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Breast Reconstruction using the Anterior Approach Scarless Latissimus Dorsi Muscular flap: A Single Center Retrospective Study.


ABSTRACT:

Introduction

Scarless latissimus dorsi (LD) flap is a breast reconstruction technique, which allow to cover the lower pole of implant with a large portion of the LD muscle without skin paddle; it represents a surgical solution that transpose vascularized tissue avoiding the failure of breast reconstruction, following necrosis of mastectomy skin flaps.

Material and method

A retrospective review of patients undergoing immediate or delayed breast reconstruction using scarless LD flap reconstructions was performed. Clinical data obtained from follow-up visits were recorded. To evaluate breast shape contentment and patient satisfaction, the patients were requested to answer the Breast-Q, version 2.0 reduction module postoperative scales questionnaire at the 12-month follow-up.

Results

We performed 19 scarless LD flap reconstructions between September 2019 and June 2022. The surgical time in average (considering minutes ± SD) was 130 (±15) minutes. The aesthetic assessment was good/excellent in 83% of patients. This was statistically significant (P=0.0).

Conclusions

The scarless LD flap reconstruction is a valid and reliable solution, which has the advantage to reduce the risk of exposed prosthesis if native skin necrosis occurs.

SUBMITTER: Loreti A 

PROVIDER: S-EPMC11004073 | biostudies-literature | 2024 Jun

REPOSITORIES: biostudies-literature

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Breast Reconstruction using the Anterior Approach Scarless Latissimus Dorsi Muscular flap: A Single Center Retrospective Study.

Loreti Andrea A   Bruno Edoardo E   Abate Ornella O   Arelli Floriana F   Spallone Diana D   La Pinta Massimo M   Matropietro Tiziana T   Ponti Elisabetta E   Broglia Laura L   Costarelli Leopoldo L   Scavina Paola P   Ribuffo Diego D   Fortunato Lucio L  

JPRAS open 20240321


<h4>Introduction</h4>Scarless latissimus dorsi (LD) flap is a breast reconstruction technique, which allow to cover the lower pole of implant with a large portion of the LD muscle without skin paddle; it represents a surgical solution that transpose vascularized tissue avoiding the failure of breast reconstruction, following necrosis of mastectomy skin flaps.<h4>Material and method</h4>A retrospective review of patients undergoing immediate or delayed breast reconstruction using scarless LD flap  ...[more]

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