Latissimus dorsi flap remains an excellent choice for breast reconstruction

Erez G. Sternberg, Galen Perdikis, Sarah A. McLaughlin, Sarvam P. Terkonda, James C. Waldorf

Research output: Contribution to journalArticlepeer-review

46 Scopus citations

Abstract

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 1 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.

Original languageEnglish (US)
Pages (from-to)31-35
Number of pages5
JournalAnnals of plastic surgery
Volume56
Issue number1
DOIs
StatePublished - Jan 2006

Keywords

  • Breast reconstruction
  • Latissimus dorsi myocutaneous flaps
  • Tissue expanders in breast reconstruction

ASJC Scopus subject areas

  • Surgery

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