1,218 results match your criteria Breast Reconstruction Latissimus Flap


Volume Change of Muscle and Fat Portions of Latissimus Dorsi Myocutaneous Flap after Breast Reconstruction.

Plast Reconstr Surg Glob Open 2021 Apr 15;9(4):e3536. Epub 2021 Apr 15.

Department of Medical Statistics, Daegu Catholic University, School of medicine, Daegu, Republic of Korea.

Background: Myocutaneous flaps are composed of muscle and fat portions, and exhibit volume changes with time. However, no consideration is generally given to volume changes of muscle and fat portions occurring in the flap. Therefore, we conducted this study to analyze the volume changes of muscle and fat portions of pedicled latissimus dorsi myocutaneous flaps over time. Read More

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Is It Worth the Risk? Contralateral Prophylactic Mastectomy With Immediate Bilateral Breast Reconstruction.

Ann Plast Surg 2021 Mar 18. Epub 2021 Mar 18.

From the Division of Plastic Surgery, Columbia University Irving Medical Center Columbia University Medical School, New York, NY.

Background: An increasing number of women are choosing to undergo contralateral prophylactic mastectomy with immediate bilateral breast reconstruction. Operating on the contralateral noncancer side is not without its own set of risks. We sought to compare complication rates between the cancerous and contralateral prophylactic breasts. Read More

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Abrupt Aggravation of Encapsulated Seroma after Breast Reconstruction with Extended Latissimus Dorsi Muscle Flap.

Case Rep Oncol 2021 Jan-Apr;14(1):290-295. Epub 2021 Mar 2.

Department of Surgery, Kishiwada Tokushukai Hospital, Kishiwada, Japan.

A 57-year-old woman underwent salvage nipple-preserving mastectomy with immediate breast reconstruction using extended latissimus dorsi muscle flap for her in-breast recurrence. The patient had been well with a presumed encapsulated seroma in her back for 8 years and 3 months but suddenly developed a protrusion of the persistent seroma. The patient requested us to improve the cosmetic deterioration of the visible large protrusion. Read More

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

Arch Plast Surg 2021 Mar 15;48(2):237-238. Epub 2021 Mar 15.

Department of Plastic Surgery, Trad Hospital Medical Center, Beirut, Lebanon.

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Robotic-assisted harvest of latissimus dorsi muscle flap for breast reconstruction: review of the literature.

J Robot Surg 2021 Mar 23. Epub 2021 Mar 23.

2nd Department of Propaedeutic Surgery, Athens Medical School, National and Kapodistrian University of Athens, Athens, Greece.

Robotic-assisted surgery continues to gain ground over conventional surgical methods, due to reported better results regarding the aesthetic outcome and the decreased percentage of complications. Although latissimus dorsi flap harvesting for breast reconstruction has been already used for several years, a plethora of serious complications has been reported. Recently, minimally invasive surgical approaches, such as robotic-assisted technique, have been suggested with conflicting outcomes to overcome technical difficulties. Read More

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Robotic Versus Conventional Nipple-Sparing Mastectomy With Immediate Breast Reconstruction.

Front Oncol 2021 4;11:637049. Epub 2021 Mar 4.

CRCM, CNRS, INSERM, Aix Marseille Université, Marseille, France.

Background: Several studies reported the feasibility and safety of robotic-NSM (R-NSM). The aim of our prospective study was to compare R-NSM and conventional-NSM (C-NSM).

Methods: We analyzed patients who were operated on with and without robotic assistance (R-NSM or C-NSM) and who received immediate breast reconstruction (IBR) with implant or latissimus dorsi-flap (LDF). Read More

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Preoperative Long-term Therapeutic Subcutaneous Heparin Administration into Abdomen: Possible Cause for Nonobstructive Microvascular Flap Failure.

Plast Reconstr Surg Glob Open 2021 Feb 17;9(2):e3400. Epub 2021 Feb 17.

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

The anterioabdominal wall is the most common site for low molecular weight heparin administration for anticoagulation, either for prophylactic or for therapeutic indications. Occasionally, this could be associated with damage of the abdominal pannus microvasculature, which could possibly jeopardize the reliability of free abdominal flaps as deep inferior epigastric perforator and muscle sparing transverse rectus abdominis muscle, especially with therapeutic anticoagulation therapy. These flaps are reliant on a highly intricate complex vascular anatomy and perforasomes for their adequate perfusion and survival. Read More

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February 2021

Good health-related quality-of-life and high patient-reported satisfaction after delayed breast reconstruction with pedicled flaps from the back.

J Plast Reconstr Aesthet Surg 2020 Dec 13. Epub 2020 Dec 13.

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

Background: This paper presents the results of a randomized controlled trial (RCT) that focus on health-related quality-of-life (QoL) and patient-reported satisfaction following breast reconstruction with pedicled flaps from the back.

Materials & Methods: We included women for unilateral delayed breast reconstruction. Patients were randomized to reconstruction by either a latissimus dorsi (LD) flap or a thoracodorsal artery perforator (TAP) flap. Read More

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December 2020

Comparison of Different Techniques in Latissimus Dorsi Breast Reconstruction: Plain, Immediately Lipofilled, and Implant Enhanced.

Ann Plast Surg 2021 Mar 4. Epub 2021 Mar 4.

From the Department of Plastic Surgery, Tampere University, Faculty of Medicine and Health Technology, Tampere University Hospital Research, Development and Innovation Center, Tampere University Hospital and Health Sciences, Faculty of Social Sciences, Tampere University, Tampere, Finland.

Background: The latissimus dorsi (LD) flap is still a popular choice for breast reconstruction. Plain LD provides a good option for women with small breasts, but with bigger breasts, the problem is insufficient volume. Traditionally, implants have been inserted to improve the volume, but because of problems associated with them, the use of fat grafting has gained popularity. Read More

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Minimally invasive robotic breast reconstruction surgery.

Gland Surg 2021 Jan;10(1):469-478

Department of Plastic Surgery, MD Anderson Cancer Center, Houston, TX, USA.

The rising popularity of robotic surgery has enabled surgeons to continue to expand the uses of robotic surgery. Robotic surgery offers minimally invasive approaches coupled with tremor elimination, up to seven degrees of freedom, ergonomic positioning, 3D magnified vision and improved resolution. We describe robotic surgery techniques for nipple-sparing mastectomies, latissimus dorsi muscle flap harvest, deep inferior epigastric perforator (DIEP) flap pedicle harvest, and robotic microsurgical anastomoses. Read More

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January 2021

Axillary lymph node recurrence in patients with breast cancer who underwent breast reconstruction using a latissimus dorsi flap after mastectomy.

Mol Clin Oncol 2021 Mar 19;14(3):49. Epub 2021 Jan 19.

Department of Specialized Surgery, Tokyo Medical and Dental University, Graduate School of Medicine and Dentistry, Tokyo 113-8519, Japan.

At our institution (Tokyo Medical and Dental University, Medical Hospital), latissimus dorsi flap (LD flap) reconstruction without a prosthetic implant is a popular surgical strategy following total mastectomy in patients with breast cancer. The LD flap, especially the extended LD flap, is usually rotated anteriorly through the axilla. However, if future additional surgery is required for axillary recurrence after LD flap reconstruction, the flap interferes with the visual field, making the surgical procedure more difficult. Read More

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Breast Reconstruction Using the Lateral Thoracic, Thoracodorsal, and Intercostal Arteries Perforator Flaps.

Plast Reconstr Surg Glob Open 2021 Jan 14;9(1):e3334. Epub 2021 Jan 14.

Clinica di Chirurgia Plastica e Ricostruttiva, Ospedale Policlinico San Martino e Sezione di Chirurgia Plastica, Dipartimento di Scienze Chirurgiche e Diagnostiche Integrate - DISC, Università degli Studi di Genova, Genova, Italy.

Breast-conserving surgery followed by radiotherapy represents the standard of care for early-stage breast cancer. The aim of this article was to provide a review of the literature about the use of the lateral thoracic artery perforator (LTAP) flap, the lateral thoracodorsal (LTD) flap, and the lateral intercostal artery perforator (LICAP) flap in lateral partial breast defect.

Methods: A literature search was performed via PubMed, Medline, and Cochrane. Read More

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January 2021

Efficacy of Low Power, Pure Cut Mode of Monopolar Electrosurgery and Quilting Sutures for Preventing Seroma Formation After Latissimus Dorsi Myocutaneous Flap Harvest.

Ann Plast Surg 2021 03;86(3):265-267

From the Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, Osaka University.

Background: Latissimus dorsi myocutaneous (LD) flaps are widely used in breast reconstruction surgery. However, seromas often form postoperatively at the donor site as a complication. This study aimed to determine the impact of different electrocautery modes during flap elevation, with or without subsequent quilting sutures, on postoperative seroma formation. Read More

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Thoracodorsal artery flaps for breast reconstruction-the variants and its approach.

Arch Plast Surg 2021 Jan 15;48(1):15-25. Epub 2021 Jan 15.

Instituto Oncologico Henry Moore (IOHM), Universidad de Buenos Aires, Buenos Aires, Argentina.

Thoracodorsal artery (TDA) flaps, ranging from the vascular-pedicled thoracodorsal artery perforator (TDAP) flap, the propeller TDAP flap, and the muscle-sparing latissimus dorsi (MSLD) flap to the conventional latissimus dorsi (LD) flap and the extended LD flap, can all be used for breast reconstruction. The aim of this paper and review is to share our experiences and recommendations for procedure selection when applying TDA-based flaps for breast reconstruction. We describe the different surgical techniques and our thoughts and experience regarding indications and selection between these procedures for individual patients who opt for breast reconstruction. Read More

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January 2021

Long-term outcomes of latissimus dorsi flap breast reconstructions: A single-centre observational cohort study with up to 12 years of follow up.

J Plast Reconstr Aesthet Surg 2020 Dec 26. Epub 2020 Dec 26.

Jasmine Breast Unit, Doncaster and Bassetlaw Teaching Hospitals NHS FT, Armthorpe Road, Doncaster, United Kingdom; Department of Oncology and Metabolism, E Floor, Medical School, Beech Hill Road, University of Sheffield, S10 2RX, United Kingdom. Electronic address:

Introduction: The Latissimus Dorsi Myocutaneous Flap (LDMF) is used in post-mastectomy reconstruction. This study has evaluated long-term (up to 12 years) surgical- and patient-reported outcomes from LDMF procedures.

Method: A retrospective analysis of consecutive LDMF procedures in two UK hospitals, performed between 2006 and 2016. Read More

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December 2020

Developing a Breast Reconstruction Program in a Resource-Constrained Ghanaian Teaching Hospital: Needs Assessment and Implementation.

Ann Plast Surg 2021 02;86(2):129-131

From the Division of Plastic Surgery, University of Utah Health Sciences Center, Salt Lake City, UT.

Abstract: As the detection of breast cancer in Ghana improves, the incidence of mastectomy has increased and the outcomes have improved. As a secondary result, the need for breast reconstruction is increasing. The cultural hesitation to undergo a mastectomy and live without a breast can be decreased by making breast reconstruction available, cost-effective, and acceptable. Read More

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February 2021

Autologous Breast Reconstruction Trends in the United States: Using the Nationwide Inpatient Sample Database.

Ann Plast Surg 2021 Jan 9. Epub 2021 Jan 9.

From the Department of Plastic Surgery, University of Texas MD Anderson Cancer Center, Houston, TX.

Background: Autologous tissue is the criterion standard in breast reconstruction, but traditionally has been used as a secondary option after implant-based options because of reduced reimbursement relative to effort and required additional technical skill. We intended to evaluate the overall frequency and trends of autologous breast reconstruction (ABR), the trends of ABR in teaching versus nonteaching hospitals and the trends of ABR in different hospital regions in the United States.

Methods: Using the Nationwide Inpatient Sample database, we examined the clinical data of patients who underwent immediate or delayed ABR from 2009 to 2016 in the United States. Read More

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January 2021

Mastectomy with immediate breast reconstruction: Results of a mono-centric 4-years cohort.

Ann Med Surg (Lond) 2021 Jan 31;61:172-179. Epub 2020 Dec 31.

Department of Surgery, Paoli Calmettes Institute & CRCM & Aix Marseille Univ, 232 Bd Ste Marguerite, Marseille, France.

Introduction: Oncological safety, quality of life and cosmetic outcomes seems to be similar between breast conserving surgery (BCS) and mastectomy with immediate breast reconstruction (IBR). We report our experience of IBR for consecutive mastectomies realized in a recent period of four years in order to determined immediate surgical results according to type of mastectomy and type of reconstruction, as mains objectives.

Methods: All mastectomies with IBR during years 2016-2019 were included. Read More

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January 2021

Successful Salvage of Pedicled Latissimus Dorsi Flap after Venous Thrombosis by Selective Thrombolytic Therapy.

Plast Reconstr Surg Glob Open 2020 Dec 17;8(12):e3299. Epub 2020 Dec 17.

Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, Osaka University, Osaka, Japan.

While the use of free flaps has become routine and is associated with a low complication rate, pedicled flaps remain a solid reconstructive option in various clinical situations. Pedicled flaps provide a reliable vascular supply and involve a simple surgical procedure. Although the procedure is advantageous from the standpoint of a low rate of flap ischemia, thrombosis, and total flap loss, these complications are still occasionally observed due to intraoperative pedicle injury, postoperative torsion, or compression. Read More

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December 2020

Versatility of the Pedicled Latissimus Dorsi Myocutaneous Flap in Reconstruction of Upper Limb and Trunk Soft Tissue Defects.

J Hand Microsurg 2020 Dec 20;12(3):168-176. Epub 2019 Aug 20.

Department of Plastic Reconstructive and Burns Surgery, All India Institute of Medical Sciences, New Delhi, India.

The purpose of the study was to share our indications, technique, outcome, and complications associated with the pedicled latissimus dorsi myocutaneous flap (LDMF) for reconstructing various upper limb and trunk soft tissue defects. We reviewed the prospectively collected data of the patients who underwent reconstruction of upper limb/trunk soft tissue defects with pedicled LDMF between January 2016 and March 2019. By analyzing the clinical scenarios, the location of flap inset, the arc of rotation, reach of the flap, and associated complications, we put forward few significant findings from our experience. Read More

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December 2020

Types of Mastectomies and Immediate Reconstructions for Ipsilateral Breast Local Recurrences.

Front Oncol 2020 10;10:567298. Epub 2020 Dec 10.

Department of Surgical Oncology, Institut Paoli-Calmettes, CRCM, Aix-Marseille University, Marseille, France.

Ipsilateral-breast-local-recurrence (ILBLR) is a rare event with little data on immediate-breast-reconstruction (IBR). We report post-operative results of different types of mastectomy for ILBLR with or without IBR performed during a period of 40 months in order to analyze post-operative complications as main objective. We analyzed mastectomies performed for ILBLR after initial breast conservative treatment from January 2016 to April 2019. Read More

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December 2020

Enhanced recovery after breast reconstruction with a pedicled Latissimus Dorsi flap-A prospective clinical study.

J Plast Reconstr Aesthet Surg 2020 Dec 9. Epub 2020 Dec 9.

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

Introduction: We have previously implemented and published an enhanced recovery after surgery (ERAS) program for autologous breast reconstruction using DIEP flaps. The latissimus dorsi (LD) flap is another commonly used flap for autologous breast reconstruction (ABR). The aim of the present study was to use our experience from the ERAS program in DIEP flap reconstruction to optimize our LD breast reconstruction program. Read More

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December 2020

Recurrent phyllodes tumour of breast infiltrating the latissimus dorsi reconstruction flap.

BMJ Case Rep 2020 Dec 13;13(12). Epub 2020 Dec 13.

General Surgery, All India Institute of Medical Science-Bhopal, Bhopal, Madhya Pradesh, India.

Phyllodes tumour is a rare breast tumour with potential of malignancy. Recurrence in phyllodes tumour may also be suggestive of malignant transformation. We report a case of 29-year-old woman with recurrent phyllodes tumour infiltrating the latissimus dorsi reconstruction flap. Read More

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December 2020

Latissimus Dorsi-lumbar Artery Perforator Chimeric Flap with Intra-flap Crossover Anastomosis for Breast Reconstruction.

Plast Reconstr Surg Glob Open 2020 Nov 23;8(11):e3222. Epub 2020 Nov 23.

Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, Osaka University, Osaka, Japan.

Latissimus dorsi (LD) flaps are widely used in breast reconstruction for their ease of use and minimal sacrifice of the donor site. Various strategies to increase flap volume have been suggested, but tissue volume is often insufficient for patients with little subcutaneous fat. While lumbar artery perforator (LAP) flaps are advantageous for thin patients because they allow for the addition of a large amount of fat, the vascular pedicle is short and vascular grafts are often required. Read More

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November 2020

Latissimus Dorsi flap enhancement by lipofilling as an immediate breast reconstruction technique for skin-preserving mastectomy.

Breast J 2021 Mar 4;27(3):222-230. Epub 2020 Dec 4.

Radiodiagnosis Department, Medical Research Institute, Alexandria University, Alexandria, Egypt.

Aim: To evaluate Latissimus Dorsi flap (LD) enhancement by lipofilling as an immediate breast reconstruction technique, for skin-preserving mastectomy regarding oncological safety, fat graft resorption after radiotherapy, and patients' satisfaction.

Patients And Methods: This is a prospective study that included female patients complaining of breast cancer. Patients were subjected to skin-preserving mastectomy associated with Latissimus Dorsi flap enhancement by lipofilling using the multisite, and multilayer fat grafting technique of injection. Read More

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Fat-augmented latissimus dorsi myocutaneous flap for total breast reconstruction: A report of 54 consecutive Asian cases.

J Plast Reconstr Aesthet Surg 2020 Nov 7. Epub 2020 Nov 7.

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

Immediate fat grafting to the latissimus dorsi myocutaneous (LD) flaps is a breakthrough that addresses the issue of insufficient volume of LD. However, the use of this procedure in Asian patients has not yet been reported. Retrospective chart reviews were conducted on 54 Japanese cases of total breast reconstruction using fat-augmented LD flaps at our hospital from September 2017 to June 2019. Read More

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November 2020

Comparing Outcomes of Robotically Assisted Latissimus Dorsi Harvest to the Traditional Open Approach in Breast Reconstruction.

Plast Reconstr Surg 2020 12;146(6):1221-1225

From the Division of Plastic Surgery, Baylor College of Medicine; and the Department of Plastic Surgery, University of Texas M. D. Anderson Cancer.

Background: Robotically assisted latissimus dorsi harvest permits harvest of the latissimus dorsi muscle without a back incision, as compared to the traditional open technique. The authors hypothesized that robotic harvest has lower donor-site complication rates, decreased opioid requirements, and a shorter length of stay than the traditional open technique.

Methods: A retrospective review was performed of all consecutive pedicled latissimus dorsi flaps for breast reconstruction between 2011 and 2015. Read More

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December 2020

Autologous Can Be Ambulatory: The Outpatient Latissimus Dorsi Myocutaneous Flap for Breast Reconstruction.

Plast Reconstr Surg 2021 Feb;147(2):361e-362e

Department of Plastic and Reconstructive Surgery, Hackensack University Medical Center, Hackensack, N.J.

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February 2021

Thoracodorsal Artery Perforator Flap in Partial Breast Reconstruction: A Systematic Review.

Plast Reconstr Surg Glob Open 2020 Oct 26;8(10):e3104. Epub 2020 Oct 26.

Clinica di Chirurgia Plastica e Ricostruttiva, Ospedale Policlinico San Martino e Sezione di Chirurgia Plastica, Dipartimento di Scienze Chirurgiche e Diagnostiche Integrate - DISC, Università degli Studi di Genova, Genova, Italy.

Introduction: Breast conserving surgery followed by radiation therapy represents the standard of care for early stage breast cancer. Oncoplastic breast surgery includes several reconstructive techniques essentially summarized in 2 categories: volume displacement and volume replacement procedures. These latest procedures have evolved over time from the use of the entire latissimus dorsi muscle to the use of pedicled perforator flaps, namely the thoracodorsal artery perforator (TDAP) flap. Read More

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October 2020