Le lambeau perforant thoracodorsal

Summary: By offering a new concept in tissue defect management, perforator flaps reduce morbidity of the donor site. The thoracodorsal perforator flap allows the harvesting of a cutaneous flap that can reach 15×25cm, by sparing the underlying muscle. Moreover, the postoperative strength of the latissimus dorsi does not seem to be affected and seroma is less frequent. We review the anatomical basis and the operative technique of this flap. For us, this flap is more suitable than its muscular homologous in several indications. [Copyright &y& Elsevier]