Mastectomy with Immediate Latissimus Dorsi Flap Reconstruction

Authors

  • Chayanoot Rattadilok Department of Surgery, Nopparatrajathanee Hospital, Bangkok, Thailand
  • Prakasit Chirappapha Department of Surgery, Faculty of Medicine, Ramathibodi Hospital, Mahidol University Bangkok, Thailand
  • Prapa Rattadilok School of Computer Science, University of Nottingham Ningbo China

Keywords:

Extended latissimus dorsi flap, Latissimus dorsi flap with prosthesis, Flap complication, Breast reconstruction, Donor site seroma

Abstract

Latissimus dorsi (LD) muscle is often used for breast reconstruction in cancer patients, i.e. a breast conserving therapy (BCT) or a mastectomy, often in combination with a breast implant or a tissue expander. The shape of the reconstructed breasts using LD flap with breast implant may look like natural breasts, but may slightly impact shoulder movements, particularly in the extension and the adduction of the shoulder. With the appropriate choice of surgical methods, postoperative complications are minimal and a fast recovery can be expected. In the present article we review the techniques of breast reconstruction with the LD flap in patients with breast cancer undergoing mastectomy, using illustrative cases, as well as detailing the indications, technical pitfalls, and avoidance of complications.

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Published

2020-06-30

How to Cite

1.
Rattadilok C, Chirappapha P, Rattadilok P. Mastectomy with Immediate Latissimus Dorsi Flap Reconstruction. Thai J Surg [Internet]. 2020 Jun. 30 [cited 2024 Dec. 13];41(2):52-64. Available from: https://he02.tci-thaijo.org/index.php/ThaiJSurg/article/view/240114

Issue

Section

Surgical Techniques