1,331 results match your criteria Breast Reconstruction Latissimus Flap


The U-Turn Tournedos (UTT) Flap: A Technical Surgical Evolution for Deep Complex Calvarial Defects.

J Craniofac Surg 2022 May;33(3):935-938

Division of Plastic and Reconstructive Surgery, MUHC, McGill University, Montreal, QC, Canada.

Abstract: Patients treated for complex oncological calvarial defects are at a higher risk of severe complications (38%): infection, meningitis, dehiscence, and hardware/brain exposure. The patient cohorts at our center have led to the development of the "U-Turn" technical (UTT) addition of our previously reported turnover "tournedos" myocutaneous latissimus dorsi free flap. This allows for an improved ability to fill these large, round, complex defects, maintaining the safety of our original surgical technique, while improving aesthetic outcomes. Read More

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Use of Serial Flap Transfer Technique in En Bloc Reconstruction of Extensive Soft Tissue Defects in the Head and Neck.

J Craniofac Surg 2022 May 12;33(3):809-813. Epub 2021 Apr 12.

Department of Plastic and Reconstructive Surgery, Plastic Surgery Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Shijingshan District, Beijing, china.

Abstract: En bloc reconstruction of extensive head and neck defects is feasible with matched tissue from the medial arm or chest. Nevertheless, the donor site faces significant morbidity following massive cutaneous flap harvesting. The serial flap transfer technique can increase the reconstructive ability of these flaps and minimize the donor site morbidity. Read More

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Oncological Safety of Skin-Sparing Mastectomy and Immediate Breast Reconstruction in Extensive Ductal Carcinoma In Situ.

J Surg Res 2022 Jun 16;279:25-32. Epub 2022 Jun 16.

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

Introduction: Skin-sparing mastectomy (SSM) with immediate breast reconstruction is the ideal treatment for interested and suitable patients with extensive ductal carcinoma in situ (DCIS). There is no guideline to indicate on how large DCIS the procedure can be performed safely. The primary target of this study was to define the oncological safety of SSM in extensive pure DCIS. Read More

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Combined Endoscopy-Assisted Muscle-Sparing Latissimus Dorsi Flap Harvesting with Lipofilling Enhancement as a New Volume Replacement Technique in Breast Reconstruction.

Breast J 2022 31;2022:7740439. Epub 2022 Jan 31.

Surgery Department, Faculty of Medicine, King Khalid University, Abha, Saudi Arabia.

Introduction: This study evaluated the feasibility and patient satisfaction of combined endoscopy-assisted muscle-sparing latissimus dorsi flap harvesting, with lipofilling enhancement for skin-preserving mastectomy.

Methods: This is a prospective study that included 21 female patients with small breasts (cup size A-B), subjected to skin-preserving mastectomy as a management of breast cancer. Combined endoscopy-assisted muscle-sparing latissimus dorsi flap harvesting with lipofilling enhancement was performed for immediate breast reconstruction. Read More

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Peripheral Neural Sheath Breast Sarcoma: Case Report and Literature Review.

Case Rep Oncol 2022 Jan-Apr;15(1):403-412. Epub 2022 Apr 21.

National Institute of Cancer, Universidad del Bosque, Bogotá, Colombia.

Primary sarcomas of the breast are heterogeneous neoplasms derived from the non-epithelial elements of the mammary gland. Malignant peripheral nerve sheath tumors comprise 5-10% of all malignant soft tissue sarcomas. Its heterogeneity and low incidence (1 in 100,000) limit the performance of prospective studies. Read More

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Somato-somatic theory of referred pain elucidates observations of referred sensations during micropigmentation of nipple-areolar complex in a cohort study on patients undergoing pedicled latissimus dorsi flap breast reconstruction.

Ann Chir Plast Esthet 2022 Jun 22;67(3):140-147. Epub 2022 May 22.

Department of Plastic Surgery, Royal Stoke University Hospital, University Hospitals of North Midlands NHS Trust, Newcastle Road, Stoke-on-Trent ST4 6QG, UK.

Aim: Micropigmentation of the nipple-areolar complex is the final aesthetic step in autologous breast reconstruction. The mechanism of referred pain observed in patients during micropigmentation after a non-neurotonized pedicled latissimus dorsi flap breast reconstruction is poorly understood.

Methods: Patients undergoing micropigmentation for nipple-areolar restoration at our breast unit were included in this study. Read More

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Resection and reconstruction of huge tumors in the chest wall.

J Cardiothorac Surg 2022 May 12;17(1):116. Epub 2022 May 12.

Department of Bone and Soft Tissue, Affiliated Tumor Hospital of Xinjiang Medical University, Urumqi, Xinjiang, China.

Objective: To evaluate the experience and effects of resection and reconstruction of 4 cases of huge tumors in the chest wall.

Methods: The clinical data of 4 patients with huge tumors in the chest wall from July 2015 to January 2020 were collected and analyzed. There were 2 males and 2 females. Read More

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Influence of the sentinel node outcome analysed by one-step nucleic acid amplification on the risk for postmastectomy radiation therapy and the scheduling of immediate breast reconstruction.

J Surg Oncol 2022 May 9. Epub 2022 May 9.

Department of Surgery, Zuyderland Medical Center, Sittard, The Netherlands.

Background: In patients with cT1-T3N0 breast cancer, postmastectomy radiation therapy (PMRT) is considered a contraindication for immediate breast reconstruction (IBR) due to a high risk of complications. The sentinel node biopsy (SNB) is an important determinant for PMRT. In this study, we evaluated the impact of SNB outcome on the planning of IBR after mastectomy. Read More

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Latissimus dorsi myocutaneous flap repair is effective after neoadjuvant chemotherapy for locally advanced breast cancer.

World J Surg Oncol 2022 Apr 27;20(1):134. Epub 2022 Apr 27.

Department of Hepatopancreatobiliary Surgery, The Affiliated Calmette Hospital of Kunming Medical University, No. 1228, Beijing Road, Panlong District, Kunming, 650224, Yunnan, China.

Objective: To describe the clinical outcome and physical condition of patients with locally advanced breast cancer (LABC) who received neoadjuvant chemotherapy followed by mastectomy and latissimus dorsi myocutaneous flap repair.

Methods: A retrospective review of 142 patients with locally advanced breast cancer was selected from 1156 breast cancer patients in the South and North areas of The Affiliated Calmette Hospital of Kunming Medical University between May 2008 and December 2018.

Results: All participants (n = 142) were women aged 40-55 years (average age 47. Read More

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Defining the Ideal Breast Reconstruction Procedure After Mastectomy From the Patient Perspective: A Retrospective Analysis.

Breast Cancer (Auckl) 2022 19;16:11782234221089597. Epub 2022 Apr 19.

Division of Plastic, Reconstructive and Esthetic Surgery, Geneva University Hospitals and Faculty of Medicine, University of Geneva, Geneva, Switzerland.

Background: An increasing number of breast cancer patients undergo immediate or secondary breast reconstruction, but the ideal method in terms of patient satisfaction remains ambiguous. We compared the 3 most common breast reconstruction techniques to determine patient satisfaction and objective outcomes.

Methods: Retrospective study of 184 patients with breast cancer who underwent a reconstructive procedure between 1993 and 2011 at our institution. Read More

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[Clinical effects of free latissimus dorsi myocutaneous flap combined with artificial dermis and split-thickness skin graft in the treatment of degloving injury in lower extremity].

Zhonghua Shao Shang Za Zhi 2022 Apr;38(4):347-353

Department of Hand Surgery, Ningbo No.6 Hospital, Ningbo 315040, China.

To observe the clinical effects of free latissimus dorsi myocutaneous flap combined with artificial dermis and split-thickness skin graft in the treatment of degloving injury in lower limbs. A retrospective observational study was conducted. From December 2017 to December 2020, 8 patients with large skin and soft tissue defect caused by degloving injury in lower extremity were admitted to Ningbo No. Read More

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A cost-effectiveness analysis of delayed breast reconstruction with pedicled flaps from the back.

J Plast Reconstr Aesthet Surg 2022 Feb 26. Epub 2022 Feb 26.

Department of Plastic and Breast Surgery, Aarhus University Hospital, Denmark.

Background: Variability in breast reconstruction methods provides an opportunity to investigate whether a method is superior to another with regard to cost, quality, or both. We performed a cost-effectiveness analysis (CEA) study based on tertiary endpoint data from a randomized clinical trial to compare the cost-effectiveness of delayed breast reconstruction by either a latissimus dorsi flap (LD) or a thoracodorsal artery perforator flap (TAP).

Material & Methods: A total of 50 women were included for unilateral delayed breast reconstruction and were randomized to reconstruction by either the LD flap (n = 18) or the TAP flap (n = 22). Read More

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February 2022

Comparison of nine methods of immediate breast reconstruction after resection of localized breast cancer: A cost-effectiveness Markov decision analysis of prospective studies.

Microsurgery 2022 Mar 31. Epub 2022 Mar 31.

Division of Plastic Surgery, Department of Surgery, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA.

Background: Women undergoing immediate breast reconstruction without radiation therapy have reconstruction methods available with uncertain long-term costs associated with complications requiring surgery and revisions. We evaluated cost-effectiveness of nine methods of immediate breast reconstruction for women with localized breast cancer.

Methods: Markov modeling was performed over 10-years for unilateral/bilateral breast reconstructions from healthcare/societal perspectives. Read More

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Superior gluteal artery perforator flap salvaged via hyperbaric oxygen therapy.

BMJ Case Rep 2022 Mar 29;15(3). Epub 2022 Mar 29.

Department of Surgery, Michigan State University, East Lansing, Michigan, USA.

The superior gluteal artery perforator (SGAP) flap can be challenging and in common with all flaps can develop venous and arterial insufficiency. Several prior studies have demonstrated the successful utility of hyperbaric oxygen therapy (HBOT) in the salvage of compromised flaps, mainly with deep inferior epigastric perforator, latissimus dorsi or transverse rectus abdominis myocutaneous flaps. SGAP flaps are autologous alternatives to abdominal-based flaps and provides adequate adipose tissue for breast reconstruction. Read More

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Salvage of infected implant-based breast reconstructions in morbidly obese patients with explantation and replacement with an autologous muscle-sparing latissimus dorsi flap.

JPRAS Open 2022 Jun 8;32:93-97. Epub 2022 Mar 8.

Department of Surgery, Northside Hospital, Gwinnett Surgical Specialists, 631 Professional Drive Suite 300, Lawrenceville, GA 30046, USA.

Morbidly obese patients who undergo reconstruction with implants after mastectomy are at higher risk of reconstructive failure. Prosthetic infection historically required explantation with plans for delayed implant-based reconstruction or conversion to autologous tissue. Loss of the skin envelope in the delayed setting often leads to poor aesthetic outcomes. Read More

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CHEST WALL RECONSTRUCTION USING CUSTOMIZED NEO-RIBS: CASE REPORT.

Port J Card Thorac Vasc Surg 2021 Nov 7;28(3):53-55. Epub 2021 Nov 7.

Thoracic Surgery Department, Hospital Pulido Valente, CHLN, Lisboa, Portugal.

Chest wall tumours are challenging subjects. In the present article we describe a case of a 51 year old female who developed an angiosarcoma eight years after radiotherapy treatment due to left breast cancer at age 41. She had resection of the anterior segments of the 3rd to 5thribs followed by chest wall reconstruction, using MatrixRib fixation system®, Marlex® mesh and latissimus dorsi muscle flap. Read More

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November 2021

Optimizing Aesthetics in Reconstructive Breast Surgery Using Muscle-Sparing Latissimus Dorsi Flap in Radiated and Nonradiated Patients.

Ann Plast Surg 2022 04;88(4):381-388

Movassaghi Plastic Surgery & Ziba Medical Spa, Eugene, OR.

Background: The latissimus dorsi musculocutaneous flap (LDMF) has been a workhorse for breast reconstruction. Its high rate of donor-site morbidity has led to the advent of the muscle-sparing latissimus dorsi flap (MSLDF). However, there are very limited reports using the MSLDF in irradiated patients. Read More

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Objective Comparison of Donor-Site Morbidity following Full and Thoracodorsal Nerve-Preserving Split Latissimus Dorsi Flaps.

Plast Reconstr Surg 2022 05 18;149(5):966e-971e. Epub 2022 Mar 18.

From the Division of Plastic and Reconstructive Surgery, University of Florida College of Medicine.

Background: The latissimus dorsi flap is a workhorse for reconstruction. However, flap harvest has been variably reported to result in donor-site morbidity. The aim of this study was to compare donor-site morbidity following harvest of a split latissimus dorsi flap, preserving the anterior branch of the thoracodorsal nerve, and a traditional nerve-sacrificing full latissimus dorsi flap. Read More

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"Latissimus dorsi-serratus anterior tandem flap for the reconstruction of lumbosacral defects".

J Plast Reconstr Aesthet Surg 2022 Jun 26;75(6):2001-2018. Epub 2022 Feb 26.

Division of Plastic and Reconstructive Surgery, Department of Surgery, Loyola University Medical Center, Maywood, IL, USA. Electronic address:

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[Case of Spindle Cell Carcinoma of the Breast Diagnosed as Mastitis].

Gan To Kagaku Ryoho 2022 Feb;49(2):173-175

Dept. of Surgery, Kani Tono Hospital.

The patient was a 51-year-old woman, who came to our hospital because of pain in her left breast and a tumor. US examination demonstrated a low echoic area with irregular margin and many high echoic spots within the left breast. We diagnosed mastitis. Read More

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February 2022

Chest wall reconstruction of male: Latissimus dorsi Kiss flap, rectus abdominis flap and Titanium-mesh.

Asian J Surg 2022 07 2;45(7):1443-1444. Epub 2022 Mar 2.

Department of Breast surgery, First Affiliated Hospital of Dalian, Medical University, Dalian, Liaoning Province, China. Electronic address:

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Boomerang latissimus dorsi flap in total breast reconstruction: report of three cases.

Gland Surg 2022 Jan;11(1):290-299

Department of Plastic and Reconstructive Surgery, School of Medicine, Kyungpook National University, Daegu, Korea.

The latissimus dorsi (LD) flap is one of the most useful techniques for autologous breast reconstruction, especially in Asians. However, for reconstruction of moderate to large volume breasts, it is difficult to achieve the desirable volume and projection with the classic extended LD flap. Although there is the option of concurrent application of an LD flap and a small silicone implant, this may lead to larger volume than desired; furthermore, an increasing number of patients prefer reconstruction with autologous tissue alone. Read More

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January 2022

Procedural Trends in Medicare Reimbursement and Utilization for Breast Reconstruction: 2000-2019.

Ann Plast Surg 2022 Jul;89(1):28-33

Division of Plastic and Reconstructive Surgery, Department of Surgery, Mayo Clinic, Phoenix, AZ.

Purpose: Development of appropriate reimbursement models for breast reconstruction in the United States requires an understanding of relevant economic trends. The purpose of this study is to evaluate longitudinal patterns in Medicare reimbursement for frequently performed breast reconstruction procedures between 2000 and 2019.

Methods: Reimbursement data for 15 commonly performed breast reconstruction procedures were analyzed using the Centers for Medicare & Medicaid Services Physician Fee Schedule Look-Up Tool for each Current Procedural Terminology code. Read More

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Effects of Temporary and Permanent Muscle Denervation on Fat Graft Retention in the Latissimus Dorsi Muscle: An Experimental Study in Rats.

Aesthetic Plast Surg 2022 Feb 28. Epub 2022 Feb 28.

Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, Osaka University, 2-2 Yamadaoka, Suita, Osaka, 5650871, Japan.

Background: In breast reconstruction with a latissimus dorsi flap, immediate fat grafting is useful for increasing flap volume. However, factors such as latissimus dorsi muscle atrophy and fat graft retention affect the volume of the reconstructed breast, and reports are inconsistent regarding treatment of the thoracodorsal nerve. This study examined how thoracodorsal nerve treatment affects the rates of latissimus dorsi flap preservation and fat graft retention using a rat model. Read More

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February 2022

"Superman" Latissimus Dorsi Flap for Breast Reconstruction: A Technical Innovation for Covering Extensive Mastectomy Defect.

Cureus 2022 Jan 23;14(1):e21514. Epub 2022 Jan 23.

Department of Plastic Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, IND.

Breast reconstruction in extensive post-mastectomy defects is challenging for a reconstructive surgeon. While a plethora of options is available for breast reconstruction, pedicled latissimus dorsi (LD) flap remains the flap of choice for most surgeons. However, the size of the skin paddle of the LD flap may not suffice for extensive defects. Read More

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January 2022

Intramuscular Neural Arborization of the Latissimus Dorsi Muscle: Application of Botulinum Neurotoxin Injection in Flap Reconstruction.

Toxins (Basel) 2022 01 30;14(2). Epub 2022 Jan 30.

Division in Anatomy and Developmental Biology, Department of Oral Biology, Human Identification Research Institute, BK21 PLUS Project, Yonsei University College of Dentistry, 50-1 Yonsei-ro, Seodaemun-gu, Seoul 03722, Korea.

Postoperative pain after breast reconstruction surgery with the latissimus dorsi flap is a common occurrence. Botulinum neurotoxin (BoNT) injection during surgery is effective in reducing postoperative pain. This study aimed to determine the most appropriate locations for BoNT injection. Read More

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January 2022

Immediate Skin Replacement Allows for Nipple-sparing, Direct-to-implant Reconstruction in Patients with Advanced Breast Cancers.

Plast Reconstr Surg Glob Open 2022 Feb 15;10(2):e4098. Epub 2022 Feb 15.

Northside Hospital, Department of Surgery, Northside Gwinnett Surgical Associates, Lawrenceville, Ga.

Mastectomy has evolved from approaches that involved extensive skin resection to nipple-sparing mastectomy (NSM). However, patients with advanced breast cancers who require extensive skin resection usually also have their nipple areola complexes (NACs) removed, even if they are distant from the cancer. Implant reconstruction in these patients is challenging as they require tissue expansion and, typically, radiotherapy with additional surgeries to complete their reconstruction. Read More

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February 2022

Donor-site morbidity following breast reconstruction with a latissimus dorsi flap - A prospective study.

J Plast Reconstr Aesthet Surg 2022 Jan 31. Epub 2022 Jan 31.

Department of Plastic Surgery and Burns Treatment, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.

Introduction: Despite a trend toward the use of perforator-based flaps for autologous breast reconstruction, the m. latissimus dorsi (LD) flap remains a popular alternative. Several studies have sought to uncover the shoulder-related donor-site morbidity, but the results are inconclusive. Read More

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January 2022

Patient-Reported Outcomes and Complications Following Breast Reconstruction: A Comparison Between Biological Matrix-Assisted Direct-to-Implant and Latissimus Dorsi Flap.

Front Oncol 2022 27;12:766076. Epub 2022 Jan 27.

Department of Breast Surgical Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.

Background: Implant-based breast reconstruction is increasingly becoming the most common method of postmastectomy breast reconstruction in use today. As the traditional autologous reconstruction technique, latissimus dorsi flap (LDF) is employed by surgeons for reconstruction after breast cancer surgery, including partial mastectomy, modified radical mastectomy, and others. The authors aim to compare patient-reported outcomes (PROs) and complications between the SIS matrix-assisted direct-to-implant (DTI) breast reconstruction and the autologous LDF breast reconstruction. Read More

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January 2022

Muscle sparing latissimus dorsi flap for reconstruction of a large chemo-necrosis of the chest wall: A case report.

Ann Chir Plast Esthet 2022 Mar 22;67(2):105-110. Epub 2022 Jan 22.

Department of Onco-Plastic Surgery, IUCT-Oncopole University Hospital, 1, avenue Irène Joliot-Curie, 31100 Toulouse, France.

Background: Extravasation of chemotherapeutic agents is a common complication in cancer centers. In severe cases involving large tissue necrosis, surgery may be needed to resect necrotic tissues and to cover the exposed areas.

Clinical Case Description: A 71 years old women was referred to our unit two month after extravasation of epirubicin from an implanted port-a-cath with a large chemonecrosis of the anterior chest wall. Read More

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