1,066 results match your criteria Breast Reconstruction Latissimus Flap


Preventive Effect on Seroma of Use of PEAK PlasmaBlade after Latissimus Dorsi Breast Reconstruction.

Plast Reconstr Surg Glob Open 2018 Dec 17;6(12):e2035. Epub 2018 Dec 17.

Department of Plastic and Reconstructive Surgery, Kyoto Prefectural University of Medicine, Graduate School of Medical Sciences.

Postoperative seroma is still the main complication after a latissimus dorsi (LD) flap procedure. The etiology of seroma is currently thought to comprise tissue fluids resulting from inflammatory reactions in affected tissue caused by the use of monopolar electrocautery (EC). It is possible that seroma formation can be reduced by using alternative devices such as the PEAK PlasmaBlade (PPB), which provides atraumatic scalpel-like cutting precision while the blade temperature remains close to body temperature. Read More

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http://dx.doi.org/10.1097/GOX.0000000000002035DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6326609PMC
December 2018

Latissimus dorsi breast reconstruction with or without implants: A comparison between outcome and patient satisfaction.

J Plast Reconstr Aesthet Surg 2018 Nov 28. Epub 2018 Nov 28.

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

Background: The latissimus dorsi (LD) flap is largely used in breast reconstruction. The aim of this study is to evaluate and compare the advantage of the LD flap in association with an implant to that of LD flap in association with lipofilling to add additional volume following breast reconstruction by assessing the number of revision procedures, length of hospitalization, complication rate, and patient satisfaction.

Methods: A retrospective cohort study was performed to evaluate complication rate, number and type of revision procedures required, hospitalization time, and overall duration of the reconstructive process in patients undergoing LD breast reconstruction in our department between January 2012 and March 2015. Read More

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http://dx.doi.org/10.1016/j.bjps.2018.10.003DOI Listing
November 2018

[Postoperative course after immediate breast reconstruction: Comparison between five surgical techniques].

Ann Chir Plast Esthet 2019 Jan 2. Epub 2019 Jan 2.

Service de chirurgie plastique, hôpital civil Strasbourg, 1, place de l'Hôpital, 67091 Strasbourg, France.

Introduction: This study analyzes postoperative course of different immediate breast reconstruction techniques: deep inferior epigastric perforator flap (DIEP), gracilis, latissimus dorsi flap, expander implants and definitive implants.

Methods: All women operated on IBR between 2012 and 2017 in the CHU Strasbourg were included in this retrospective study. The main data collected were healing time, complications, surgical revisions and failure rates. Read More

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http://dx.doi.org/10.1016/j.anplas.2018.12.001DOI Listing
January 2019
1 Read

Dimensional changes in reconstructed nipples: autologous versus prosthetic breast reconstruction.

Ann Surg Treat Res 2019 Jan 26;96(1):8-13. Epub 2018 Dec 26.

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

Purpose: The creation of the nipple-areola complex is the final stage in breast reconstruction and highly affects patient satisfaction. The neo-nipple is well known to shrink over time, particularly in the nipple projection. Currently, no reconstruction technique is clearly superior in terms of nipple size maintenance. Read More

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https://synapse.koreamed.org/DOIx.php?id=10.4174/astr.2019.9
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http://dx.doi.org/10.4174/astr.2019.96.1.8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6306505PMC
January 2019
1 Read

[Patients' satisfaction after immediate breast reconstruction: Comparison between five surgical techniques].

Ann Chir Plast Esthet 2018 Dec 28. Epub 2018 Dec 28.

Service de chirurgie plastique, hôpital Civil Strasbourg, 1, place de l'hôpital, 67091 Strasbourg, France.

Introduction: The purpose of this study is to evaluate patients' satisfaction after immediate breast reconstruction (IBR) according to the surgical technique.

Methods: Included patients had an IBR between 2012 and 2017 and finished their reconstruction since a year. Patients were contacted by phone and their satisfaction was evaluated with the Breast Q questionnaire. Read More

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http://dx.doi.org/10.1016/j.anplas.2018.12.002DOI Listing
December 2018

Autologous Breast Reconstruction With the Latissimus Dorsi Muscle With Immediate Fat Grafting: Long-term Results and Patient Satisfaction.

Ann Plast Surg 2019 Feb;82(2):152-157

From the Breast Surgery Department, Hospital Santa Casa de Misericórdia de São Paulo, São Paulo, Brazil.

Objective: The aim of this study was to describe a variation of the breast reconstruction technique with myocutaneous flap of the fat-grafted latissimus dorsi muscle and its outcomes and evaluation of patient satisfaction.

Method: This prospective cohort study included 18 patients and 19 reconstructed breasts, with 1 bilateral case. There were 7 cases of late reconstruction and 11 cases of immediate reconstruction. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001764DOI Listing
February 2019

A Systematic Review and Meta-analysis of Functional Shoulder Impairment After Latissimus Dorsi Breast Reconstruction.

Ann Plast Surg 2019 Jan;82(1):116-127

From the Department of Plastic and Reconstructive Surgery, Aarhus University Hospital, Aarhus, Denmark.

Purpose: The latissimus dorsi flap (LDF) is a very reliable flap and may be used for a multitude of reconstructive purposes. It is widely used for breast reconstruction when performed. It has few complications, except for a possible impact on shoulder function. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001691DOI Listing
January 2019
1 Read

Ultrasound guided erector spinae plane block for breast reconstruction surgery with latissimus dorsi muscle flap.

Minerva Anestesiol 2018 Nov 22. Epub 2018 Nov 22.

Anesthesia and Intensive Care Unit, Azienda Romagna, M. Bufalini Hospital, Cesena, Italy.

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http://dx.doi.org/10.23736/S0375-9393.18.13206-8DOI Listing
November 2018

Skin-sparing mastectomy with immediate nipple reconstruction during autologous latissimus dorsi breast reconstruction: A review of patient satisfaction.

Arch Plast Surg 2018 Nov 15;45(6):534-541. Epub 2018 Nov 15.

Department of Plastic and Reconstructive Surgery, Cork University Hospital, Cork, Ireland.

Background: Nipple-areolar complex (NAC) reconstruction following curative mastectomy is traditionally performed as a second-stage procedure several months after initial breast reconstruction. The recent literature has documented the increasing popularity of immediate nipple reconstruction carried out simultaneously during autologous reconstruction. The aim of this study was to evaluate the surgical outcomes and patient satisfaction with immediate breast and nipple reconstruction performed in a single stage after skin-sparing mastectomy. Read More

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http://dx.doi.org/10.5999/aps.2017.01725DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6258984PMC
November 2018
6 Reads

Effect of breast reconstruction modality on the development of postmastectomy shoulder morbidity.

J Plast Reconstr Aesthet Surg 2018 Dec 6;71(12):1761-1767. Epub 2018 Aug 6.

Department of Plastic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Irwon-ro 81, Gangnam-gu, Seoul, Korea. Electronic address:

Background: The aim of this study was to evaluate the impact of breast reconstruction modality on the incidence of shoulder morbidity.

Methods: Breast cancer patients who underwent immediate reconstructions using three modalities, namely, tissue expander-implant, latissimus dorsi (LD) pedicled flap, and deep inferior epigastric artery perforator (DIEP) flap, from 2008 to 2013 were examined. The cumulative incidence of shoulder morbidity was compared among the reconstruction modalities, and risk factor analysis was performed using multivariable analysis. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S17486815183027
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http://dx.doi.org/10.1016/j.bjps.2018.07.033DOI Listing
December 2018
6 Reads

Cutaneous Breast Radiation-associated Angiosarcoma: Anterior Chest Wall Reconstruction Options Following Extra-radical Resection.

Plast Reconstr Surg Glob Open 2018 Sep 5;6(9):e1938. Epub 2018 Sep 5.

Division of Plastic Surgery, Brigham and Women's Hospital and Dana Farber Cancer Institute, Boston, Mass.

Background: Radiation-associated angiosarcoma (RAAS) of the breast is a rare complication following breast irradiation with high rates of recurrence and death. To improve survival, we have advocated for an extra-radical resection where the entire irradiated skin and subcutaneous tissue is excised. This results in very large chest defects for which we describe our reconstructive experience. Read More

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http://dx.doi.org/10.1097/GOX.0000000000001938DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6191213PMC
September 2018
2 Reads

The influence of reconstruction choice and inclusion of radiation therapy on functional shoulder biomechanics in women undergoing mastectomy for breast cancer.

Breast Cancer Res Treat 2018 Oct 16. Epub 2018 Oct 16.

School of Kinesiology, University of Michigan, 401 Washtenaw Ave., CCRB 3730, Ann Arbor, MI, 48109, USA.

Purpose: The functional implications of reconstructing the breast mound with a latissimus dorsi (LD) flap or placing an implant under the pectoralis major (PM) muscle is complicated by potential comorbidities from disinserting these muscles and adjuvant radiotherapy. We utilized novel robot-assisted measures of shoulder stiffness and strength to dissociate how breast reconstruction choice and inclusion of radiation therapy impact shoulder morbidity in post-mastectomy reconstruction patients.

Methods: Shoulder strength and stiffness were collected from 10 irradiated LD flap breast reconstruction patients, 14 two-stage subpectoral implant reconstruction patients (subpectoral), and 10 irradiated deep inferior epigastric perforator (DIEP) flap patients an average of 659 days post-reconstruction. Read More

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http://dx.doi.org/10.1007/s10549-018-5003-8DOI Listing
October 2018

Reconstruction in Breast Conservation Therapy-Single Tertiary Care Institution Experience with 472 Patients.

Indian J Surg Oncol 2018 Sep 5;9(3):362-368. Epub 2017 May 5.

Department of Surgical Oncology, Pusa Road, Delhi, Delhi 110005 India.

Breast conservation therapy (BCT) is now internationally accepted treatment for early breast cancer. Despite of high incidence of carcinoma breast in India, BCT rates are very low as compared to the west. In this article, we wish to share our experience of breast conservation with oncoplasty in Indian women. Read More

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http://link.springer.com/10.1007/s13193-017-0663-0
Publisher Site
http://dx.doi.org/10.1007/s13193-017-0663-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6154353PMC
September 2018
3 Reads

A novel technique for large and ptotic breast reconstruction using a latissimus dorsi myocutaneous flap set at the posterior aspect, combined with a silicone implant, following tissue expander surgery.

Arch Plast Surg 2018 Sep 15;45(5):484-489. Epub 2018 Sep 15.

Department of Plastic and Reconstructive Surgery, Keio University, Tokyo, Japan.

Large and ptotic breast reconstruction in patients who are not candidates for a transverse rectus abdominalis myocutaneous flap and revision surgery for the contralateral breast remains challenging. We developed a novel breast reconstruction technique using a latissimus dorsi myocutaneous (LD m-c) flap set at the posterior aspect of the reconstructed breast, combined with an anatomical silicone breast implant (SBI), following tissue expander surgery. We performed the proposed technique in four patients, in whom the weight of the resected tissue during mastectomy was >500 g and the depth of the inframammary fold (IMF) was >3 cm. Read More

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http://e-aps.org/journal/view.php?doi=10.5999/aps.2017.01781
Publisher Site
http://dx.doi.org/10.5999/aps.2017.01781DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6177628PMC
September 2018
1 Read

A case of primary extraskeletal osteosarcoma of the breast.

Surg Case Rep 2018 Sep 19;4(1):121. Epub 2018 Sep 19.

Department of Surgery, Kitakyushu Municipal Medical Center, 2-1-1 Bashaku Kokurakita-ku, Kitakyushu, Fukuoka, 802-0077, Japan.

Background: Primary sarcomas of the breast are rare and account for less than 1% of all primary breast malignancies. We experienced a case of extraskeletal osteosarcoma of the breast that had a unique clinical course and remarkable findings of mammography and magnetic resonance imaging (MRI). A review of the case reports published in the past few decades showed no reports of a case in which a calcified lesion was followed up three different times on mammography, making this a valuable case report. Read More

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http://dx.doi.org/10.1186/s40792-018-0530-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6146110PMC
September 2018
1 Read

[Breast reconstruction with Muscle-Sparing Latissimus Dorsi flap combined to a Thoraco-Abdominal advancement flap and fat grafting].

Ann Chir Plast Esthet 2018 Nov 7;63(5-6):437-446. Epub 2018 Sep 7.

Service de chirurgie plastique, reconstructrice et esthétique, université Claude-Bernard Lyon 1, centre hospitalier universitaire de la Croix-Rousse, hospices civils de Lyon, 103, grande rue de la Croix-Rousse, 69004 Lyon, France.

The Latissimus Dorsi flap (or LD flap) was first described by the Tansini in 1896 and published in 1906. It concerned a case of chest wall reconstruction after breast amputation. The use of the LD flap in all its variants is very frequent in breast reconstruction. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S02941260183014
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http://dx.doi.org/10.1016/j.anplas.2018.07.013DOI Listing
November 2018
11 Reads

[Breast reconstruction by latissimus dorsi myocutaneous flap and implant: The dorsal bra technique].

Ann Chir Plast Esthet 2018 Nov 1;63(5-6):405-421. Epub 2018 Sep 1.

Service de chirurgie plastique reconstructrice et esthétique, hôpitaux universitaires de Strasbourg, 1, place de l'Hôpital, 67091 Strasbourg, France.

Despite the development of microsurgical techniques, latissimus dorsi myocutaneous pedicle flap remains mainly used in breast reconstruction surgery. It is reliable and could be performed on almost all the patients, even if they smoke. It is also a good indication in case of irradiation. Read More

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http://dx.doi.org/10.1016/j.anplas.2018.06.014DOI Listing
November 2018
9 Reads

Recurrent dermatofibrosarcoma protuberans: challenging a surgeon's dexterity for the 'tricky' margins.

Ecancermedicalscience 2018 13;12:858. Epub 2018 Aug 13.

Department of General Surgery, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi 110 029, India.

Soft tissue tumours represent 0.2%-1% of all breast malignancies. [Al Tarakji M, Toro A, and Di Carlo I, (2015) 158 https://doi. Read More

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http://dx.doi.org/10.3332/ecancer.2018.858DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6113985PMC

Quality of life and shoulder function after latissimus dorsi breast reconstruction.

J Plast Reconstr Aesthet Surg 2018 Sep 8;71(9):1317-1323. Epub 2018 Jun 8.

Department of Plastic and Reconstructive Surgery, Level 5, Flinders Medical Centre/Flinders University, Flinders Drive, Bedford Park, Adelaide, SA 5042, Australia.

Background: Breast reconstruction using a latissimus dorsi flap impacts one of the principal muscles of the shoulder. There is therefore concern that this procedure could impair shoulder function. The primary objective of this study was to study the effect of breast reconstruction using the latissimus dorsi flap on patient reported shoulder function and quality of life, compared to women who underwent total mastectomy without reconstruction. Read More

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http://dx.doi.org/10.1016/j.bjps.2018.05.011DOI Listing
September 2018
1 Read

[Breast reconstruction with the autologous latissimus dorsi flap].

Ann Chir Plast Esthet 2018 Nov 28;63(5-6):422-436. Epub 2018 Aug 28.

Département de chirurgie plastique, centre Léon-Bérard, 28, rue Laennec, 69008 Lyon, France.

Amongst various techniques of breast reconstruction, Autologous Latissimus Dorsi (ALD) flap without breast implant is the newest technique that took advantage of recent improvement during the last decade. Surgical procedure is well standardized, and allows to harvest various fat areas attached to the muscle, to obtain an autologous reconstruction. Thoracodorsal pedicle is steady and makes ALD the most reliable flap that can be used in several indications, especially when DIEP or TRAM flap are inappropriate. Read More

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http://dx.doi.org/10.1016/j.anplas.2018.07.004DOI Listing
November 2018

Breast Reconstruction and Radiation Therapy.

Cancer Control 2018 Jan-Dec;25(1):1073274818795489

2 Department of Radiation Oncology, H. Lee Moffitt Cancer Center & Research Institute, Tampa, FL, USA.

Purpose: The optimal approach to the integration of postmastectomy reconstruction and radiation therapy is not well-established. This review will summarize current literature pertaining to the most common types of reconstruction in the setting of postmastectomy radiation therapy (PMRT).

Data Sources: Literature from PubMed was reviewed from 2000 to 2016. Read More

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http://dx.doi.org/10.1177/1073274818795489DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6108018PMC
December 2018
4 Reads

[Effectiveness of posterior intercostal artery perforator flap in repair of donor defect after latissimus dorsi myocutaneous flap transfer].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 09;32(9):1187-1191

Department of Burn &  Plastic and Hand &  Foot Surgery, the Second Hospital of Yulin City , Yulin Shaanxi, 719000, P.R.China.

Objective: To investigate the feasibility and effectiveness of the latissimus dorsi myocutaneous flap in repair of large complex tissue defects of limb and the relaying posterior intercostal artery perforator flap in repair of donor defect after latissimus dorsi myocutaneous flap transfer.

Methods: Between January 2016 and May 2017, 9 patients with large complex tissue defects were treated. There were 8 males and 1 female with a median age of 33 years (range, 21-56 years). Read More

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http://dx.doi.org/10.7507/1002-1892.201803046DOI Listing
September 2018
2 Reads

Robotic nipple sparing mastectomy and immediate breast reconstruction with robotic latissimus dorsi flap harvest - Technique and preliminary results.

J Plast Reconstr Aesthet Surg 2018 Oct 2;71(10):e59-e61. Epub 2018 Aug 2.

Division of General Surgery, Changhua Christian Hospital, Changhua, Taiwan; Comprehensive Breast Cancer Center, Changhua Christian Hospital, Changhua, Taiwan. Electronic address:

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http://dx.doi.org/10.1016/j.bjps.2018.07.006DOI Listing
October 2018
21 Reads

Volume Change of Pedicled Latissimus Dorsi Muscle Flap after Partial Breast Reconstruction.

J Reconstr Microsurg 2018 Oct 12;34(8):651-657. Epub 2018 Aug 12.

Department of Plastic and Reconstructive Surgery, School of Medicine, Catholic University of Daegu, Daegu, Republic of Korea.

Introduction:  Despite successful breast reconstruction with oversized latissimus dorsi muscle flap after breast-conserving surgery for breast cancer, esthetic problems continue to exist due to flap shrinkage. The purpose of this study was to evaluate the objective volume change of pedicled latissimus dorsi muscle flap when it is used in breast reconstruction.

Methods:  Patients who were diagnosed with breast cancer and underwent a breast-conserving surgery with immediate breast reconstruction with pedicled latissimus dorsi myocutaneous flap between October 2009 and November 2015 were studied. Read More

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http://dx.doi.org/10.1055/s-0038-1667176DOI Listing
October 2018
3 Reads

Retrospective observational study of breast reconstruction with extended latissimus dorsi flap following skin-sparing mastectomy.

Medicine (Baltimore) 2018 Aug;97(31):e10936

Department of Breast Surgery.

The study was aimed to evaluate oncological safety and patient satisfaction in relatively late stage breast cancer patients who was treated with skin-sparing mastectomy (SSM) followed by breast reconstruction with an extended latissimus dorsi (LD) flap. Oncological safety, postoperative complications, and cosmetic results were retrospectively analyzed in patients who underwent extended LD flap breast reconstruction following SSM between October 2011 and August 2014. A total of 62 patients who underwent 63 breast reconstructions were enrolled in the study. Read More

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http://dx.doi.org/10.1097/MD.0000000000010936DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6081160PMC
August 2018
1 Read

The efficacy of elongated axillary incision on extended latissimus dorsi flap for immediate breast reconstruction.

Arch Plast Surg 2018 Jul 15;45(4):340-344. Epub 2018 Jul 15.

Department of Surgery, Pusan National University Yangsan Hospital, Pusan National University School of Medicine, Yangsan, Korea.

Background: In performing extended latissimus dorsi (ELD) flap procedures, a skin paddle design on the bra line helps reduce visible scarring. This improves the patient's satisfaction with the outcome. However, such a design leads to a longer operation time and increased fatigue of the surgeon due to the narrow operative field. Read More

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http://dx.doi.org/10.5999/aps.2017.01683DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6062700PMC
July 2018
14 Reads

Natural History of Seroma Following the Immediate Latissimus Dorsi Flap Method of Breast Reconstruction.

Chin Med J (Engl) 2018 Jul;131(14):1674-1679

Department of Plastic Surgery, Zhujiang Hospital, Southern Medical University/The Second School of Clinical Medicine, Southern Medical University, Guangzhou, Guangdong 510280, China.

Background: The latissimus dorsi (LD) flap procedure remains a popular and useful breast reconstruction tool in China and Western countries, and donor site seroma formation is the main complication. This study was conducted in Chinese patients to determine whether stable cases of seromas would resolve without treatment.

Methods: A. Read More

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http://dx.doi.org/10.4103/0366-6999.235877DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6048921PMC
July 2018
1 Read

Autologous reconstruction following nipple sparing mastectomy: a comprehensive review of the current literature.

Gland Surg 2018 Jun;7(3):316-324

Division of Plastic and Reconstructive Surgery, Mount Sinai Health System, New York, NY, USA.

As surgical methods continue to evolve and patients become more educated consumers of their medical care, both oncologic breast surgeons and reconstructive plastic surgeons should understand the current options for surgical management of breast cancer. This review evaluates the current autologous breast reconstruction options following nipple sparing mastectomy (NSM). A comprehensive review of the current literature discussing autologous reconstruction after NSM was performed. Read More

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http://dx.doi.org/10.21037/gs.2018.05.03DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6006021PMC
June 2018
5 Reads

Technique for single axillary incision robotic assisted quadrantectomy and immediate partial breast reconstruction with robotic latissimus dorsi flap harvest for breast cancer: A case report.

Medicine (Baltimore) 2018 Jul;97(27):e11373

Division of General Surgery.

Rationale: The clinical application of robotic surgery in breast conserving surgery or volume replacement with robotic latissimus dorsi flap harvest (RLDFH) has been rarely reported. In this study, we report the preliminary experience and clinical outcome of robotic assisted quadrantectomy (RAQ) and immediate partial breast reconstruction (IPBR) with RLDFH.

Patient Concern: Decreasing and avoid back scar length after latissimus dorsi flap harvest. Read More

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http://dx.doi.org/10.1097/MD.0000000000011373DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6076135PMC
July 2018
56 Reads

Comparison of 2-Year Complication Rates Among Common Techniques for Postmastectomy Breast Reconstruction.

JAMA Surg 2018 Oct;153(10):901-908

Section of Plastic Surgery, Department of Surgery, University of Michigan, Ann Arbor.

Importance: In breast reconstruction, it is critical for patients and surgeons to have comprehensive information on the relative risks of the available options. However, previous studies that evaluated complications were limited by single-center designs, inadequate follow-up, and confounding.

Objective: To assess 2-year complication rates across common techniques for postmastectomy reconstruction in a multicenter patient population. Read More

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http://dx.doi.org/10.1001/jamasurg.2018.1687DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6233788PMC
October 2018
6 Reads

Quantitative analysis of shoulder function and strength after breast reconstruction: A retrospective cohort study.

Medicine (Baltimore) 2018 Jun;97(24):e10979

Department of Rehabilitation Medicine, Seoul National University Bundang Hospital, Seongnam, Republic of Korea.

Immediate breast reconstruction (IBR) after mastectomy has been proven to affect patient quality of life, psychological well-being, and functional capacities. In the present study, we aimed to investigate the effect of breast reconstruction on postoperative shoulder function and muscle performance by evaluating isokinetic muscle performance tests.A retrospective chart review to collect data on shoulder function analysis with isokinetic muscle performance testing was performed among patients who received mastectomy with IBR from July 2013 to March 2015. Read More

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http://dx.doi.org/10.1097/MD.0000000000010979DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6023658PMC
June 2018
5 Reads

Nipple-areolar complex ischemia and necrosis in nipple-sparing mastectomy.

Eur J Surg Oncol 2018 08 18;44(8):1170-1176. Epub 2018 May 18.

Department of Plastic & Reconstructive Surgery, Yonsei University College of Medicine, Republic of Korea. Electronic address:

Introduction: Nipple-sparing mastectomy (NSM), combined with immediate breast reconstruction, has become the preferred surgical option to achieve better patient satisfaction and aesthetic outcome. However, nipple-areolar complex (NAC) ischemia and necrosis are common complications following nipple-sparing technique.

Materials And Methods: We performed a retrospective analysis of 220 breasts that underwent NSM and immediate reconstruction from May 2010 to December 2016 at our institute. Read More

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http://dx.doi.org/10.1016/j.ejso.2018.05.006DOI Listing
August 2018
2 Reads

A case report of Tapia's syndrome after mastectomy and breast reconstruction under general anesthesia.

Medicine (Baltimore) 2018 Jun;97(22):e10980

Department of Anesthesiology and Pain Medicine, School of Medicine, Kyungpook National University, Daegu, South Korea.

Rationale: Tapia's syndrome is a rare and potentially anesthesia-related complication that may cause considerable distress to the patient. Here we describe a case of unilateral Tapia's syndrome in a patient undergoing a skin sparing mastectomy and immediate breast reconstruction which, to the best of our knowledge, has not been reported in the literature.

Patient Concerns: A 41-years old female underwent right skin sparing total mastectomy and breast reconstruction with latissimus dorsi flap under general anesthesia. Read More

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http://dx.doi.org/10.1097/MD.0000000000010980DOI Listing

Vertical Inset of the Latissimus Dorsi Flap Improves Reconstruction Aesthetics by Reducing Scar Burden in the "Social Breast".

Ann Plast Surg 2018 Jun;80(6S Suppl 6):S365-S371

Department of Surgery, University of Tennessee College of Medicine Chattanooga.

Purpose: The skin paddle of the latissimus dorsi flap is typically inset horizontally (HILD) in breast reconstruction. We describe our experience with the vertical inset of the latissimus dorsi (VILD) and its aesthetic benefit.

Methods: We performed a case-control study comparing the most recent cases of both VILD and HILD. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001510DOI Listing
June 2018
22 Reads

Use of a Vertical Muscle-Sparing Latissimus Dorsi Flap in Implant-Based Breast Reconstruction Without Position Change.

Ann Plast Surg 2018 Aug;81(2):152-155

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

Background: The use of various latissimus dorsi (LD) flap types in combination with implants is a safe and reliable 1-stage breast reconstruction method. However, 1 or more positional changes are generally required during the procedure. We designed a vertical skin paddle that was centered along the midaxillary line and harvested the required LD muscle amount based on the thoracodorsal artery descending branch, thereby completing flap elevation, inset, and donor-site closure in the supine position following skin-sparing mastectomy. Read More

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http://Insights.ovid.com/crossref?an=00000637-900000000-9735
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http://dx.doi.org/10.1097/SAP.0000000000001489DOI Listing
August 2018
4 Reads

Combined Autologous and Prosthetic Breast Reconstruction: Defining the Upper Limits of Safe Expansion in Obesity.

Ann Plast Surg 2018 Jul;81(1):28-30

Department of Plastic Surgery, University of South Florida, Tampa, FL.

Background: Combined latissimus dorsi and prosthetic reconstruction is a useful reconstructive option in patients with a history of breast radiation who are not good candidates for abdominally based autologous reconstruction. One difficulty, particularly in obese patients, is that the thickness of the flap can impair port localization, increasing the risk of inadvertent puncture during expansion. The authors sought to investigate the upper limits of tissue thickness at which tissue expansion can be reliably performed. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001412DOI Listing
July 2018
3 Reads

Feasibility, safety, and clinical outcomes following latissimus dorsi flap reconstruction in breast cancer- an Institutional study.

Breast J 2018 Sep 8;24(5):843-845. Epub 2018 May 8.

Department of Surgical Oncology, HCG- Bangalore Institute of Oncology, Bangalore, India.

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http://dx.doi.org/10.1111/tbj.13059DOI Listing
September 2018
2 Reads

Shoulder-related donor site morbidity and patient-reported satisfaction after delayed breast reconstruction with pedicled flaps from the back: A comparative analysis.

J Plast Reconstr Aesthet Surg 2018 Aug 13;71(8):1108-1115. Epub 2018 Apr 13.

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

Background: We report a study evaluating and comparing shoulder-related morbidity associated with delayed breast reconstruction using either the conventional latissimus dorsi (LD) flap or the thoracodorsal artery perforator (TAP) flap.

Material & Methods: We conducted a retrospective cohort study of women over 18 years of age who had a unilateral, delayed breast reconstruction by either an LD or TAP flap at one center over a 56-month period. Shoulder function was assessed using the Constant Shoulder Score (CSS), which evaluated pain, activity of daily life (ADL), range of motion (ROM), and strength. Read More

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http://dx.doi.org/10.1016/j.bjps.2018.04.009DOI Listing
August 2018
1.474 Impact Factor

Pedicled Descending Branch Latissimus Dorsi Mini-flap for Repairing Partial Mastectomy Defect: A New Technique.

Plast Reconstr Surg Glob Open 2018 Mar 13;6(3):e1692. Epub 2018 Mar 13.

State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Sun Yat-sen University Cancer Center, Guangzhou, PR China; Department of Breast Oncology, Sun Yat-sen University Cancer Center, Guangzhou, PR China; and Department of Plastic Surgery, MD Anderson Cancer Center, Houston, Tex.

Volume loss is 1 of the major factors influencing cosmetic outcomes of breast after partial mastectomy (PM), especially for smaller breasts, and therefore, volume replacement is critical for optimizing the final aesthetic outcome. We present a novel technique of raising a pedicled descending branch latissimus dorsi (LD) mini-flap for reconstruction of PM defects via an axillary incision. After PM, the LD mini-flap is harvested through the existing axillary incision of the axillary dissection or the sentinel lymph node biopsy. Read More

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http://dx.doi.org/10.1097/GOX.0000000000001692DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5908510PMC
March 2018
6 Reads

The Functional Impact of Breast Reconstruction: An Overview and Update.

Plast Reconstr Surg Glob Open 2018 Mar 6;6(3):e1640. Epub 2018 Mar 6.

Section of Plastic and Reconstructive Surgery, Memorial Sloan Kettering Cancer Center, New York, N.Y.; and Department of Obstetrics and Gynecology, Hospital of the University of Pennsylvania, Philadelphia, Pa.

As rates of bilateral mastectomy and immediate reconstruction rise, the aesthetic and psychosocial benefits of breast reconstruction are increasingly well understood. However, an understanding of functional outcome and its optimization is still lacking. This endpoint is critical to maximizing postoperative quality of life. Read More

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http://dx.doi.org/10.1097/GOX.0000000000001640DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5908499PMC
March 2018
1 Read

Two-Level Continuous Thoracic Paravertebral Nerve Blocks Providing Opioid-Free Postoperative Analgesia After Latissimus Dorsi Flap Breast Reconstruction: A Case Report.

A A Pract 2018 Sep;11(5):118-120

From the Department of Anesthesiology, University of California San Diego, La Jolla, California.

We present the case of a 55-year-old woman undergoing a delayed latissimus dorsi flap breast reconstruction after a simple mastectomy for breast cancer. Preoperatively, 2 unilateral paravertebral catheters were placed at T3/4 and T7/8 for postoperative analgesia. Postoperatively, ropivacaine 0. Read More

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http://dx.doi.org/10.1213/XAA.0000000000000759DOI Listing
September 2018

Combining Autologous and Prosthetic Techniques: The Breast Reconstruction Scale Principle.

Plast Reconstr Surg Glob Open 2017 Dec 28;5(12):e1602. Epub 2017 Dec 28.

Unità di Senologia e Chirurgia Plastica Ricostruttiva, Casa di Cura Malzoni - Villa dei Platani (Gruppo Neuromed), Avellino, Italy; and Scuola di Medicina e Chirurgia, Università degli Studi di Napoli Federico II, Napoli, Italy.

Background: The latissimus dorsi (LD) flap remains a good option for immediate or delayed breast reconstruction. The main limitation of this flap is the small volume provided. To improve the reconstructed breast volume, the LD flap is usually combined with a breast implant. Read More

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http://dx.doi.org/10.1097/GOX.0000000000001602DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5889461PMC
December 2017

Postmastectomy Breast Reconstruction With the Totally Autologous Latissimus Dorsi Flap in the Thin, Small-Breasted Woman: Give It More Thought!

Eplasty 2018 26;18:e13. Epub 2018 Feb 26.

Department of Plastic and Reconstructive Surgery, Cambridge University Hospitals NHS Foundation Trust, Cambridge, United Kingdom.

Thin women have fewer autologous tissue breast reconstructive options than their higher body mass index counterparts-due to a lack of adequate donor sites. They are therefore usually offered expander/implant techniques. The total autologous latissimus dorsi flap is generally used in "well-padded" individuals, as they have enough fat on their back on which a completely autologous reconstruction could be based. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5838613PMC
February 2018
5 Reads

Nonresponse bias in survey research: lessons from a prospective study of breast reconstruction.

J Surg Res 2018 Apr 22;224:112-120. Epub 2017 Dec 22.

Section of Plastic Surgery, University of Michigan, Ann Arbor, Michigan. Electronic address:

Background: Survey-based research is essential for evaluating the outcomes of health care in an era of patient-centered care. However, many such studies are hampered by poor response rates in completion of study questionnaires, thus limiting the generalizability of any findings. The objectives of this analysis were to identify independent variables associated with nonresponse to surveys following breast reconstruction to improve future patient-reported outcomes research. Read More

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http://dx.doi.org/10.1016/j.jss.2017.11.058DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5844368PMC
April 2018
6 Reads
1.940 Impact Factor

Latissimus Dorsi and Immediate Fat Transfer (LIFT) for Complete Autologous Breast Reconstruction.

Plast Reconstr Surg Glob Open 2018 Jan 23;6(1):e1656. Epub 2018 Jan 23.

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

Background: Despite the popularity of latissimus dorsi (LD) flap in breast reconstruction, a breast implant is often necessary to achieve sufficient volume. Prior reports describe fat grafting to the LD flap as a secondary procedure to correct contour deformities and improve volume. Our institution has instituted autologous breast reconstruction with an LD flap and immediate fat transfer (LIFT). Read More

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http://dx.doi.org/10.1097/GOX.0000000000001656DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5811306PMC
January 2018
6 Reads

INTRAOPERATIVE FAT GRAFTING INTO THE PECTORALIS AND LATISSIMUS DORSI MUSCLES-NOVEL MODIFICATION OF AUTOLOGOUS BREAST RECONSTRUCTION WITH EXTENDED LATISSIMUS DORSI FLAP.

Acta Chir Plast 2017 ;59(2):72-81

Background: The latissimus dorsi flap is a reliable and one of the most commonly used methods of both immediate and delayed breast reconstruction. Its disadvantage is the limited volume of transferred tissue. The authors present their experience with the use of extended latissimus dorsi flap associated with immediate fat grafting into the pectoralis and latissimus dorsi muscles for secondary breast reconstruction. Read More

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January 2017
6 Reads

Reconstruction of an anterior chest wall radionecrosis defect by a contralateral latissimus dorsi flap: A case report.

Ann Chir Plast Esthet 2018 Apr;63(2):182-186

Hôpital Saint-Louis, 1, avenue Claude-Vellefaux, 75010 Paris, France.

Introduction: Soft tissue and bone radionecrosis are rare but serious complications may occur late after radiotherapy.

Case Report: We report the case of an 86-year-old woman with a history an infiltrating ductal carcinoma of the left breast, treated by total mastectomy, left axillary dissection and adjuvant radiotherapy. Eighteen years later, the first radionecrosis lesions appeared and grew progressively in a 6-month period. Read More

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http://dx.doi.org/10.1016/j.anplas.2017.12.002DOI Listing
April 2018
3 Reads

The ongoing emergence of robotics in plastic and reconstructive surgery.

Ann Chir Plast Esthet 2018 Apr 3;63(2):105-112. Epub 2018 Feb 3.

Department of plastic surgery, Gustave-Roussy, 94800 Villejuif, France.

Robot-assisted surgery is more and more widely used in urology, general surgery and gynecological surgery. The interest of robotics in plastic and reconstructive surgery, a discipline that operates primarily on surfaces, has yet to be conclusively proved. However, the initial applications of robotic surgery in plastic and reconstructive surgery have been emerging in a number of fields including transoral reconstruction of posterior oropharyngeal defects, nipple-sparing mastectomy with immediate breast reconstruction, microsurgery, muscle harvesting for pelvic reconstruction and coverage of the scalp or the extremities. Read More

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http://dx.doi.org/10.1016/j.anplas.2018.01.002DOI Listing
April 2018
4 Reads

Outcomes of Fat-Augmented Latissimus Dorsi (FALD) Flap Versus Implant-Based Latissimus Dorsi Flap for Delayed Post-radiation Breast Reconstruction.

Aesthetic Plast Surg 2018 Jun 25;42(3):692-701. Epub 2018 Jan 25.

Department of Plastic Surgery, Medical School, Papageorgiou Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece.

Background: Although free abdominal flaps constitute the gold standard in post-radiation delayed breast reconstruction, latissimus dorsi-based methods offer alternative reconstructive options. This retrospective study aims to compare outcomes of delayed breast reconstruction using the fat-augmented latissimus dorsi (FALD) autologous reconstruction and the latissimus dorsi-plus-implant reconstruction in irradiated women.

Methods: We reviewed the files of 47 post-mastectomy irradiated patients (aged 29-73 years), who underwent delayed latissimus dorsi-based breast reconstruction between 2010 and 2016. Read More

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http://dx.doi.org/10.1007/s00266-018-1081-6DOI Listing
June 2018
4 Reads

Safety of Microsurgery Under Loupes Versus Microscope: A Head-to-Head Comparison of 2 Surgeons With Similar Experiences.

Ann Plast Surg 2018 Jun;80(6S Suppl 6):S340-S342

From the Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Florida, Gainesville, FL; and Beth Israel Deaconess Medical Center, Boston, MA.

Background: Microsurgery is performed using either the operating microscope or loupe magnification. Use of the operating microscope is considered the "criterion standard"; however, loupes are emerging as a safe and reliable technique to perform microsurgery. The purpose of this study was to analyze the safety of microsurgery under loupe magnification compared with the microscope. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001324DOI Listing
June 2018
7 Reads