Summary
This article presents our experience in delayed breast reconstruction, using a combination
of latissimus dorsi muscle flap (LDMF) and tissue expander with embodiment injection
site, in a two-stage approach. A consecutive sample of 50 patients was studied. The
average length of follow up was 4 years (range 12–72 months). In all patients the
above two-stage approach was performed. The results are encouraging. Using LDMF and
tissue expansion for delayed breast reconstruction has proven to be useful. This approach
provides sufficient muscular coverage of the implant. The level of patient satisfaction
is high. Major complications are rare. The minor complications are represented mainly
by the dorsal seroma. The technique with LDMF has been improved substantially during
the past few years. In our experience, it provides the plastic surgeon with an excellent,
safe and consistently successful method for delayed breast reconstruction.
Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Journal of Plastic, Reconstructive & Aesthetic SurgeryAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- The latissimus dorsi myocutaneous flap for breast reconstruction.Chir Plast. 1977; 4: 27-34
- Breast reconstruction after radical mastectomy.Plast Reconstr Surg. 1978; 61: 682-693
- Microvascular free flap breast reconstruction.Clin Plast Surg. 1984; 11: 333-341
- Breast reconstruction with myocutaneous flaps in previously irradiated patients.Plast Reconstr Surg. 1994; 93 ([discussion, p. 470–1]): 460-469
- Ten years experience of free flaps for breast reconstruction in a Danish microsurgical center: an alternative audit.Scand J Plast Reconstr Surg Hand Surg. 2006; 40: 8-12
- The donor site morbidity of free DIEP flaps and free TRAM flaps for breast reconstruction.Br J Plast Surg. 1997; 50: 322-330
- Reconstruction with the latissimus dorsi flap after skin-sparing mastectomy.Ann Plast Surg. 2001; 46: 229-233
- DIEP and pedicled TRAM flaps: a comparison of outcomes.Plast Reconstr Surg. 2006; 117: 1711-1719
- Plastic surgery in irradiated areas: analysis of 200 consecutive cases.Eur J Surg Oncol. 1997; 23: 48-53
- A review of 120 Becker permanent tissue expanders in reconstruction of the breast.Br J Plast Surg. 1996; 49: 346-351
- Refinements in the one stage procedure for management of chronic osteomyelitis.Microsurgery. 1996; 16: 606-611
- Reconstruction of the high-risk chest wall with endoscopically assisted latissimus dorsi harvest and expander placement.Ann Plast Surg. 2000; 44: 250-258
- Autologous latissimus breast reconstruction: a 3-year clinical experience with 100 patients.Plast Reconstr Surg. 1998; 102: 1461-1478
- Preventing seroma in the latissimus dorsi flap donor site.Br J Plast Surg. 1997; 50: 106-108
- Breast reconstruction with extended latissimus dorsi flap.Plast Reconstr Surg. 1996; 97: 519-526
- Evaluation of late results in breast reconstruction by latissimus dorsi flap and prosthesis implantation.Plast Reconstr Surg. 2006; 117: 1387-1394
- Functional evaluation of latissimus dorsi donor site.Plast Reconstr Surg. 1986; 78: 336-344
- Autologous latissimus breast reconstruction in association with the abdominal advancement flap. A new refinement in breast reconstruction.Ann Plast Surg. 1999; 42: 67-75
- Comparison of strategies for preventing abdominal wall weakness after TRAM flap breast reconstruction.Plast Reconstr Surg. 1992; 89 ([discussion, p. 1052–3]): 1045-1051
- Latissimus dorsi flap remains an excellent choice for breast reconstruction.Ann Plast Surg. 2006; 56: 31-35
- Latissimus dorsi breast reconstruction utilizing functional muscle transfer and tissue expansion.Ann Plast Surg. 2006; 56: 36-39
- The latissimus dorsi musculocutaneous flap: a one-stage breast reconstruction.Clin Plast Surg. 1980; 7: 71-78
Article info
Publication history
Published online: February 02, 2007
Accepted:
November 27,
2006
Received:
April 28,
2006
Identification
Copyright
© 2006 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Inc. All rights reserved.