{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T17:40:02Z","timestamp":1789494002277,"version":"build-2803163510"},"reference-count":28,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2015,10,14]],"date-time":"2015-10-14T00:00:00Z","timestamp":1444780800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Microsurgery"],"published-print":{"date-parts":[[2016,11]]},"abstract":"<jats:p>Reconstruction of complex upper extremity defects requires a need for multiple tissue components. The supercharged latissimus dorsi (LD)\u2010groin compound flap is an option that can provide a large skin paddle with simultaneous functional muscle transfer. It is necessary to supercharge the flap with the superficial circumflex iliac pedicle to ensure the viability of its groin extension. In this report, we present a case of a supercharged LD\u2010groin flap in combination with vascularized inguinal lymph nodes, which was used for upper limb reconstruction in a young male patient, following excision of high\u2010grade liposarcoma. Resection resulted in a 28 cm \u00d7 15 cm skin defect extending from the upper arm to the proximal forearm, also involving the triceps muscle, a segment of the ulnar nerve and the axillary lymph nodes. Restoration of triceps function was achieved with transfer of the innervated LD muscle. Part of the ulnar nerve was resected and repaired with sural nerve grafts. Post\u2010operatively, the flap survived fully with no partial necrosis, and no complications at both the recipient and donor sites. At 1\u2010year follow up, the patient had a well\u2010healed wound with good elbow extension (against resistance), no tumor recurrence, and no signs of lymphedema. We believe this comprehensive approach may represent a valuable technique, for not only the oncological reconstruction of upper extremity, but also for the prevention of lymphedema. \u00a9 2015 Wiley Periodicals, Inc. Microsurgery 36:689\u2013694, 2016.<\/jats:p>","DOI":"10.1002\/micr.22515","type":"journal-article","created":{"date-parts":[[2015,10,15]],"date-time":"2015-10-15T10:40:12Z","timestamp":1444905612000},"page":"689-694","source":"Crossref","is-referenced-by-count":13,"title":["The latissimus dorsi\u2010groin\u2010lymph node compound flap: A comprehensive technique with three features including skin coverage, restoration of motor function, and prevention of upper limb lymphedema"],"prefix":"10.1002","volume":"36","author":[{"given":"Fabio","family":"Nicoli","sequence":"first","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery China Medical University Hospital Taichung Taiwan"},{"name":"Department of Plastic and Reconstructive Surgery University of Rome \u201cTor Vergata\u201d Rome Italy"},{"name":"Plastic Reconstructive and Aesthetic Surgery Villa Salaria Clinic Rome 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