Jurnalul de Chirurgie
ISSN: 1584 - 9341
Vol.1 Nr.2 - aprilie - iunie 2005
 
     ENGLISH

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NUMARUL 2, VOL. 1, 2005

ANATOMIE SI TEHNICI CHIRURGICALE - ANATOMY AND SURGICAL TECHNIQUES

BREAST RECONSTRUCTION AFTER MASTECTOMY FOR CANCER. THE TECHNIQUE OF LATISSIMUS DORSI MUSCULOCUTANEOUS FLAP
Mihaela Pertea*, S. Lunca**
*Plastic and Reconstructive Surgery Clinic
**Emergency Surgery Clinic
Emergency Hospital, University of Medicine and Pharmacy Iasi
Jurnalul de chirurgie 2005; 1 (2):214-222
Full text: Format PDF (Romanian)

Abstract:

Breast conservation surgery is now widely accepted as the treatment of choice in breast cancer. The aim of immediate breast reconstruction is to improve well-being and quality of life for women undergoing mastectomy for breast cancer. Immediate breast reconstruction after mastectomy has increased over the past decade, following the unequivocal demonstration of its oncological safety and the availability of reliable methods of reconstruction.

The use of latissimus dorsi musculocutaneous flap to replace the volume loss after major breast resection is an option where the tumour to breast volume ratio is large. The latissimus dorsi muscle flap is a simple and reliable technique for breast reconstruction and was first described in 1896. The latissimus dorsi flap is known to be a well-vascularized flap with minimal risk of fat necrosis.

The main disadvantage of this procedure is a high rate of donor-site seroma. Comparing with other techniques of reconstruction, the technique of latissimus dorsi flap is simple and imply a few steps: marking the flap, raising the flap, anterior transposition of the flap, covering the defect and donor site closure.

This procedure must be known by all surgeons (general, plastic and breast) involved in breast surgery. The aim of this article is to describe the technique of latissimus dorsi flap in breast reconstruction.

KEYWORDS: BREAST RECONSTRUCTION, LATISSIMUS DORSI MUSCULOCUTANEOUS FLAP, TECHNIQUE

Correspondence: S. Lunca, Spitalul Clinic de Urgenta Iasi, Str: Gen. Berthelot, nr. 2, Iasi, 700483