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Multiple Choice

Lat dorsi flap reconstruction harvests tissue from what location?

Latissimus dorsi flap uses tissue from the back, specifically the latissimus dorsi muscle located along the side of the back under the scapula and extending toward the humerus. The flap brings its blood supply (the thoracodorsal vessels) with it, allowing transfer to the chest for breast reconstruction. The back provides a reliable, well-vascularized donor site, and the muscle can be used alone or with overlying skin. Other donor sites exist for different flaps—abdomen for TRAM or DIEP flaps, thigh for gracilis or anterolateral thigh flaps, and buttock for gluteal flaps—but for the latissimus dorsi flap, the tissue comes from the back.

Latissimus dorsi flap uses tissue from the back, specifically the latissimus dorsi muscle located along the side of the back under the scapula and extending toward the humerus. The flap brings its blood supply (the thoracodorsal vessels) with it, allowing transfer to the chest for breast reconstruction. The back provides a reliable, well-vascularized donor site, and the muscle can be used alone or with overlying skin.

Other donor sites exist for different flaps—abdomen for TRAM or DIEP flaps, thigh for gracilis or anterolateral thigh flaps, and buttock for gluteal flaps—but for the latissimus dorsi flap, the tissue comes from the back.