1,155 results match your criteria Breast Reconstruction Latissimus Flap


Patient satisfaction in one-stage immediate breast reconstruction after mastectomy: A multi-center comparative patient evaluation of prosthesis, LDMF, and TRAM techniques.

Medicine (Baltimore) 2020 May;99(22):e19991

Department of Breast Surgery, Tianjin Medical University Cancer Institute and Hospital, Tianjin, China.

To analyze patient satisfaction and the predictive factors characterizing three types of one-stage immediate breast reconstruction (IBR) after mastectomy, including prosthesis, latissimus dorsi myocutaneous flap (LDMF), transverse rectus abdominis myocutaneous (TRAM) flap techniques.Data were collected via face-to-face or telephone interviews from eight breast centers in China from January 2012 to December 2016. A standardized questionnaire that evaluated the general satisfaction and aesthetic satisfaction was sent to patients who had undergone IBR. Read More

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http://dx.doi.org/10.1097/MD.0000000000019991DOI Listing
May 2020
5.723 Impact Factor

Robotic-assisted latissimus dorsi muscle flap for autologous chest reconstruction in poland syndrome.

J Plast Reconstr Aesthet Surg 2020 Jan 31. Epub 2020 Jan 31.

Department of Plastic Surgery, Korea University College of Medicine, Seoul, South Korea.

Background: As chest reconstructions in Poland syndrome are performed for patients at young ages, patients are generally concerned about conspicuous scars. Meanwhile, a robotic-assisted latissimus dorsi (LD) muscle harvest with inconspicuous scars has been performed for autologous breast reconstruction. As our experience with robotic-assisted LD flap harvest has increased over the years, we have made improvements in surgical techniques to optimize results. Read More

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http://dx.doi.org/10.1016/j.bjps.2020.01.030DOI Listing
January 2020

The Reconstruction after a Giant Phyllodes Tumor Resection Using a DIEP Flap.

Plast Reconstr Surg Glob Open 2020 Apr 27;8(4):e2760. Epub 2020 Apr 27.

Department of Plastic and Reconstructive Surgery, Cancer Institute Hospital of Japanese Foundation for Cancer Research, Tokyo, Japan.

A phyllodes tumor of the breast is a rare neoplasm, accounting for 0.3%-1% of all breast cancers. The size is 4-5 cm on average but sometimes the tumor grows more and involves the entire breast. Read More

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http://dx.doi.org/10.1097/GOX.0000000000002760DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7209875PMC

Robotic Nipple-Sparing Mastectomy and Immediate Breast Reconstruction With Robotic Latissimus Dorsi Flap Harvest: Technique and Results.

Surg Innov 2020 May 18:1553350620917916. Epub 2020 May 18.

Paoli Calmettes Institute and CRCM, CNRS, INSERM, Aix Marseille Université, Marseille, Provence-Alpes-Côte d'Azu, France.

. Only few cases of robotic latissimus dorsi flap reconstruction (RLDFR) have been reported in indication of reconstruction for breast cancer (BC). We report our experience of combined robotic nipple-sparing mastectomy (R-NSM) and RLDFR, and analyze technique, indications, and reproducibility. Read More

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http://dx.doi.org/10.1177/1553350620917916DOI Listing

[A Case of Axillary Accessory Breast Cancer Treated via Latissimus Dorsi Musculocutaneous Flap Reconstruction].

Gan To Kagaku Ryoho 2020 Feb;47(2):343-345

Dept. of Breast Surgery, Tokyo Medical and Dental University.

A 46-year-old woman visited our hospital with the chief complaint of left axillary mass enlargement, which she had been aware of for 8 years. Palpation revealed that the mass was 15mm in size. Redness and gathering of the skin were also observed. Read More

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February 2020

Invited Response on: 'Breast Reconstruction in Poland Syndrome Patients with Latissimus Dorsi Myo Flap and Implant: An Efficient Endoscopic Approach Using Single Transverse Axillary Incision'.

Aesthetic Plast Surg 2020 May 5. Epub 2020 May 5.

Department of Aesthetic and Reconstructive Breast Surgery, Plastic Surgery Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, No. 33 Ba-Da-Chu Road, Shi-Jing-Shan District, Beijing, 100144, China.

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http://dx.doi.org/10.1007/s00266-020-01740-zDOI Listing

Comparison of breast cancer patients who underwent partial mastectomy (PM) with mini latissimus dorsi flap (MLDF) and subcutaneous mastectomy with implant (M + I) regarding quality of life (QOL), cosmetic outcome and survival rates.

World J Surg Oncol 2020 May 5;18(1):87. Epub 2020 May 5.

Department of Surgery, Miller School of Medicine, University of Miami, Miami, Florida, USA.

Purpose: The latissimus dorsi muscle has long been used in breast cancer (BC) patients for reconstruction. This study aimed to compare early stage BC patients who had partial mastectomy (PM) with mini latissimus dorsi flap (MLDF) and subcutaneous mastectomy with implant (MI) with respect to quality of life (QoL), cosmetic outcome (CO), and survival rates.

Patients And Methods: The data of patients who underwent PM + MLDF (Group 1) and M + I (Group 2) between January 2010 and January 2018 were evaluated. Read More

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http://dx.doi.org/10.1186/s12957-020-01858-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7201547PMC
May 2020
1.200 Impact Factor

Reducing the seroma volume by quilting suture after breast reconstruction with a latissimus dorsi flap: Single institutional experience.

Bull Cancer 2020 May 28;107(5):543-550. Epub 2020 Apr 28.

Centre Oscar Lambret, breast surgery unit, 3, rue Combemale, 59020 Lille cedex, France. Electronic address:

Introduction: After breast reconstruction (BR) with latissimus dorsi flap (LDF) postoperative seroma is a frequent source of functional discomfort. The aim of this study was to evaluate the quilting suture on reducing the seroma volume by reducing the dead space created by LDF harvest for BR.

Material And Methods: This retrospective monocenter study was designed to compare patients who underwent BR using LDF with or without quilting suture. Read More

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http://dx.doi.org/10.1016/j.bulcan.2020.03.006DOI Listing

Comparison of the Pedicled Latissimus Dorsi flap with Immediate Fat (LIFT) Transfer versus Abdominally-Based Free Tissue Transfer for Breast Reconstruction.

Plast Reconstr Surg 2020 Apr 28. Epub 2020 Apr 28.

Department of Plastic and Reconstructive Surgery, MedStar Georgetown University Hospital, Washington D.C.

Purpose: Abdominally-based free tissue transfer (FTT) and latissimus dorsi and immediate fat transfer (LIFT) procedures are both fully autologous options for breast reconstruction. The former is specialized and requires comfort with microsurgical technique while the LIFT combines a common set of techniques familiar to all plastic surgeons. Comparison of the two methods for clinical effectiveness and complications for equivalency in outcomes may help elucidate and enhance patient decision making. Read More

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http://dx.doi.org/10.1097/PRS.0000000000007027DOI Listing

Current Status and Factors Influencing Surgical Options for Breast Cancer in China: A Nationwide Cross-Sectional Survey of 110 Hospitals.

Oncologist 2020 Apr 25. Epub 2020 Apr 25.

Department of Breast Surgery, Shanghai Cancer Center, Shanghai Medical College, Fudan University, Shanghai, People's Republic of China.

Background: There are limited nationwide data regarding breast cancer surgery in China. The Chinese Anti-Cancer Association's Committee of Breast Cancer Society and the Chinese Society of Breast Surgeons conducted a nationwide survey to examine the use of and barriers associated with surgical options among patients with breast cancer.

Methods: Surveys were sent via e-mail to the directors of 110 centers that performed at least 200 breast cancer operations in 2017. Read More

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http://dx.doi.org/10.1634/theoncologist.2020-0001DOI Listing

Recurrent late seroma after immediate breast reconstruction with latissimus dorsi musculocutaneous flap.

Arch Plast Surg 2020 May 10;47(3):267-271. Epub 2020 Apr 10.

Busan Cancer Center, Pusan National University Hospital, Busan, Korea.

The latissimus dorsi musculocutaneous flap (LDMCF) is widely used for breast reconstruction. However, it has the disadvantage of frequent seroma formation at the donor site, and late seroma has also been reported. The authors report histological findings after the surgical treatment of a late, repeatedly recurrent seroma at 10 years after breast reconstruction with LDMCF. Read More

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http://dx.doi.org/10.5999/aps.2019.00402DOI Listing

Volumetric change of the latissimus dorsi muscle after postoperative radiotherapy in immediate breast reconstruction with an extended latissimus dorsi musculocutaneous flap.

Arch Plast Surg 2020 Mar 15;47(2):135-139. Epub 2020 Mar 15.

Department of Plastic and Reconstructive Surgery, Pusan National University School of Medicine, Yangsan, Korea.

Background: This study aimed to determine the magnitude of volume reduction of the latissimus dorsi (LD) muscle after treatment using only postoperative radiotherapy (PORTx) in patients who underwent immediate breast reconstruction using an extended LD musculocutaneous (eLDMC) flap after partial mastectomy.

Methods: We retrospectively reviewed 28 patients who underwent partial mastectomy and an eLDMC flap, received only PORTx, and underwent chest computed tomography (CT) 7 to 10 days after surgery and 18±4 months after the end of radiotherapy, from March 2011 to June 2016. The motor nerve to the LD was resected in all patients. Read More

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http://dx.doi.org/10.5999/aps.2019.01361DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7093266PMC

The traditional versus endoscopic-assisted latissimus dorsi harvest in oncoplastic surgery: A long term comparison of breast volume, aesthetics, and donor site outcomes.

Asian J Surg 2020 Mar 17. Epub 2020 Mar 17.

Department of Plastic and Reconstructive Surgery, Yonsei University College of Medicine, Seoul, South Korea. Electronic address:

Background/objective: Volume replacement with the latissimus dorsi (LD) is an option for patients after partial mastectomy. Although potential benefits of using the endoscopic technique have been previously described, previous studies have not assessed long term volume and aesthetic outcomes compared to traditional methods. In this study, we aim to compare the endoscopic, latissimus only harvest to the traditional latissimus with skin paddle method. Read More

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http://dx.doi.org/10.1016/j.asjsur.2020.03.002DOI Listing

Response to letter: The muscle sparing latissimus dorsi (MSLD) flap for secondary breast reconstruction based on reverse flow from intercostal vessels.

J Plast Reconstr Aesthet Surg 2020 May 30;73(5):983-1007. Epub 2020 Jan 30.

Department of Plastic and Reconstructive Surgery, Cleveland Clinic Florida, Weston, FL, USA; Memorial Regional Hospital, Hollywood, FL, USA.

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http://dx.doi.org/10.1016/j.bjps.2020.01.001DOI Listing

Cook-Swartz Doppler Probe Surveillance for Free Flaps-Defining Pros and Cons.

Surg J (N Y) 2020 Jan 3;6(1):e42-e46. Epub 2020 Mar 3.

Department of Plastic, Aesthetic, Reconstructive and Hand Surgery, Agaplesion Diakonieklinikum Rotenburg, Rotenburg (Wümme), Germany.

 The main postoperative complication of free flaps is perfusion compromise. Urgent intervention is critical to increase the chances of flap survival. Invasive flap perfusion monitoring with direct blood flow feedback through the Cook-Swartz Doppler probe could enable earlier detection of perfusion complications. Read More

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http://dx.doi.org/10.1055/s-0040-1702922DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7054061PMC
January 2020

Robotic Surgery: A Novel Approach for Breast Surgery and Reconstruction.

Plast Reconstr Surg Glob Open 2020 Jan 29;8(1):e2578. Epub 2020 Jan 29.

Division of Surgery and Interventional Science, University College London, Royal Free Hospital, London, UK.

Breast cancer is the most prevalent cancer and second leading cause of cancer-related deaths in both the US and UK female population, a prominent cause of morbidity and cost to both health services. All surgically fit patients are offered breast reconstruction following the initial surgery, and this is traditionally an open approach: either implant-based or an autologous tissue flap. Both lead to scarring that is difficult to conceal. Read More

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http://dx.doi.org/10.1097/GOX.0000000000002578DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7015621PMC
January 2020

Timing between Breast Reconstruction and Oncologic Mastectomy-One Center Experience.

Medicina (Kaunas) 2020 Feb 20;56(2). Epub 2020 Feb 20.

Department of Plastic and Reconstructive Surgery, Faculty of Medicine "Carol Davila" University of Medicine and Pharmacy, 020021 Bucharest, Romania.

Breast cancer is the most common cancer in women. The immunohistochemical profile, but also the stage of the tumor determines the therapeutic management, which varies from conservative surgery to mastectomy associated with chemotherapy, hormonal and biological therapy and/or radiotherapy. Mastectomy remains one of the most radical surgical intervention for women, having great consequences on quality of life, which can be improved by realizing immediate or delayed breast reconstruction. Read More

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http://dx.doi.org/10.3390/medicina56020086DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7073902PMC
February 2020

Thoracic Wall Reconstruction: Surgical Planning in Extended Malignant Resections.

Ann Plast Surg 2020 Feb 19. Epub 2020 Feb 19.

From the Department of Plastic Surgery, Erasto Gaertner Hospital.

Introduction: The reconstruction of defects in thoracic wall remains a challenge for plastic surgeons. Advances in surgical treatment of illnesses of thoracic wall have been fostering the treatment of lesions within more advanced levels. Consequently, larger and more complex defects are generated, demanding soft tissue covering and framework repair. Read More

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http://dx.doi.org/10.1097/SAP.0000000000002298DOI Listing
February 2020

Shaping an Anatomical Breast Using Extended Latissimus Dorsi Flap and Lipofilling in Immediate Breast Reconstruction.

Ann Plast Surg 2020 Feb 7. Epub 2020 Feb 7.

From the Department of Plastic Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

Background: Although many attempts have been made to augment the volume of the latissimus dorsi (LD) myocutaneous flap in breast reconstruction, only a few studies on the shaping of the LD flap to achieve a natural native breast have been conducted. We introduce our novel method to reconstruct a naturally shaped breast by combining an extended LD myocutaneous flap with immediate lipofilling.

Methods: The patients who underwent an immediate unilateral breast reconstruction with an extended LD myocutaneous flap and lipofilling were retrospectively reviewed. Read More

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http://dx.doi.org/10.1097/SAP.0000000000002295DOI Listing
February 2020

Immediate Latissimus Dorsi and Prosthetic Reconstruction in the Setting of Postmastectomy Radiation: An Analysis of 376 Breast Reconstructions.

Ann Plast Surg 2020 Jun;84(6S Suppl 5):S364-S368

Grotting & Cohn Plastic Surgery, Birmingham, AL.

Background: In immediate breast reconstruction, the plastic surgeon must strive to create an aesthetically pleasing result while minimizing complications. The latissimus dorsi (LD) myocutaneous flap has long been used a workhorse flap in breast reconstruction. Often times, it is used a salvage flap after other methods of breast reconstruction have failed. Read More

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http://dx.doi.org/10.1097/SAP.0000000000002279DOI Listing

Lipofilled Mini Dorsi Flap: An Efficient Less Invasive Concept for Immediate Breast Reconstruction.

Ann Plast Surg 2020 Feb 5. Epub 2020 Feb 5.

From the Breast European Institute des Deux Rives, Strasbourg, France.

Introduction: The traditional extended latissimus dorsi flap technique, in addition to lipofilling, has been one of the main procedures used for breast reconstruction after mastectomy. However, to obtain excellent results, this technique requires a large muscle harvest and further lipofilling sessions. The lipofilled mini dorsi flap technique, performed in a single operation, appealed to us as a way to improve the traditional technique. Read More

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http://dx.doi.org/10.1097/SAP.0000000000002237DOI Listing
February 2020

Re: The muscle sparing latissimus dorsi (MSLD) flap for secondary breast reconstruction based on reverse flow from intercostal vessels.

J Plast Reconstr Aesthet Surg 2020 May 20;73(5):983-1007. Epub 2020 Jan 20.

The Department of Oncoplastic Breast and Plastic Reconstructive Surgery, The Royal Marsden Hospital, Downs Road, Sutton, Surrey, United Kingdom.

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http://dx.doi.org/10.1016/j.bjps.2019.11.065DOI Listing

Immediate breast reconstruction with latissimus dorsi flap for patients with local recurrence of breast cancer.

Eur J Surg Oncol 2020 Jun 11;46(6):1013-1020. Epub 2020 Jan 11.

Multimedica, Milan, Italy.

Background: Ipsilateral breast cancer recurrence (IBTR) occurs in about 7% of patients with primary invasive breast tumor. Salvage mastectomy and breast reconstruction are often discussed and latissimus dorsi (LD) flap is frequently proposed.

Methods: We retrospectively investigated 111 consecutive locally relapsing patients who underwent salvage mastectomy and immediate LD reconstruction. Read More

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http://dx.doi.org/10.1016/j.ejso.2020.01.015DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7180348PMC

Acellular Dermal Matrix Performance Compared with Latissimus Dorsi Myocutaneous Flap in Expander-Based Breast Reconstruction.

Plast Reconstr Surg Glob Open 2019 Sep 30;7(9):e2414. Epub 2019 Sep 30.

Department of Plastic Surgery, Vanderbilt University Medical Center, Nashville, Tenn.

Latissimus dorsi myocutaneous flap (LDMF) with tissue expander provides excellent results in breast reconstruction. Acellular dermal matrix (ADM) has been used in expander-based reconstruction (EBR) with good results. This study assesses how ADM compares to LDMF in EBR. Read More

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http://dx.doi.org/10.1097/GOX.0000000000002414DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6908382PMC
September 2019

Latissimus Dorsi Myocutaneous Flap in Immediate Reconstruction after Salvage Mastectomy Post-Lumpectomy and Radiation Therapy.

Plast Reconstr Surg Glob Open 2019 Jul 5;7(7):e2296. Epub 2019 Jul 5.

Breast Surgical Unit, University Hospital of Parma, Parma, PR, Italy.

Breast reconstruction after salvage mastectomy (SM) for recurrent cancer represents a challenge in preradiated patients due to the increased complication rate. Latissimus dorsi myocutaneous flap (LDMF) represents a good reconstructive option due to its versatility, safety, and adaptability.

Methods: Fifty-nine patients treated in the Breast Surgery Unit at the University Hospital of Parma (Italy) between January 2010 and December 2017 for ipsilateral breast recurrent cancer, previously treated by partial mastectomy plus whole-breast radiation therapy, were analyzed. Read More

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http://dx.doi.org/10.1097/GOX.0000000000002296DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6952149PMC

Lower rates of lipofilling sessions in latissimus dorsi flap breast reconstruction with initial higher volume transfer by preservation of subfascial fat: A 3D camera-assisted volumetric case series.

J Plast Reconstr Aesthet Surg 2020 Apr 4;73(4):681-689. Epub 2019 Dec 4.

Department of Plastic, Reconstructive and Aesthetic Surgery Hospital Tenon, Paris, France.

Breast reconstruction with latissimus dorsi flap (LDF) is a well-known technique, but the crucial goal is to achieve a satisfying final volume restoration. Our hypothesis is that LDF reconstruction with the preservation of subfascial fat can achieve a higher volume in a one-time procedure than that achieved in a classic LDF harvest. The aim of the study was to quantify the volume resorption in LDF reconstructions with the preservation of subfascial fat. Read More

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http://dx.doi.org/10.1016/j.bjps.2019.11.002DOI Listing

Thoracodorsal Artery Perforator and Superior Epigastric Artery Perforator Flaps for Volume Replacement Oncoplastic Breast Surgery.

Indian J Plast Surg 2019 Sep 26;52(3):304-308. Epub 2019 Dec 26.

Department of Plastic and Reconstructive Surgery, Tata Memorial Hospital, Homi Bhabha National Institute, Mumbai, Maharashtra, India.

 Breast conservation therapy (BCT) and oncoplastic breast surgery (OBS) are now established modalities of treatment for breast cancer, with proven oncological safety. Traditionally, latissimus dorsi (LD) flaps have been the one-stop solution workhorse when volume replacement is needed. We present our experience with thoracodorsal artery perforator (TDAP) and superior epigastric artery perforator (SEAP) flaps. Read More

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http://dx.doi.org/10.1055/s-0039-3400688DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6938437PMC
September 2019

Additional high-vacuum suction with quilting suture decreases the total drainage volume from the donor site of the extended latissimus dorsi flap after breast reconstruction.

J Plast Reconstr Aesthet Surg 2020 Apr 29;73(4):783-808. Epub 2019 Nov 29.

Department of Plastic and Reconstructive Surgery, Osaka Medical College, 2-7 Daigakucho, Takatsuki city, Osaka 569-8686, Japan.

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http://dx.doi.org/10.1016/j.bjps.2019.11.022DOI Listing

Two-stage prosthetic breast reconstruction with latissimus flap: Prepectoral versus subpectoral approach.

J Plast Reconstr Aesthet Surg 2020 Mar 8;73(3):501-506. Epub 2019 Nov 8.

Division of Plastic Surgery and Surgical Oncology, University of Massachusetts Medical School, Worcester, MA, United States.

Background: Use of latissimus flap in prosthetic breast reconstruction after mastectomy is an established approach, particularly in patients who have failed breast-conserving therapy. This study presents a comparison of the prepectoral and the subpectoral approach for two-stage prosthetic breast reconstruction with a latissimus flap.

Methods: A retrospective review of outcomes and complications was completed between the prepectoral group (n = 33 patients, 50 reconstructed breasts) and the subpectoral group (n = 22 patients, 36 reconstructed breasts). Read More

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http://dx.doi.org/10.1016/j.bjps.2019.10.021DOI Listing

A Study on Breast Reconstruction in a Developing Country: A Comprehensive Evaluation of the Techniques and Oncologic Outcomes.

Ann Plast Surg 2020 May;84(5):512-517

Division of Pulmonary, Allergy and Critical Care Medicine, Department of Medicine, University of Pittsburgh, Pittsburgh, PA.

Background: Breast cancer, with an incidence of 33.2 per 100,000 in Iranian population, is considered as the most common cancer in Iranian women. Nowadays, with the increasing survival rates, breast reconstruction has been integrated into surgical techniques of breast cancer treatment. Read More

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http://dx.doi.org/10.1097/SAP.0000000000002125DOI Listing

Immediate versus Delayed Contralateral Breast Symmetrisation in Breast Reconstruction with Latissimus dorsi Flap: A Comparative Study.

Breast Care (Basel) 2019 Oct 17;14(5):272-276. Epub 2019 Sep 17.

Department of Plastic and General Surgery, Turku University Hospital and the University of Turku, Turku, Finland.

To achieve symmetry in unilateral free flap breast reconstruction often requires a contralateral procedure. There is no evidence in the literature to support the benefit of immediate contralateral breast symmetrisation concomitant to breast reconstruction. We hypothesized that performing a simultaneous contralateral balancing operation at the time as the initial reconstruction might provide immediate symmetry and minimize the frequency of secondary procedures. Read More

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http://dx.doi.org/10.1159/000502769DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6883469PMC
October 2019

Oncoplastic Volume Replacement for Breast Cancer: Latissimus Dorsi Flap versus Thoracodorsal Artery Perforator Flap.

Plast Reconstr Surg Glob Open 2019 Oct 30;7(10):e2476. Epub 2019 Oct 30.

General Surgery Department, Faculty of Medicine, Benha University, Al Qalyubia, Egypt.

Background: Volume replacement oncoplastic breast techniques have become one of the standard lines in the treatment of early breast cancer. They have better cosmetic outcome and patient satisfaction. Latissimus dorsi (LD) flap is one of the most commonly used flaps for these techniques. Read More

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http://dx.doi.org/10.1097/GOX.0000000000002476DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6846317PMC
October 2019

Pedicled local flaps: a reliable reconstructive tool for partial breast defects.

Gland Surg 2019 Oct;8(5):527-536

Plastic and Reconstructive Surgery Division, Good Hope Hospital, University Hospitals Birmingham NHS Trust, Birmingham, UK.

Background: Breast conserving surgery (BCS) followed by radiotherapy has gained great popularity in the treatment of breast cancer over the past years. However, radiation therapy can lead to many unfavourable aesthetic outcomes including significant volume/skin deficiency, nipple areola complex distortion and skin contraction. We present our experience in using pedicled perforator flaps to tackle the resultant partial breast defects or deformities. Read More

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http://dx.doi.org/10.21037/gs.2019.09.06DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6842754PMC
October 2019

Volumetric changes of the latissimus dorsi muscle after postoperative chemotherapy in cases of immediate breast reconstruction with an extended latissimus dorsi musculocutaneous flap and implant.

Gland Surg 2019 Oct;8(5):501-506

Department of Surgery and Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Yangsan, Republic of Korea.

Background: This study aimed to evaluate the volume reduction of latissimus dorsi muscle in patients who underwent immediate breast reconstruction using extended latissimus dorsi musculocutaneous (eLDMC) flap with implant after skin/nipple sparing mastectomy (SSM/NSM) and postoperative chemotherapy (POCTx).

Methods: We retrospectively reviewed clinical records of 19 patients who underwent this surgery with POCTx, and checked chest computer tomography (CT) at 7-10 days after surgery and 6-14 months after the end of chemotherapy, from May 2015 to October 2016. The motor nerve to latissimus dorsi muscle was severed in all patient. Read More

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http://dx.doi.org/10.21037/gs.2019.09.01DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6842757PMC
October 2019

Visualized bilateral breast reconstruction by propeller thoracodorsal artery perforator flaps.

Gland Surg 2019 Oct;8(Suppl 4):S262-S270

Department of Plastic Surgery, Lillebaelt Hospital & Odense University Hospital, Vejle, Denmark.

Thoracodorsal artery perforator (TAP) flaps are versatile flaps that provide a consistent and aesthetically pleasing breast reconstruction. We prefer the TAP flap to the latissimus dorsi (LD) flap due to the morbidity associated with the LD flap. In this paper we aim to show how we perform bilateral TAP flap breast reconstruction and present our preliminary results from 32 bilateral reconstructions in 16 patients. Read More

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http://dx.doi.org/10.21037/gs.2019.04.05DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6819882PMC
October 2019

Skin sparing mastectomy and robotic latissimus dorsi-flap reconstruction through a single incision.

World J Surg Oncol 2019 Nov 2;17(1):176. Epub 2019 Nov 2.

Department of Surgical Oncology, Paoli Calmettes Institute, Marseille, France.

Background: Robotic latissimus dorsi-flap reconstruction (RLDFR) after skin-sparing mastectomy (SSM) for breast cancer (BC) has been performed through a single nipple incision. We report results of SSM with RLDFR, mainly with analysis of feasibility, morbidity, indications, and technique standardization.

Methods: We determined characteristics of patients, previous treatment of BC, and type of reconstruction. Read More

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http://dx.doi.org/10.1186/s12957-019-1711-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6825710PMC
November 2019

Revisiting the musculocutaneous external oblique flap as a versatile alternative in large thoracic wall defects.

Surg Case Rep 2019 Oct 22;5(1):148. Epub 2019 Oct 22.

Division of Plastic and Reconstructive Surgery, Reading Hospital, Reading, PA, USA.

Background: The external oblique myocutaneous flap has been previously described for reconstruction of chest-thoracic wall defects smaller than 400-500 cm. However, it is utilized less often than workhorse flaps such as the omental, pectoralis, rectus abdominis, and latissimus dorsi myocutaneous flaps as many plastic surgeons are not aware that the flap can cover larger areas than previously documented.

Case Presentation: We report a 57-year-old female tobacco user who underwent a resection of a grade 3 breast angiosarcoma resulting in a high left chest wall soft tissue defect approximating 900 cm. Read More

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http://dx.doi.org/10.1186/s40792-019-0708-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6805842PMC
October 2019
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Using KISS Flaps in a Chest Wall Reconstruction After Mastectomy for Locally Advanced Breast Cancer: A New Technique.

Surg Innov 2020 Feb 20;27(1):5-10. Epub 2019 Oct 20.

Binzhou Medical University Hospital, Binzhou, Shandong, People's Republic of China.

This study described a technique for the reconstruction of large lateral thoracic defects after local advanced breast cancer resection that allows for complete cover of the defect and primary closure of the donor site. The authors performed reconstruction using the newly designed KISS flap in 2 women for coverage of their large skin defect (15 × 13 cm each) following mastectomies with extensive tissue resection. The KISS flap consisting of 2 skin islands (marked Flap A and Flap B; 15 × 6 cm each) was designed and transferred to the thoracic defect through the subcutaneous tunnel, and based on the same vessel. Read More

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http://dx.doi.org/10.1177/1553350619877299DOI Listing
February 2020
1 Read
1.338 Impact Factor

Oncological Safety of Lipofilling in Healthy BRCA Carriers After Bilateral Prophylactic Mastectomy: A Case Series.

Eur J Breast Health 2019 Oct 1;15(4):217-221. Epub 2019 Oct 1.

Rhena Clinic, Sein Institute, Strasbourg, France.

Objective: The germline breast cancer gene (BRCA) mutation confers a lifetime high risk for breast cancer (BC) and bilateral prophylactic mastectomy is the procedure which allows the highest risk reduction rate. Among other techniques, lipofilling (LF) can be used for breast reconstruction of these patients. However, there are some oncological safety concerns on the subject. Read More

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http://dx.doi.org/10.5152/ejbh.2019.5013DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6776124PMC
October 2019
2 Reads

Latissimus Dorsi Musculocutaneous Flap Inset Innovation in Breast Reconstruction.

World J Plast Surg 2019 Sep;8(3):394-400

Department of Statistics, Mashhad Branch, Islamic Azad University, Mashhad, Iran.

Background: Breast reconstruction is distinct among plastic surgery techniques. This study analysed the results of breast reconstruction with the Latissimus dorsi (LD) myocutaneous flap as a strategy for better coverage and positioning of the implant.

Methods: Twenty patients who underwent surgery between September 2013 and September 2016 were enrolled. Read More

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http://dx.doi.org/10.29252/wjps.8.3.394DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6790255PMC
September 2019
2 Reads

Postoperative Cancer Surveillance Following Oncoplastic Surgery with Latissimus Dorsi Flap: a Matched Case-Control Study.

Ann Surg Oncol 2019 Dec 11;26(13):4681-4691. Epub 2019 Oct 11.

Department of Plastic and Reconstructive Surgery, and Institute for Human Tissue Restoration, Yonsei University College of Medicine, Seoul, Korea.

Background: The latissimus dorsi (LD) myocutaneous flap is a widely used local option in oncoplastic surgery for avoiding breast deformities; however, concerns exist regarding its influence in monitoring recurrence. In this study, we evaluated the impact of this flap on postoperative cancer surveillance.

Methods: Each patient receiving oncoplastic surgery with LD flap after partial mastectomy were matched in age, cancer stage, and body mass index with patients receiving partial mastectomy alone. Read More

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http://dx.doi.org/10.1245/s10434-019-07898-4DOI Listing
December 2019
2 Reads
3.930 Impact Factor

Latissimus Dorsi Musculocutaneous Flap for Complex Breast Reconstruction: Indications, Outcomes and a Proposed Algorithm.

Plast Reconstr Surg Glob Open 2019 Aug 8;7(8):e2382. Epub 2019 Aug 8.

National Center for Plastic Surgery, McLean, Va.

The latissimus dorsi (LD) flap is an ideal flap for salvage following failed primary breast reconstruction in the setting of radiation therapy. This study will review outcomes following secondary reconstruction with the LD flap with or without a tissue expander (TE) or implant (I).

Methods: The following 4 cohorts were included: 1-stage LD only in 28 patients (48. Read More

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http://dx.doi.org/10.1097/GOX.0000000000002382DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6756672PMC

Incidence of shoulder functional morbidity following ipsilateral mastectomy and latissimus dorsi flap reconstruction.

Acta Orthop Traumatol Turc 2019 Nov 24;53(6):448-451. Epub 2019 Sep 24.

Macclesfield District General Hospital, Macclesfield, UK.

Introduction: The aim of this study was to investigate the incidence of shoulder morbidity in our cohort of patients with latissimus dorsi flap reconstruction after mastectomy.

Methods: This is a retrospective study of prospectively collected data of 72 patients using validate Oxford shoulder score for function and quickDASH score for disability. Scores were collected preoperatively and at time of final review or study. Read More

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http://dx.doi.org/10.1016/j.aott.2019.08.021DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6939003PMC
November 2019

Robotic breast and reconstructive surgery: 100 procedures in 2-years for 80 patients.

Surg Oncol 2019 Dec 10;31:38-45. Epub 2019 Sep 10.

Department of Surgical Oncology, Paoli Calmettes Institute, 232 Bd de Sainte Marguerite, 13009, Marseille, France.

Objective: To analyze results of the first 100 robotic breast surgeries: feasibility, morbidity, indications and standardization of patient positioning and operative technique.

Background: Robotic breast surgery is an emergent procedure.

Methods: A prospective cohort of patients undergoing robotic latissimus dorsi-flap reconstruction (RLDFR) and or robotic mastectomy, over a period of 24 months was analyzed. Read More

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http://dx.doi.org/10.1016/j.suronc.2019.09.005DOI Listing
December 2019
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Shoulder-related donor site morbidity after delayed breast reconstruction with pedicled flaps from the back: An open label randomized controlled clinical trial.

J Plast Reconstr Aesthet Surg 2019 Dec 8;72(12):1942-1949. Epub 2019 Aug 8.

Department of Plastic Surgery, Lillebaelt Hospital, Vejle DK-7100, Denmark; Department of Plastic Surgery, Odense University Hospital, Odense, Denmark.

Background: This randomized controlled trial (RCT) investigates differences in shoulder-related morbidity after delayed breast reconstruction by either a latissimus dorsi (LD) flap or a thoracodorsal artery perforater (TAP) flap.

Material And Methods: In accordance with the CONSORT guidelines, we included women for unilateral delayed breast reconstruction. Patients were randomized to reconstruction by either of the two flaps. Read More

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http://dx.doi.org/10.1016/j.bjps.2019.07.027DOI Listing
December 2019
2 Reads
1.474 Impact Factor

Refining the Latissimus Dorsi Flap: A Useful Tool to Salvage Complex Breast Defects.

Ann Plast Surg 2019 10;83(4S Suppl 1):S11-S16

From the Department of Plastic and Reconstructive Surgery, Lahey Hospital and Medical Center, Burlington, MA.

The latissimus dorsi flap has been used to reconstruct mastectomy defects for more than 100 years. It has remained relevant in breast reconstruction because of its consistent anatomy, robust vascular supply, congruent vector, and ability to cover large surface areas. With the evolution of oncologic and reconstructive techniques as well as improvements in prosthetic devices, however, this myocutaneous flap has largely fallen out of favor in primary breast reconstruction. Read More

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http://dx.doi.org/10.1097/SAP.0000000000002092DOI Listing
October 2019
2 Reads

Ambulatory latissimus dorsi flap breast reconstruction: A prospective cohort study of an enhanced recovery after surgery (ERAS) protocol.

J Plast Reconstr Aesthet Surg 2019 Dec 17;72(12):1950-1955. Epub 2019 Jul 17.

Division of Plastic and Reconstructive Surgery, University of Ottawa, Ottawa, Ontario, Canada. Electronic address:

Purpose: Enhanced recovery after surgery (ERAS) protocols improve quality of recovery and decrease length of stay for patients undergoing both alloplastic and autologous breast reconstruction. Their use in latissimus dorsi (LD) flap reconstruction has not been well established. The purpose of this study was to compare postoperative outcomes, length of stay, and total costs in a prospectively enrolled group of patients who underwent LD flap breast reconstruction using an ERAS protocol to those of a retrospective cohort of patients who were treated with a traditional recovery after surgery (TRAS) protocol. Read More

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http://dx.doi.org/10.1016/j.bjps.2019.06.039DOI Listing
December 2019
1 Read

Late animation deformity in the denervated pedicled latissimus dorsi flap.

Breast J 2020 Apr 25;26(4):685-690. Epub 2019 Aug 25.

Division of Plastic & Reconstructive Surgery, University of Alberta, Edmonton, Alberta, Canada.

Optimal management of the thoracodorsal nerve in pedicled latissimus dorsi flaps for mastectomy reconstruction is controversial. The incidence and etiology of animation deformity despite muscle denervation remain poorly- understood. This study examines the incidence, etiology, and risk factors of late animation. Read More

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http://dx.doi.org/10.1111/tbj.13497DOI Listing