[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-406420-105":3,"detail-sidebar-cat-0-en-105":81,"doc-detail-406420-en":130},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":74,"head_meta":76,"extra_data":78,"updated_unix":80},105,"en","swat-flap-in-plastic-surgery-the-latissimusdorsi-in-depth-overview-of-a-classic-weapon-and-systematic-review-of-its-reported-uses","S.W.A.T. flap in plastic surgery - The latissimusdorsi. In-depth overview of a classic weapon and systematic review of its reported uses","","The latissimus dorsi (LD) flap is presented as the “S.W.A.T. flap” in reconstructive surgery, emphasizing its exceptional versatility and adaptability for complex, high-risk defects. Multiple dissection techniques and patient positioning options broaden its utility across multidisciplinary settings. Harvesting can include different tissue compositions (muscle, skin, bone, adipose) and multiple vascular configurations via a consistent thoracodorsal pedicle. A systematic PRISMA-guided review synthesizes reported uses across clinical scenarios.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/document/","Document",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/document/healthcare/","Healthcare",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/document/swat-flap-in-plastic-surgery-the-latissimusdorsi-in-depth-overview-of-a-classic-weapon-and-systematic-review-of-its-reported-uses/406420/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/swat-flap-in-plastic-surgery-the-latissimusdorsi-in-depth-overview-of-a-classic-weapon-and-systematic-review-of-its-reported-uses/406420.png","ImageObject",300,407,{"name":42,"@type":43},"Cipher","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-10-31","2026-09-28",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",8,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"Why is the latissimus dorsi flap called the “S.W.A.T. flap”?","Question",{"text":63,"@type":64},"It is proposed to be recognized as the “S.W.A.T. flap” because of its versatility and reliability when addressing complex, high-risk reconstructive situations.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"What features increase the usefulness of the LD flap in practice?",{"text":68,"@type":64},"The flap supports multiple dissection techniques and patient positioning options, can be harvested with different tissue compositions, and uses a consistent thoracodorsal pedicle that enables multiple vascular configurations.",{"name":70,"@type":61,"acceptedAnswer":71},"How was the evidence on LD flap uses collected in this article?",{"text":72,"@type":64},"A systematic review following PRISMA guidelines was conducted to identify and synthesize reported cases, describing its use across diverse anatomical regions.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},406420,1790814343,{"code":4,"msg":82,"data":83},"success",[84,88,92,96,101,106,110,114,119,122,126],{"id":22,"doc_module":4,"doc_module_name":25,"category_name":85,"show_sort_weight":86,"slug":87},"Story & Novel",90,"story-novel",{"id":26,"doc_module":4,"doc_module_name":25,"category_name":89,"show_sort_weight":90,"slug":91},"Literature",80,"literature",{"id":33,"doc_module":4,"doc_module_name":25,"category_name":93,"show_sort_weight":94,"slug":95},"Exam",70,"exam",{"id":97,"doc_module":4,"doc_module_name":25,"category_name":98,"show_sort_weight":99,"slug":100},5,"Comic",60,"comic",{"id":102,"doc_module":4,"doc_module_name":25,"category_name":103,"show_sort_weight":104,"slug":105},6,"Technology",50,"technology",{"id":107,"doc_module":4,"doc_module_name":25,"category_name":29,"show_sort_weight":108,"slug":109},7,40,"healthcare",{"id":55,"doc_module":4,"doc_module_name":25,"category_name":111,"show_sort_weight":112,"slug":113},"Research & Report",30,"research-report",{"id":115,"doc_module":4,"doc_module_name":25,"category_name":116,"show_sort_weight":117,"slug":118},9,"Religion & Spirituality",20,"religion-spirituality",{"id":117,"doc_module":4,"doc_module_name":25,"category_name":120,"show_sort_weight":117,"slug":121},"World Cup","world-cup",{"id":123,"doc_module":4,"doc_module_name":25,"category_name":124,"show_sort_weight":123,"slug":125},10,"Lifestyle","lifestyle",{"id":127,"doc_module":4,"doc_module_name":25,"category_name":128,"show_sort_weight":97,"slug":129},19,"General","general",{"code":4,"msg":82,"data":131},{"doc_id":79,"user_id":132,"nickname":42,"user_avatar":133,"doc_module":4,"category_id":107,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":139,"language":140,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":12,"update_tm":144,"read_time":112,"preview_page_count":4},687208528416,"https://ap-avatar.wpscdn.com/davatar_9964176cb1d06d4a9deccf72a44ae3dc","JPRAS Open 48 (2026) 269–280  \nContents lists available at ScienceDirect  \nJPRAS Open  \njournal [homepage:](homepage: www.elsevier.com/locate/jpra)[ www.elsevier.com/locate/jpra](homepage: www.elsevier.com/locate/jpra)  \nReview Article  \nS.W.A.T. flap in plastic surgery: The latissimusdorsi. In-depth overview of a classic weapon and systematic review of its reported uses.  \nBelén Andresen-Lorcaa,b,∗, Alessandro Thionea, María García-Garcíaa, Iván Heredia-Alcaldea,  \nAlberto Pérez-Garcíaa, Alfonso Amador Valverde-Navarro a, María D Pérez-del-Caza  \na Department of Plastic Surgery and Burns, University and Polytechnic Hospital La Fe, Valencia, Spain b Department of Human Anatomy and Embryology, Universitat de València, Valencia, Spain  \na r t i c l e i n f o  \nArticle history:  \nReceived 5 July 2025  \nAccepted 31 August 2025  \nAvailable online 12 September 2025  \nKeywords:  \nLatissimus dorsi flap Reconstructive microsurgery Functional reconstruction Defect coverage  \nUses of latissimus dorsi flap  \n∗ Corresponding author.  \na b s t r a c t  \nThe latissimus dorsi (LD) flap deserves recognition as the “S.W.A.T.flap” in reconstructive surgery, as a reflex of its unparalleled versatility and adaptability in addressing complex, high-risk reconstructive challenges. Much like the special intervention units we propose it to be named after, the LD flap offers a wide range of strategies that allow us to tailor it to fit virtually any defect in the human body, making it a cornerstone of reconstructive surgery.  \nThis flexibility is supported by various features. The multiple dissection techniques and patient positioning options available enhance its utility in multi-disciplinary settings. Also, it can be harvested with different tissue compositions, such as muscle, skin, bone, and adipose tissue, providing surgeons with numerous configurations suited for diverse anatomical and functional needs. Moreover, the consistency of the thoracodorsal pedicle, allows for multiple vascular configurations and the creation of composite orchimeric flaps, making it highly adaptable to complex defect reconstructions. Furthermore, the LD flap is easily elevated with minimal  \nE-mail address: [beanlor@alumni.uv.es](beanlor@alumni.uv.es) (B. Andresen-Lorca).  \n[https://doi.org/10.1016/j.jpra.2025.08.037](https://doi.org/10.1016/j.jpra.2025.08.037)  \n2352-5878/© 2025 The Authors. Published by Elsevier Ltd on behalf of British Association of Plastic, Reconstructive and Aesthetic Surgeons. This is an open access article under the CC BY-NC-ND license  \n([http://creativecommons.org/licenses/by-nc-nd/4.0/](http://creativecommons.org/licenses/by-nc-nd/4.0/))  \nB. Andresen-Lorca, A. Thione, M. García-García et al. JPRAS Open 48 (2026) 269–280  \ndonor-site morbidity, making it an attractive option for both functional and aesthetic restoration.  \nTo demonstrate the broad applications of the LD flap, a systematic review following PRISMA guidelines was conducted. The review aimed to identify and synthesize reported cases of the flap’suse across a variety of clinical scenarios, yielding articles detailing its use in diverse anatomical regions.  \nThis article highlights the LD flap’s essential role in modern reconstructive surgery, advocating for its recognition as the “S.W.A.T.flap” due to its exceptional versatility, reliability, and broad applicability.  \n© 2025 The Authors. Published by Elsevier Ltd on behalf of British Association of Plastic, Reconstructive and Aesthetic Surgeons. This is an open access article under the CC BY-NC-ND license  \n([http://creativecommons.org/licenses/by-nc-nd/4.0/](http://creativecommons.org/licenses/by-nc-nd/4.0/))  \nIntroduction  \nThe acronym S.W.A.T., which stands for “special weapons and tactics,” is used to design the U.S.’s special intervention units, specifically trained to resolve difficult, high-risk situations.1 Reconstructive surgery could somehow be compared to working under these conditions, in the sense that we constantly encounter complex case","cbCaivsINRn4ncZt","https://ap.wps.com/l/cbCaivsINRn4ncZt","pdf",2324266,12,"English","# Introduction\n# Uses of latissimus dorsi flap\n## Systematic review (PRISMA-guided)\n# Conclusion","[{\"question\":\"Why is the latissimus dorsi flap called the “S.W.A.T. flap”?\",\"answer\":\"It is proposed to be recognized as the “S.W.A.T. flap” because of its versatility and reliability when addressing complex, high-risk reconstructive situations.\"},{\"question\":\"What features increase the usefulness of the LD flap in practice?\",\"answer\":\"The flap supports multiple dissection techniques and patient positioning options, can be harvested with different tissue compositions, and uses a consistent thoracodorsal pedicle that enables multiple vascular configurations.\"},{\"question\":\"How was the evidence on LD flap uses collected in this article?\",\"answer\":\"A systematic review following PRISMA guidelines was conducted to identify and synthesize reported cases, describing its use across diverse anatomical regions.\"}]","S.W.A.T. flap in plastic surgery - The latissimusdorsi. In-depth overview of a classic weapon and systematic review of its reported uses | PDF",1790565567]