scholarly journals A Prospective Analysis on Functional Outcomes Following Extended Latissimus Dorsi Flap Breast Reconstruction

2016 ◽  
Vol 106 (2) ◽  
pp. 152-157 ◽  
Author(s):  
H. Eyjolfsdottir ◽  
B. Haraldsdottir ◽  
M. Ragnarsdottir ◽  
K. S. Asgeirsson
Keyword(s):  
Muscle Strength ◽  
Breast Reconstruction ◽  
Latissimus Dorsi ◽  
Full Range ◽  
Donor Site ◽  
Latissimus Dorsi Flap ◽  
Lateral Flexion ◽  
Shoulder Range Of Motion ◽  
Shoulder Movement ◽  
Flexion Extension

Background: To prospectively assess the functional effect of using the extended latissimus dorsi flap in immediate breast reconstructions. Materials and Methods: A total of 15 consecutive patients undergoing breast reconstruction with extended latissimus dorsi flap participated. Shoulder range of motion, muscle strength, lateral flexion of the torso, and position of scapula were measured pre-operatively and 1, 6, and 12 months post-operatively, in addition to donor-site post-operative complications. Results: At 12 months post-operatively, patients had achieved full range of shoulder movement, when compared to pre-operative values. Lateral flexion of the torso was, however, significantly reduced bilaterally at 1 and 6 months post-operatively (p = 0.001, p = 0.01) and to the not operated side at 12 months (p = 0.01). Muscle strength in flexion–extension–internal rotation was significantly (p = 0.01) reduced on the operated side 12 months post-operatively. All but one patient had numbness around the donor-site scar 12 months post-operatively, 33% had slight adhesions but all were pain free. Conclusion: Although invariably, patients having extended latissimus dorsi flap may expect to achieve full range of shoulder movement, they should be informed of possible functional consequences and the time and effort it takes to recover. Further research is needed to investigate the potential long-term functional implications that extended latissimus dorsi flap may have as a result of changes in the lateral flexion of the torso and scapula position.

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

Risk Factors for Donor-Site Seroma Formation After Immediate Breast Reconstruction With the Extended Latissimus Dorsi Flap

2012 ◽  
Vol 69 (2) ◽  
pp. 145-147 ◽  
Author(s):  
Byung-Joon Jeon ◽  
Tae-Sung Lee ◽  
So-Young Lim ◽  
Jai-Kyong Pyon ◽  
Goo-Hyun Mun ◽  
...  
Keyword(s):  
Risk Factors ◽  
Breast Reconstruction ◽  
Latissimus Dorsi ◽  
Donor Site ◽  
Immediate Breast Reconstruction ◽  
Seroma Formation ◽  
Latissimus Dorsi Flap

scholarly journals Avaliação da morbidade da área doadora do retalho de Grande Dorsal

2020 ◽  
Vol 9 (2) ◽  
Author(s):  
Thiago Pereira de Santana ◽  
Felipe de Souza Serenza ◽  
Fernanda Ruiz de Andrade ◽  
Luis Guilherme Rosifini Alves Rezende ◽  
Amanda Favaro Cagnolati ◽  
...  
Keyword(s):  
Systematic Review ◽  
Breast Reconstruction ◽  
Latissimus Dorsi ◽  
Donor Site ◽  
Muscle Flap ◽  
Latissimus Dorsi Muscle ◽  
Seroma Formation ◽  
Latissimus Dorsi Flap ◽  
Latissimus Dorsi Muscle Flap ◽  
Dorsi Muscle

Introdução: As falhas de cobertura nas extremidades são um grande desafio terapêutico. Dentre as várias opções disponíveis para manejo da cobertura encontra-se o retalho livre do Músculo Grande Dorsal, devido sua grande versatilidade e características anatômicas do pedículo. Objetivo: avaliação da morbidade da área doadora do retalho livre de grande dorsal. Métodos: 7 pacientes avaliados em relação a morbidade da área doadora, seja pelo componente estético, álgico e funcional (amplitude de movimento residual). Resultados: 71,4% dos pacientes repetiriam o mesmo procedimento cirúrgico se necessário. 85,7% indicariam o mesmo procedimento para outros pacientes. Discussão: Devido baixa morbidade da área doadora, o retalho livre de grande dorsal encontra-se uma excelente opção na literatura. Nossos dados corroboram com os resultados apresentados em outros estudos, porém com algumas variações na amplitude de movimento mensurada nos pacientes. Conclusões: Devido grande versatilidade e baixa morbidade na área doadora, o retalho livre de Grande Dorsal é uma excelente opção para falhas de cobertura.Descritores: Retalhos Cirúrgicos; Microcirurgia; Procedimentos Cirúrgicos Reconstrutivos.ReferênciasPederson WC. Nonmicrosurgical coverage of the upper extremity. In: Green´s Operative Hand Surgery. Wolfe SW, Hotchkiss RN, Pederson WC et al. (Org.). 7. Ed. Philadelphia: Elsevier, 2017. cap. 44, p. 1528-1573. v. 2.Jobe MT. Microcirurgia. In: Cirurgia Ortopédica de Campbell. Canale ST (Org.).  10. ed. [S.l.]: São Paulo: Manole, 2006. cap. 60, p. 3287-3371. v. 4.Spear SL, Hess CL. A review of the biomechanical and functional changes in the shoulder following transfer of the latissimus dorsi muscles. Plast Reconstr Surg. 2005;115(7):2070-73.Paolini G, Amoroso M, Pugliese P, Longo B, Santanelli F. Functional sequelae following bilateral mastectomy and immediate reconstruction with latissimus dorsi flap: medium-term follow-up. J Plast Surg Hand Surg. 2014;48(2):99-103.Benditte-Klepetko HC, Lutgendorff F, Kästenbauer T, Deutinger M, van der Horst CM. Analysis of patient satisfaction and donor-site morbidity after different types of breast reconstruction. Scand J Surg. 2014;103(4):249-55.Nagarkar P, Lakhiani C, Cheng A, Lee M, Teotia S, Saint-Cyr M. No-drain DIEP Flap Donor-site Closure Using Barbed Progressive Tension Sutures. Plast Reconstr Surg Glob Open. 2016;4(4):e672.Mannu GS, Qurihi K, Carey F, Ahmad MA, Hussien M. Quilting after mastectomy significantly reduces seroma formation. S Afr j surg.  2015;53(2):50-4.Sajid MS, Betal D, Akhter N, Rapisarda IF, Bonomi R. Prevention of postoperative seroma-related morbidity by quilting of latissimus dorsi flap donor site: a systematic review. Clin Breast Cancer. 2011;11(6):357-63.Lee KT, Mun GH. Fibrin Sealants and Quilting Suture for Prevention of Seroma Formation Following Latissimus Dorsi Muscle Harvest: A Systematic Review and Meta-analysis. Aesthetic Plast Surg. 2015;39(3):399-409.Llewellyn-Bennett R, Greenwood R, Benson JR, English R, Turner J, Rayter Z et al. Randomized clinical trial on the effect of fibrin sealant on latissimus dorsi donor-site seroma formation after breast reconstruction. Br J Surg. 2012; 99(10):1381-1388.Cheng HT, Hsu YC, Wu CI. Quilting sutures, fibrin tissue adhesive or both in reducing the incidence of seroma in the latissimus dorsi flap donor site? An evidence-based analysis. J Plast Reconstr Aesthet Surg. 2014;67(6):881-82.Lee J, Bae Y, Jung JH, Kim WW, Hwang SO, Kwon TJ et al. Effects of Quilting Suture Interval on Donor Site Seromas After Breast Reconstruction With Latissimus Dorsi Muscle Flap: A Randomized Trial. Clin Breast Cancer. 2016;16(6):e159-64.Watanabe K, Morihisa Y, Gotanda K, Kiyokawa K. A case of a chronic expanding hematoma that developed in a latissimus dorsi muscle flap donor site. J Plast Reconstr Aesthet Surg. 2013;66(6):872-74.Pyon JK, Kang BY, Mun GH, Bang SI, Oh KS, Lim SY. Extra-Abdominal Desmoid Tumor in the Donor Site of an Extended Latissimus Dorsi Flap. Arch Plast Surg. 2016;43(1):114-16.Cools AM, De Wilde L, Van Tongel A,  CeyssensC, Ryckewaert R, Cambier DC. Measuring shoulder external and internal rotation strength and range of motion: comprehensive intra-rater and inter-rater reliability study of several testing protocols. J Shoulder Elbow Surg. 2014;23(10):1454-61. Katoh M. Test-retest reliability of isometric shoulder muscle strength measurement with a handheld dynamometer and belt. J Phys Ther Sci. 2015;27(6):1719-22.Celik D, Dirican A, Baltaci G. Intrarater reliability of assessing strength of the shoulder and scapular muscles. J Sport Rehabil. 2012;21(1):1-5.Button J, Scott J, Taghizadeh R, Weiler-Mithoff E, Hart AM. Shoulder function following autologous latissimus dorsi breast reconstruction. A prospective three year observational study comparing quilting and non-quilting donor site techniques. J Plast Reconstr Aesthet Surg. 2010;63(9):1505-12.Lee KT, Mun GH. A systematic review of functional donor-site morbidity after latissimus dorsi muscle transfer. Plast Reconstr Surg. 2014;134(2):303-14.Garusi C, Manconi A, Lanni G, et al. Shoulder function after breast reconstruction with the latissimus dorsi flap: A prospective cohort study - Combining DASH score and objective evaluation. Breast. 2016;27:78-86.

scholarly journals Treatment of late solidified hematoma in back donor site after breast reconstruction with latissimus dorsi flap: report of three cases

BMC Surgery ◽  
2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Joon Seok Lee ◽  
Hyeon Jun Jeon ◽  
Jeeyeon Lee ◽  
Ho Yong Park ◽  
Jung Dug Yang
Keyword(s):  
Breast Reconstruction ◽  
Latissimus Dorsi ◽  
Donor Site ◽  
Latissimus Dorsi Flap

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

The use of OK-432 to prevent seroma in extended latissimus dorsi flap donor site after breast reconstruction

2015 ◽  
Vol 193 (1) ◽  
pp. 492-496 ◽  
Author(s):  
Yinlong Yang ◽  
Yizuo Chen ◽  
Jinmiao Qu ◽  
Xiaohua Zhang ◽  
Yifei Pan
Keyword(s):  
Breast Reconstruction ◽  
Latissimus Dorsi ◽  
Donor Site ◽  
Latissimus Dorsi Flap

scholarly journals Micro-textured silicone implants in secondary breast reconstruction after radiotherapy with latissimus dorsi flap

2019 ◽  
Vol 6 (1) ◽  
pp. 3-8
Author(s):  
Andrei Ludovic Poroșnicu ◽  
Marius Cotofana ◽  
Alina Ionela Mitcan ◽  
Ina Petrescu
Keyword(s):  
Breast Reconstruction ◽  
Latissimus Dorsi ◽  
Myocutaneous Flap ◽  
Donor Site ◽  
Silicone Implant ◽  
Latissimus Dorsi Flap ◽  
Silicone Implants ◽  
Reconstructive Procedures ◽  
Skin Paddle ◽  
Latissimus Dorsi Myocutaneous Flap

Delayed breast reconstruction after irradiated mastectomy cases includes a large series of reconstructive procedures like silicone implant/expander, numerous flaps or combined methods. Bad status of irradiated tissues needs to find a way to ensure a stable breast feature. Latissimus dorsi myocutaneous flap with implant represents one of classical methods of breast reconstruction providing a new breast with superior appearance. The aim of this paper is to present the advantages of breast reconstruction with latissimus dorsi flap and silicone-filled implant. New breast is created by combining the silicone implant placed under pectoralis major muscle and latissimus dorsi myocutaneous flap. Markings of flap is performed with the patients in standing position; first the new inframammary fold and midline and on back the skin paddle is design after a pinch test to check the amount available and the future donor site closure. It is recommended to place the incisions in transverse position so that the scar to be hidden in bra line. The study includes 84 patients who underwent breast reconstruction from April 2014 to April 2016. 57 were latissimus dorsi flap with implant and 5 from which were for salvage another breast reconstruction. The patient’s age was average between 32 and 69 years. The implants used were round shape implants, silicone filled with micro-textured shell. Combination between autologous tissue and implant offer superior appearance of new breast with shape, volume, natural ptosis and consistency similar with normal breast. Also, fast recovering and socio-professional reintegration are the benefits of this method. Analyzing different surgical option, breast reconstruction with latissimusdorsi flap and silicone implant seems to offer very good results with minimum complications in such difficult cases. This method can be suitable for almost all irradiated postmastectomy cases.

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