Use of the latissimus dorsi flap in breast reconstruction: The patient perspective

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Breast reconstruction using a latissimus dorsi flap after mastectomy.

INTRODUCTION The latissimus dorsi (LD) myocutaneous flap has long been regarded as the second choice flap for autologous breast reconstruction following a mastectomy in our department. Despite uncertainty about donor-site morbidity, it is regarded as a relatively safe procedure; moreover, in contrast to our first choice, the deep inferior epigastric perforator flap, no microsurgical expertise i...

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Functional Morbidity Following Latissimus Dorsi Flap Breast Reconstruction

According to the National Institutes of Health, more than 230,000 new cases of breast cancer will be diagnosed in 2014 alone. Following mastectomy, several reconstructive options exist for women with breast cancer. The timing and approach for reconstruction must be addressed rapidly. Although abdominal tissue transfer is described as the preferred method, it may not be best suited to all patien...

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Comparison of morbidity-related seroma formation following conventional latissimus dorsi flap versus muscle-sparing latissimus dorsi flap breast reconstruction

PURPOSE The pedicled, descending-branch muscle-sparing latissimus dorsi (MSLD) flap has been widely used for breast reconstruction following total mastectomy. However, the superiority of the MSLD flap compared to the conventional latissimus dorsi (CLD) flap in preventing seroma formation has not been demonstrated. This study compares the morbidities related to seroma formation following pedicle...

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Bipolar latissimus dorsi flap transfer for reconstruction of the deltoid.

Four patients with complete paralysis of the deltoid muscle with irrepairable axillary nerve lesion and one with traumatic destruction of the shoulder cap were treated with a bipolar latissimus dorsi muscle transfer. The latissimus dorsi muscle was prepared as an island flap, turned over and sutured to the trapezius proximally and to the original deltoid insertion on the humerus distally. Funct...

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Maximizing the Volume of Latissimus Dorsi Flap in Autologous Breast Reconstruction with Simultaneous Multisite Fat Grafting.

BACKGROUND The pedicled latissimus dorsi (LD) flap serves an important function in breast reconstruction, but its utility is limited by its inability to provide sufficient breast volume. OBJECTIVES The purpose of this preliminary report was to review the techniques and outcomes of utilizing fat-grafted, volume-enhanced LD flap transfer with fat grafting recipient sites in autologous breast re...

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ژورنال

عنوان ژورنال: International Journal of Surgery

سال: 2015

ISSN: 1743-9191

DOI: 10.1016/j.ijsu.2015.07.097