Breast Reconstruction with Latissimus Dorsi Flap
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Abstract
The latissimus dorsi flap (LDF) is a surgical procedure employed by surgeons to reconstruct several types of breast cancer surgical defects, including modified radical mastectomy, quadrantectomy, and lumpectomy. The LDF can be used as a standalone autogenous flap, in combination with immediate implant-based reconstruction, in combination with tissue expanders for a phased reconstruction, or in either scenario, either immediately or at a later time. The LDF (Latissimus Dorsi Flap) is a reliable choice for soft tissue coverage during breast reconstruction, providing both form and function while minimizing potential complications in the short and long term. In cases of limited tissue availability, the LDF can assist by supplying additional tissue volume for autologous reconstruction. Additionally, it can function as a reliable vascular pedicle for implant-based healing in cases when the tissue has been exposed to radiation.
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References
I. Palve, J., Luukkaala, T., & Kääriäinen, M. (2022). Comparison of different techniques in latissimus dorsi breast reconstruction: plain, immediately lipofilled, and implant enhanced. Annals of Plastic Surgery, 88(1), 20-24.
II. Kokosis, G., Khavanin, N., & Nahabedian, M. Y. (2019). Latissimus dorsi musculocutaneous flap for complex breast reconstruction: indications, outcomes and a proposed algorithm. Plastic and Reconstructive Surgery Global Open, 7(8).
III. Banys-Paluchowski, M., Brus, L., Krawczyk, N., Kopperschmidt, S. V., Gasparri, M. L., Bündgen, N., ... & Paluchowski, P. (2024). Latissimus dorsi flap for breast reconstruction: a large single-institution evaluation of surgical outcome and complications. Archives of Gynecology and Obstetrics, 309(1), 269-280.
IV. Merkkola-von Schantz, P. A., & Kauhanen, M. S. C. (2022). The versatile latissimus dorsi flap: old and reliable or outmoded—with or without an add on?. Annals of Breast Surgery, 6.
V. Lee, H. C., Lee, J., Park, S. H., & Yoon, E. S. (2021). The hybrid latissimus dorsi flap in immediate breast reconstruction: a comparative study with the abdominal-based flap. Annals of Plastic Surgery, 86(4), 394-399.
VI. Myers, P. L., Tang, S. Y., Saad, N. H., & Momoh, A. O. (2023). Management after flap failure: a narrative review.
VII. Cho, M. J., Slater, C. A., Skoracki, R. J., & Chao, A. H. (2023). Building Complex Autologous Breast Reconstruction Program: A Preliminary Experience. Journal of Clinical Medicine, 12(21), 6810.