Lumbar region reconstruction using bilateral reverse latissimus dorsi musculocutaneous flaps after large basal cell carcinoma excision

The lumbosacral region often represents a difficult area for plastic surgeons to reconstruct. Reconstruction of this area with a standard free tissue transfer is not always possible, and locoregional flaps are often dismissed because of the poor quality and difficulty to mobilize. A case is presented that was reconstructed using bilateral distally based latissimus dorsi myocutaneous flaps after resection of a large malignant tumor located on the midline of the lumbosacral area. The resulting soft tissue defect was 24 × 23 × 5.5 cm. The bilateral flaps were raised in a reverse fashion and successfully transferred into the defect. After 1-year follow-up, the patient was well healed. We believe that this original technique is a noteworthy method and a valuable addition to the armamentarium of flaps.