Authors:

Thomas C Wright*

The Welsh Centre for Plastic, Reconstructive Surgery and Burns, Morriston Hospital, Heol Maes Eglwys, Morriston, Swansea SA6 6NL, United Kingdom

Abstract:

The anatomy skills surgeons learn in college stay with them for the majority of their careers. When performing surgery, it�s crucial to be knowledgeable of unusual anatomical variations. The authors provide a case in which three anatomical variations were discovered in three distinct anatomical sites in a single patient during a single surgical procedure. These included Langer�s muscle, the spinal accessory nerve�s transjugular route, and the peculiar arrangement of the femoral vessels at the inguinal ligament. Despite cadaveric studies reporting an incidence of up to 7% for the latissimus dorsi muscle anomaly and up to 1% to 3% for a transjugular accessory nerve, clinical experience suggests that they are much less common and can still catch surgeons off guard, even those with extensive experience. After the cautious surgeon discovered one abnormality in Will be aware that there might be others when caring for their patient.
Keywords:
Transjugula, Langer�s muscle, Spinal accessory nerve, Axillopectoral arch, Femoral vessels.

Citation:

Thomas C Wright. In a patient with malignant melanoma, there are several contemporaneous anatomical variations that present challenges for synchronous neck and axillary lymphadenectomy and latissimus dorsi flap repair. World Journal of Clinical Surgery 2022.