Elevation of the skin island overlying the latissimus dorsi muscle, dissecting the
dominant perforating vessel, permits independent positioning of the skin island in
relation to the muscle. This combination of the thoracodorsal artery perforator (TAP)
and the latissimus dorsi (LD) muscle flap expands the surface of the flap without
increasing donor morbidity.
Perforator flap - thoracodorsal artery perforator flap - latissimus dorsi flap.