Research Article| Volume 65, ISSUE 12, P1660-1663, December 2012

Microsurgical reconstruction of complicated extended latissimus dorsi flap donor sites: A report of three cases


      The latissimus dorsi (LD) flap and its extended version are popular choices for reconstruction of the breast after mastectomy. Donor site complications such as seroma and wound dehiscence are relatively common with these flaps; however, severe donor site healing problems requiring major surgical intervention are not reported in the literature.
      We report three breast reconstructions with extended LD flaps in which the patients had severe healing problems of the donor site. Simpler, routine measures failed and free tissue transfer was necessary to achieve healing.


      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 to Journal of Plastic, Reconstructive & Aesthetic Surgery
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • De Mey A.
        • Lejour M.
        • Declety A.
        • Meythiaz A.M.
        Late results and current indications of latissimus dorsi breast reconstructions.
        Br J Plast Surg. 1991 Jan; 44: 1-4
        • Moore T.S.
        • Farrell L.D.
        Latissimus dorsi myocutaneous flap for breast reconstruction: long-term results.
        Plast Reconstr Surg. 1992; 89: 666
        • Delay E.
        • Gounot N.
        • Bouillot A.
        • Zlatoff P.
        • Rivoire M.
        Autologous latissimus breast reconstruction: a 3-year clinical experience with 100 patients.
        Plast Reconstr Surg. 1998; 102: 1461-1478
        • Germann G.
        • Steinau H.U.
        Breast reconstruction with the extended latissimus dorsi flap.
        Plast Reconstr Surg. 1996; 97: 519-526
        • Bostwick III, J.
        • Vasconez L.O.
        • Jurkiewicz M.J.
        Breast reconstruction after radical mastectomy.
        Plast Reconstr Surg. 1978; 61: 682
        • Tarantino I.
        • Banic A.
        • Fischer T.
        Evaluation of late results in breast reconstruction by latissimus dorsi flap and prosthesis implantation.
        Plast Reconstr Surg. 2006; 117: 1387-1394
        • Hokin J.A.
        Mastectomy reconstruction without a prosthetic implant.
        Plast Reconstr Surg. 1983; 72: 810
        • McCraw J.B.
        • Papp C.
        • Edwards A.
        • McMellin A.
        The autogenous latissimus breast reconstruction.
        Clin Plast Surg. 1994; 21: 279
        • Barnett G.
        • Gianoutsos M.P.
        The latissimus dorsi added fat flap for natural tissue breast reconstruction: report of 15 cases.
        Plast Reconstr Surg. 1996; 97: 63-70
        • Chang D.W.
        • Youssef A.
        • Cha S.
        • Reece G.P.
        Autologous breast reconstruction with the extended latissimus dorsi flap.
        Plast Reconstr Surg. 2002; 110: 751-759