PMC6033049_01
(A) Incision to harvest latissimus dorsi flap. (B) Bi-pedicled flap. (C) Exposed graft post-debridement.
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fig1
A posterior incision created a bi-pedicle flap, which facilitated access to the latissimus dorsi muscle (Fig. 1).
(A) Donor site closed primarily tension free. (B) Latissimus dorsi flap now in situ covering exposed graft; skin closed primarily tension free.
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fig2
This provided robust coverage of the vascular graft, and the bi-pedicled flap ensured tension free primary closure of the wounds (Fig. 2).