts. The secondary blood supply was divided only when the microvascular anastomoses were seen to be functioning so this flap was never a truly "free" flap.
This paper has been withdrawn.