Pedicle damage is a rare complication of latissimus dorsi (LD) flap breast reconstruction. We report a case of accidental avulsion of the vascular pedicle of a totally autologous (extended) LD flap during immediate breast reconstruction in a patient who had previously undergone contralateral breast reconstruction with a pedicled TRAM flap based on the opposite superior epigastric vessels. The intra-operative strategy to salvage the avulsed LD flap by conversion to a free flap while not compromising the contralateral breast reconstruction is discussed.
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 access
One-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 Surgery
Already a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
- Reconstruction of the breast.Acta Chir Belg. 1980; 79: 125-129
- Reconstructive surgery: principles, anatomy and technique.Churchill Livingstone Inc, New York, NY1997
- Vascular pedicle avulsion in free flap breast reconstruction: a case of diep flap salvage following early avulsion of venous anastomosis and literature review.Microsurgery. 2010; 30: 233-237
- Complications of latissimus dorsi myocutaneous flap breast reconstruction.Eur J Surg Oncol. 1998; 24: 162-165
- True incidence of all complications following immediate and delayed breast reconstruction.Plast Reconstr Surg. 2008; 122: 19-28
Published online: March 05, 2012
Accepted: January 26, 2012
Received: August 8, 2011
© 2012 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Inc. All rights reserved.