Effects of latissimus dorsi (LD) flap harvest on shoulder function in delayed breast reconstruction. A long-term analysis considering the acromiohumeral interval (AHI), the WOSI, and BREAST-Q questionnaires

2020 ◽  
Vol 73 (10) ◽  
pp. 1862-1870
Author(s):  
Stefania Tenna ◽  
Rosa Salzillo ◽  
Beniamino Brunetti ◽  
Marco Morelli Coppola ◽  
Mauro Barone ◽  
...  
Keyword(s):  
Breast Reconstruction ◽  
Latissimus Dorsi ◽  
Shoulder Function ◽  
Delayed Breast Reconstruction ◽  
Term Analysis

Short-Scar Latissimus Dorsi (SSLD) With a Lateral Approach: A Game Changer in Breast Reconstruction?

2021 ◽  
Author(s):  
Simon Perez ◽  
Emmanuel Delay ◽  
Raphaël Sinna ◽  
Traian Savu ◽  
Richard Vaucher ◽  
...  
Keyword(s):  
Breast Reconstruction ◽  
Latissimus Dorsi ◽  
Skin Necrosis ◽  
Lateral Approach ◽  
Advancement Flap ◽  
Autologous Reconstruction ◽  
Skin Paddle ◽  
Cutaneous Tissue ◽  
Delayed Breast Reconstruction ◽  
Short Scar

Abstract Background In delayed breast reconstruction, the thoraco-mammary cutaneous tissue often shows residual damage from radiotherapy. The fragility of this tissue is associated with a risk of skin necroses of about 8% when dissection is performed by reopening of the mastectomy scar. Objectives The objective of our study was to adapt the technique of short-scar latissimus dorsi flap surgery with an abdominal advancement flap using a lateral approach only avoiding re-incision of the mastectomy scar. Methods In this retrospective study, we performed 150 reconstructions in 146 patients to assess the safety and effectiveness of the SSLD technique with lateral approach. The primary outcome was the occurrence of postoperative skin necrosis of the thoraco-mammary area. Results Of the 150 delayed breast reconstruction procedures performed, none showed skin necrosis of the thoraco-mammary area, and a positive effect on skin trophicity of this area was observed. The resulting patient and surgical team satisfaction were very favorable. Conclusions In our practice, this technique changed our paradigm because of good skin safety and effectiveness. It allows reconstruction without a patch-effect in patients with very poor skin quality in whom the thoraco-mammary skin would have been replaced in the past by a skin paddle. Reconstruction would have even be contraindicated. It could also be an alternative to many other more complex and longer techniques of autologous reconstruction.

The Significance of Latissimus Dorsi Flap Innervation in Delayed Breast Reconstruction

2011 ◽  
Vol 128 (6) ◽  
pp. 637e-645e ◽  
Author(s):  
Minna Kääriäinen ◽  
Salvatore Giordano ◽  
Susanna Kauhanen ◽  
Anna-Leena Lääperi ◽  
Pentti Mattila ◽  
...  
Keyword(s):  
Breast Reconstruction ◽  
Latissimus Dorsi ◽  
Latissimus Dorsi Flap ◽  
Delayed Breast Reconstruction
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