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2012 | 84 | 7 | 367-370
Article title

The Use of a Pedunculated, Extended Latissimus Dorsi Flap in Primary and Secondary Breast Reconstruction Procedures - Case Report

Content
Title variants
Languages of publication
EN
Abstracts
EN
The extended latissimus dorsi flap (LD) is used in breast reconstruction since the 70's. LD flap is often used in corrective surgery in cases of unsatisfactory cosmetic results after breast-conserving therapy. In our department LD flap has several uses. In addition to free microvascular flaps - which applies in breast reconstructive surgery is routine, there are clinical situations where the use of pedicled LD flap is justified. The main indications for its use are: the inability to apply microvascular flap, the general condition (diabetes, advanced atherosclerosis), smoking, previous surgery of abdominal wall, abdominal obesity, patient preferences. Approximately 30% of patients after breast reconstruction require corrective procedures. Group which uses extended LD flap account for 24 patients. In 16 cases it was used for elective breast reconstruction. In the remaining eight cases it was used in the corrective procedures symmetry and shape of the previously reconstructed breast. Based on our own experience it can be concluded that the LD flap with an alternative to microvascular techniques. Complication rate when using the LD flap is relatively low and includes: seroma and slight motor disability of the shoulder girdle.
Publisher

Year
Volume
84
Issue
7
Pages
367-370
Physical description
Dates
published
1 - 7 - 2012
online
30 - 8 - 2012
Contributors
  • Department of Oncological and Reconstructive Surgery, Center of Oncology, Division in Gliwice, M. Skłodowska-Curie Institute
author
  • Department of Oncological and Reconstructive Surgery, Center of Oncology, Division in Gliwice, M. Skłodowska-Curie Institute
  • Department of Oncological and Reconstructive Surgery, Center of Oncology, Division in Gliwice, M. Skłodowska-Curie Institute
  • Department of Oncological and Reconstructive Surgery, Center of Oncology, Division in Gliwice, M. Skłodowska-Curie Institute
  • Department of Oncological and Reconstructive Surgery, Center of Oncology, Division in Gliwice, M. Skłodowska-Curie Institute
References
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  • Freeman M, Perdikis G, Sternberg E et al.: Latissimusdorsi reconstruction: a good option for patients with failed breast conservation therapy. Ann Plast Surg. 2006; 57: 134-37.
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  • Denewer A, Setit A, Hussein O et al.: Skin-sparing mastectomy with immediate breast reconstruction by a new modification of extended latissimusdorsimyocutaneous flap. World J Surg 2008; 32: 2586-92.[PubMed][WoS][Crossref]
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  • Marshall D, Anstee E, Stapleton M: Soft tissue reconstruction of the breast using an extended composite latissimusdorsimyocutaneous flap. Br J Plast Surg 1984; 37: 361-68[PubMed]
  • Papp C, Zanon E, McCraw J: Breast volume replacement using the deepithelializedlatissimus-dorsimyocutaneous flap. Eur J Plast Surg 1988; 11: 120-25.[Crossref]
  • Hokin J: Mastectomy reconstruction without a prosthetic implant. Plast Reconstr Surg 1983; 72: 810-18.[PubMed]
  • Hokin J, Silfverskiold K: Breast reconstruction without an implant: Results and complications using an extended latissimusdorsi flap. Plast Reconstr Surg 1987; 79: 58-66.[Crossref]
  • Daltrey I, Thomson H, Hussien M et al.: Randomized clinical trial of the effect of quilting latissimusdorsi flap donor site on seroma formation. Br J Surg 2006; 93: 825-30.
  • Damen T, Wei W, Mureau M et al.: Medium-term cost analysis of breast reconstructions in a single Dutch centre: a comparison of implants, implants preceded by tissue expansion, LD transpositions and DIEP flaps. J Plast Reconstr Aesthet Surg 2011; 64: 1043-53.
Document Type
Publication order reference
Identifiers
YADDA identifier
bwmeta1.element.-psjd-doi-10_2478_v10035-012-0062-8
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