The patient presented with a rare soft tissue tumor (dermatofibrosarcoma) that required surgical removal. As a result, a large defect developed, exposing muscles and thoracic bones that required new soft tissue coverage.
A muscular flap was harvested from the pectoral muscle, as well as a split thickness skin draft from the patient's thigh, for reconstruction.
The muscle is positioned beneath the skin graft (sandwiched) in order to vascularize the skin graft above it. A compressive dressing was required to improve the chances of a successful skin graft survival.