2024 Volume 37 Issue 4 Pages 150-156
Perforator and musculocutaneous flaps are reliable options for the successful reconstruction of back defects. We present three cases of successful dorsal intercostal artery perforator (DICAP) flap coverage for back defects after sarcoma resection. This study included two women and one man, with ages ranging from 62 to 69 years (mean: 65 years) . Four DICAP flaps were elevated using the dorsal branch of the posterior intercostal artery. The flap size ranged from 15×8 to 30×11 (mean: 23.8×9.8) cm. No flap loss was observed. When the skin defect is localized to mid-back, the DICAP flap is minimally invasive because of the short distance between the vascular pedicles and the skin defect. DICAP coverage is especially useful for patients with recurrent tumors who have previously undergone latissimus dorsi flap coverage. Based on these advantages, the DICAP flap should be considered as a viable option for the repair of back defects.
