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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
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]