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
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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