Mastectomy with Immediate Latissimus Dorsi Flap Reconstruction
Keywords:
Extended latissimus dorsi flap, Latissimus dorsi flap with prosthesis, Flap complication, Breast reconstruction, Donor site seromaAbstract
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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