Page 24 - PlasticosVol4

V O L 4 2019 I S S U E

CASE REPORT

Case 1 Plan

A 48 yr old male patient having a massive Initial thoughts ran in our minds for a
Dermatofibrosarcoma protuberans of the
entire anterior trunk operated by the oncology 1. Bilateral Pedicled Lattisimus dorsi flap
team, presented to us with truncal defect post 2. Free Anterolateral thigh Flap
wide local excision. 3. Two ALT free flaps

Figure 1 shows the challenges i.e. the sheer But even that could not suffice for the
size of the defect which was around 2 feet to 1 dimensions of the defect in addition to the
feet extending from nipple to pubis vertically difficult patient position required for LD flap.
and one anterior axillary line to another and
exposed vital structures- costal margins, So we searched the literature and decided on
exposed gut and peritoneum. Omental flap.

Dr. Prateek Thakur Dr Gaurav K Gupta

MCh Resident, Department Of Associate Professor , Department
Burns & Plastic Surgery of Burns and Plastic Surgery
VMMC and Safdarjung Hospital, VMMC and Safdarjung Hospital,
New Delhi New Delhi

SOLVING

THE RUBIK’S CUBE

Figure 1

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