The Usefulness of Endoscopic Harvesting of the Latissimus Dorsi Flap for Breast Reconstruction Using a Single-Port and CO2 Gas Insufflation Technique

2021 ◽  
Author(s):  
Do Gon Kim ◽  
Jong Seong Kim ◽  
Joon Seok Lee ◽  
Jeeyeon Lee ◽  
Ho Yong Park ◽  
...  
Keyword(s):  
Breast Reconstruction ◽  
Latissimus Dorsi ◽  
Single Port ◽  
Latissimus Dorsi Flap ◽  
Co2 Gas

Preventive effects on seroma formation with use of the harmonic focus shears after breast reconstruction with the latissimus dorsi flap

2016 ◽  
Vol 50 (6) ◽  
pp. 349-353 ◽  
Author(s):  
Yoshihiro Sowa ◽  
Toshiaki Numajiri ◽  
Ayako Kawarazaki ◽  
Kouichi Sakaguchi ◽  
Tetsuya Taguchi ◽  
...  
Keyword(s):  
Breast Reconstruction ◽  
Latissimus Dorsi ◽  
Seroma Formation ◽  
Latissimus Dorsi Flap ◽  
Harmonic Focus ◽  
Preventive Effects

Obesity and the Latissimus Dorsi Flap: A Radiologic Study

2021 ◽  
pp. 229255032110319
Author(s):  
Joshua H. Choo ◽  
Bradley J. Vivace ◽  
Luke T. Meredith ◽  
Swapnil Kachare ◽  
Thomas J. Lee ◽  
...  
Keyword(s):  
Breast Reconstruction ◽  
Latissimus Dorsi ◽  
Normal Weight ◽  
Latissimus Dorsi Flap ◽  
Class I ◽  
Autologous Reconstruction ◽  
Complication Rates ◽  
Obese Patients ◽  
Weight Category ◽  
Flap Thickness

Introduction: The increasing prevalence of obesity in patients with breast cancer has prompted a reappraisal of the role of the latissimus dorsi flap (LDF) in breast reconstruction. Although the reliability of this flap in obese patients is well-documented, it is unclear whether sufficient volume can be achieved through a purely autologous reconstruction (eg, extended harvest of the subfascial fat layer). Additionally, the traditional combined autologous and prosthetic approach (LDF + expander/implant) is subject to increased implant-related complication rates related to flap thickness in obese patients. The purpose of this study is to provide data on the thicknesses of the various components of the latissimus flap and discuss the implications for breast reconstruction in patients with increasing body mass index (BMI). Methods: Measurements of back thickness in the usual donor site area of an LDF were obtained in 518 patients undergoing prone computed tomography–guided lung biopsies. Thicknesses of the soft tissue overall and of individual layers (e.g., muscle, subfascial fat) were obtained. Patient, demographics including age, gender, and BMI were obtained. Results: A range of BMI from 15.7 to 65.7 was observed. In females, total back thickness (skin, fat, muscle) ranged from 0.6 to 9.4 cm. Every 1-point increase in BMI resulted in an increase of flap thickness by 1.11 mm (adjusted R 2 of 0.682, P < .001) and an increase in the thickness of the subfascial fat layer by 0.513 mm (adjusted R 2 of 0.553, P < .001). Mean total thicknesses for each weight category were 1.0, 1.7, 2.4, 3.0, 3.6, and 4.5 cm in underweight, normal weight, overweight, and class I, II, III obese individuals, respectively. The average contribution of the subfascial fat layer to flap thickness was 8.2 mm (32%) overall and 3.4 mm (21%), 6.7 mm (29%), 9.0 mm (30%), 11.1 mm (32%), and 15.6 mm (35%) in normal weight, overweight, class I, II, III obese individuals, respectively. Conclusion: The above findings demonstrate that the thickness of the LDF overall and of the subfascial layer closely correlated with BMI. The contribution of the subfascial layer to overall flap thickness tends to increase as a percentage of overall flap thickness with increasing BMI, which is favourable for extended LDF harvests. Because this layer cannot be separated from overall thickness on examination, these results are useful in estimating the amount of additional volume obtained from an extended latissimus harvest technique.

scholarly journals Two-Stage Latissimus Dorsi Flap with Implant for Unilateral Breast Reconstruction: Getting the Size Right

2016 ◽  
Vol 43 (2) ◽  
pp. 197-203 ◽  
Author(s):  
Jiajun Feng ◽  
Cleone I Pardoe ◽  
Ashley Manuel Mota ◽  
Christopher Hoe Kong Chui ◽  
Bien-Keem Tan
Keyword(s):  
Breast Reconstruction ◽  
Latissimus Dorsi ◽  
Latissimus Dorsi Flap ◽  
Two Stage

Breast reconstruction with expandable implants and in combination with a latissimus dorsi-flap

2007 ◽  
Vol 39 (4) ◽  
pp. 227-231 ◽  
Author(s):  
R. Koller ◽  
S. Gärner ◽  
A. Dobrovits ◽  
R. Kuzbari
Keyword(s):  
Breast Reconstruction ◽  
Latissimus Dorsi ◽  
Latissimus Dorsi Flap

scholarly journals Use of Abnobaviscum to treat refractory seroma after breast reconstruction with a latissimus dorsi flap: A case report

2019 ◽  
Vol 25 (2) ◽  
pp. 73-78 ◽  
Author(s):  
Jong Seong Kim ◽  
Pil Seon Eo ◽  
Joon Seok Lee ◽  
Jeong Woo Lee ◽  
Ho Yun Chung ◽  
...  
Keyword(s):  
Case Report ◽  
Breast Reconstruction ◽  
Latissimus Dorsi ◽  
Latissimus Dorsi Flap
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