Safety of Large-Volume Immediate Fat Grafting for Latissimus Dorsi-Only Breast Reconstruction: Results and Related Complications in 95 Consecutive Cases

2020 ◽  
Author(s):  
Ningdan Ma ◽  
Jie Luan
Keyword(s):  
Breast Reconstruction ◽  
Large Volume ◽  
Latissimus Dorsi ◽  
Fat Grafting

Response to Invited Discussion on: “Safety of Large-Volume Immediate Fat Grafting for Latissimus Dorsi-Only Breast Reconstruction: Results and Related Complications in 95 Consecutive Cases”

2020 ◽  
Author(s):  
Ivan Couto-González ◽  
Ignacio Vila ◽  
Beatriz Brea-García ◽  
Santiago Soldevila-Guilera ◽  
Adrián Ángel Fernández-Marcos ◽  
...  
Keyword(s):  
Breast Reconstruction ◽  
Large Volume ◽  
Latissimus Dorsi ◽  
Fat Grafting

Safety of Large-Volume Immediate Fat Grafting for Latissimus Dorsi-Only Breast Reconstruction: Results and Related Complications in 95 Consecutive Cases

2020 ◽  
Author(s):  
Ivan Couto-González ◽  
Ignacio Vila ◽  
Beatriz Brea-García ◽  
Santiago Soldevila-Guilera ◽  
Adrián Ángel Fernández-Marcos ◽  
...  
Keyword(s):  
Breast Reconstruction ◽  
Large Volume ◽  
Latissimus Dorsi ◽  
Fat Grafting

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

2015 ◽  
Vol 36 (2) ◽  
pp. 169-178 ◽  
Author(s):  
Lin Zhu ◽  
Anita T. Mohan ◽  
Aparna Vijayasekaran ◽  
Christine Hou ◽  
Yoo Joon Sur ◽  
...  
Keyword(s):  
Breast Reconstruction ◽  
Latissimus Dorsi ◽  
Fat Grafting ◽  
Latissimus Dorsi Flap ◽  
Autologous Breast Reconstruction

scholarly journals Primary Fat Grafting to the Pectoralis Muscle during Latissimus Dorsi Breast Reconstruction

2016 ◽  
Vol 4 (11) ◽  
pp. e1059 ◽  
Author(s):  
Jeremy Niddam ◽  
Luciano Vidal ◽  
Barbara Hersant ◽  
Jean Paul Meningaud
Keyword(s):  
Breast Reconstruction ◽  
Latissimus Dorsi ◽  
Fat Grafting ◽  
Pectoralis Muscle

scholarly journals Multistage Latissimus Dorsi Flap with Implant for Complex Post-Mastectomy Reconstruction: An Old but Still Current Technique

Breast Care ◽  
2020 ◽  
pp. 1-6
Author(s):  
Francesca De Lorenzi ◽  
Francesco Borelli ◽  
Pietro Sala ◽  
Pietro Loschi ◽  
Paola Naninato ◽  
...  
Keyword(s):  
Breast Reconstruction ◽  
Latissimus Dorsi ◽  
Ambulatory Surgery ◽  
Fat Grafting ◽  
Recent Experience ◽  
Training Level ◽  
Flap Necrosis ◽  
Surgical Time ◽  
Level Of Evidence ◽  
Stage 1

<b><i>Introduction:</i></b> The latissimus dorsi (LD) flap has been used for reconstructing mastectomy defects since the early 1900s. Although its popularity has declined over the last decades, it still retains an important role in breast reconstruction. We present our recent experience with the multistage LD flap and implant for extremely complex post-mastectomy defects. <b><i>Patients and Methods:</i></b> Between 2011 and 2020, 42 consecutive patients underwent post-mastectomy LD reconstruction with an expander (STAGE 1). Some of them received prior fat-grafting of the mammary region (STAGE 0). All patients were scheduled for an expander-definitive implant change (STAGE 2). Some of them completed the program with fat-grafting, nipple and areola reconstruction, and other refinements (STAGE 3 or 4). <b><i>Results:</i></b> Two patients underwent fat-grafting at STAGE 0. Mean age at STAGE 1 was 46.7 years, mean BMI was 23.6, 14.4% of the patients were smokers, and 21.4% had comorbidities. Immediate reconstructions were performed in 35.7% and delayed in 64.3%. Mean surgical time at STAGE 1 was 194.7 min for delayed reconstructions and 242.3 min for immediate ones. Mean hospital stay for STAGE 1 procedures was 3.8 days; all other STAGES were performed as ambulatory surgery. No flap necrosis was observed and only 1 patient required a surgical revision for bleeding. Dorsal seroma occurred in 45.2% of cases. <b><i>Conclusions:</i></b> The multistage LD flap with implant is a useful and safe tool within the reconstructive armamentarium for post-mastectomy defects. It combines multiple simple procedures and does not require specific skills and surgical training (level of evidence 4).

scholarly journals Response to “Comments on ‘Maximizing the Volume of Latissimus Dorsi Flap in Autologous Breast Reconstruction with Simultaneous Multisite Fat Grafting’”

2016 ◽  
Vol 36 (7) ◽  
pp. NP239-NP241 ◽  
Author(s):  
Lin Zhu ◽  
Anita T. Mohan ◽  
Aparna Vijayasekaran ◽  
Christine Hou ◽  
Yoo Joon Sur ◽  
...  
Keyword(s):  
Breast Reconstruction ◽  
Latissimus Dorsi ◽  
Fat Grafting ◽  
Latissimus Dorsi Flap ◽  
Autologous Breast Reconstruction
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