Latissimus dorsi flap remains an excellent choice for breast reconstruction

被引:51
作者
Sternberg, EG [1 ]
Perdikis, G [1 ]
McLaughlin, SA [1 ]
Terkonda, SP [1 ]
Waldorf, JC [1 ]
机构
[1] Mayo Clin, Jacksonville, FL 32224 USA
关键词
latissimus dorsi myocutaneous flaps; breast reconstruction; tissue expanders in breast reconstruction;
D O I
10.1097/01.sap.0000186463.07617.6f
中图分类号
R61 [外科手术学];
学科分类号
摘要
Latissimus dorsi flap has been unfairly relegated to a second option in breast reconstruction. One hundred consecutive latissimus dorsi muscle flaps (LDMF) with tissue-expander reconstruction were studied, mean follow-up 34.5 months (range, 1-175), 50 immediate, 50 delayed. With attention to a few technical details, excellent esthetic, soft reconstructions were achieved. Complications included I partial flap loss,- 2 patients required inframammary fold revision; and 6 patients required surgery for capsular contracture. Donor-site seroma occurred in 34 patients; 6 required operative revision. Results were similar in the immediate versus the delayed groups. LDMF remains an esthetic, reliable, safe reconstructive choice.
引用
收藏
页码:31 / 35
页数:5
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