scholarly journals The extended latissimus dorsi flap option in autologous breast reconstruction: A report of 14 cases and review of the literature

2008 ◽  
Vol 41 (01) ◽  
pp. 24-33
Author(s):  
Mohammed A. Rifaat ◽  
Ayman A. Amin ◽  
Mahmoud A Bassiouny ◽  
Ayman Nabawi ◽  
Sherif Monib
Keyword(s):  
Breast Reconstruction ◽  
Latissimus Dorsi ◽  
Donor Site ◽  
Donor Site Morbidity ◽  
Latissimus Dorsi Flap ◽  
Site Preference ◽  
Review Of The Literature ◽  
Autologous Breast Reconstruction ◽  
Wound Breakdown ◽  
Aesthetic Results

ABSTRACT Background: Autologous breast reconstruction using the extended latissimus dorsi flap has been infrequently reported. in the current study, the authors are reporting their own clinical experience with this method. a review of the literature is also discussed.Materials and methods: Over a three year period, 14 patients underwent breast reconstruction using the extended latissimus dorsi (ld) flap. patients with small to medium sized breasts were selected. the age of the patients ranged from 29 to 42 years with a follow-up period ranging from six to 18 months. the indications, flap-related complications and donor site morbidity and aesthetic results were evaluated.Results: The main indication to use the flap was dorsal donor site preference by patients. the remaining patients were either not suitable for a flap from the abdomen or wished to get pregnant and were offered the dorsal donor site. neither total nor partial flap loss was recorded but donor site morbidity was mainly due to seroma, which was treated conservatively in all patients, except for one who required surgery. another two patients suffered from wound breakdown and distal necrosis of the back flaps. mild contour deformity was also noted on the back of all patients but caused no major concern. indeed, the overall patient satisfaction was very high.Conclusion: The extended ld flap proved to be a good option for autologous breast reconstruction in selected patients. patients should be warned of the potential for seroma and mild contour back deformity.

Donor Site Sequelae after Autologous Breast Reconstruction with an Extended Latissimus Dorsi Flap

2002 ◽  
Vol 109 (6) ◽  
pp. 1904-1911 ◽  
Author(s):  
Krishna B. Clough ◽  
Christine Louis-Sylvestre ◽  
Alfred Fitoussi ◽  
Benoit Couturaud ◽  
Claude Nos
Keyword(s):  
Breast Reconstruction ◽  
Latissimus Dorsi ◽  
Donor Site ◽  
Latissimus Dorsi Flap ◽  
Autologous Breast Reconstruction

Surgical Intervention for Refractory Donor-Site Seroma After Immediate Breast Reconstruction with Latissimus Dorsi Flap

2019 ◽  
Vol 43 (6) ◽  
pp. 1515-1522
Author(s):  
Joon Seok Lee ◽  
Hyun Ki Hong ◽  
Jong Seong Kim ◽  
Dong Hun Choi ◽  
Jeong Woo Lee ◽  
...  
Keyword(s):  
Breast Reconstruction ◽  
Latissimus Dorsi ◽  
Surgical Intervention ◽  
Donor Site ◽  
Immediate Breast Reconstruction ◽  
Latissimus Dorsi Flap

Analysis of patient satisfaction and donor-site morbidity after different types of breast reconstruction

2014 ◽  
Vol 103 (4) ◽  
pp. 249-255 ◽  
Author(s):  
H. C. Benditte-Klepetko ◽  
F. Lutgendorff ◽  
T. Kästenbauer ◽  
M. Deutinger ◽  
C. M. A. M. van der Horst
Keyword(s):  
Quality Of Life ◽  
Patient Satisfaction ◽  
Breast Reconstruction ◽  
Latissimus Dorsi ◽  
Donor Site ◽  
Perforator Flap ◽  
Donor Site Morbidity ◽  
Deep Inferior Epigastric Perforator ◽  
Types Of Breast Reconstruction

Background and Aims: Breast reconstruction has been shown to improve quality of life. However, factors involved in long-term patient satisfaction are largely unknown. Our aim was to evaluate patient satisfaction and donor-site morbidity in five types of breast reconstruction. Material and Methods: A prospectively collected database of all breast surgery patients at Hospital Rudolfstiftung, Vienna, Austria, was searched for five types of breast reconstruction (2000–2006): implant, latissimus dorsi-flap, latissimus dorsi-flap with implant, free transverse rectus abdominis musculocutaneous-flap, and deep inferior epigastric perforator-flap. Patients were sent a study-specific questionnaire to assess satisfaction. Short-form 36-item health survey was used to analyze (quality of life), and complication data were retrieved from the database and assessed during a follow-up visit. Results: There were 257 patients identified, of whom, 126 responded to the survey (17 implant, 5 latissimus dorsi + implant, 64 latissimus dorsi, 22 transverse rectus abdominis musculocutaneous, and 18 deep inferior epigastric perforator reconstructions). No statistical differences were found in complication or reoperation rates. Deep inferior epigastric perforator–flap patients were significantly more satisfied compared to patients from the implant group ( p = 0.007). However, there was no significant difference regarding quality of life scores among the groups. After logistic regression analysis, only “impairment on daily life” showed to be independently correlated with patient satisfaction. This contrary to both operation type and complication rate which did not correlate with patient satisfaction. Conclusions: Our results indicate that operation type, complication rate, and revision rate did not independently correlate with patient satisfaction. Therefore, to further improve patient satisfaction, future research should be focused on other pro-operative factors, for example, patient education, expectations, and personality characteristics.

Autologous breast reconstruction using the immediately lipofilled extended latissimus dorsi flap

2017 ◽  
Vol 43 (5) ◽  
pp. S17 ◽  
Author(s):  
Neil Johns ◽  
Neil Fairbairn ◽  
Matthew Trail ◽  
Anne Ewing ◽  
Li Yong ◽  
...  
Keyword(s):  
Breast Reconstruction ◽  
Latissimus Dorsi ◽  
Latissimus Dorsi Flap ◽  
Autologous Breast Reconstruction

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 Versatility of Latissimus Dorsi Free Flap-a Prospective Study

2021 ◽  
Vol 28 (2) ◽  
pp. 142-152
Author(s):  
Abu Faisal Md Ariful Islam ◽  
Mohammad Rabiul Karim Khan ◽  
Sharmin Akter Sumi ◽  
Mohammad Hedayet Ali Khan ◽  
Md Abul Kalam
Keyword(s):  
Soft Tissue ◽  
Free Flap ◽  
Latissimus Dorsi ◽  
Donor Site ◽  
Donor Site Morbidity ◽  
Soft Tissue Defect ◽  
Latissimus Dorsi Flap ◽  
Tissue Defect ◽  
Medical College ◽  
The Mean

Introduction: Free flaps offer a great variable of available tissues to cover larger, multifocal or multistructural defects. The choice among different free flap is dependent upon their recipient site requirement. Reconstruction with latissimus dorsi flap is now versatile tool in coverage. It can resurface large wound with reliable vascularity, consistent anatomy ,long pedicle length, opportunity for tailoring of flap. It has less donor site morbidity and has very little post-operative complications. Objective: To evaluate the versatility of free Latissimus dorsi flap for soft tissue reconstruction. Materials and methods: A prospective, observational study design was used in Department of Plastic Surgery of Dhaka Medical College and Hospital. Here 20 patients with soft tissue defect of variable sizes over lower limb, head neck and trunk underwent coverage with microvascular surgery. The study was carried out from July 2017 to June 2018. Result: Regarding the age distribution, the mean age was 35.65with an SD of + 10.81. The lowest age was 20years and the highest age was 56 years, Male female ratio was 3:2.The major cause (65.0%) of soft tissue defect of the samples was RTA. The flap was used to reconstruct the soft tissue defect over lower leg in 13 (65%)cases, on scalp 05 (25%) cases and over anterior trunk in two cases. The mean flap dimension was 229.25cm2 and its range was between 120 – 384 cm2. The standard myocutaneous flap was harvested in 80% cases, chimeric (10%) and partial Latissimus muscle flap in two cases. The donor site in all the 20 (100%) cases was closed primarily. The outcome of reconstruction was excellent in 16(80%), good in 02 (10%) cases and poor in 02 (10%) cases. There was no significant complication during the three months postoperative period. Conclusion: The Latissimus dorsi flap is a versatile option for resurfacing the soft tissue defect in different areas of the body with variable flap components and with minimal donor site morbidity. J Dhaka Medical College, Vol. 28, No.2, October, 2019, Page 142-152

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