Latissimus Dorsi Flap in Breast Reconstruction: Recent Innovations in the Workhorse Flap

Overview

Journal Cancer Control

Specialty Oncology

Date 2018 Jan 17

PMID 29334788

Citations 38

Authors

Rachita Sood

Jeena M Easow

Geoffrey Konopka

Zubin J Panthaki

Affiliations

Soon will be listed here.

Abstract

Background: Surgeons employ the latissimus dorsi flap (LDF) for reconstruction of a large variety of breast cancer surgery defects, including quadrantectomy, lumpectomy, modified radical mastectomy, and others. The LDF may be used in delayed or immediate reconstruction, in combination with tissue expanders for a staged reconstruction, with implant-based immediate reconstruction, or alone as an autogenous flap.

Methods: The authors discuss the historical uses and more recent developments in the LDF. More recent advancements, including the "scarless" approach and augmentation with the thoracodorsal artery perforator flap, are discussed.

Results: The LDF is a reliable means for soft tissue coverage providing form and function during breast reconstruction with acceptable perioperative and long-term morbidities.

Conclusions: When there is a paucity of tissue, the LDF can provide tissue volume in autologous reconstruction, as well as a reliable vascular pedicle for implant-based reconstruction as in the setting of irradiated tissue.

Citing Articles

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Optimal Use of Drain Tubes for DIEP Flap Breast Reconstruction: Comprehensive Review.

Lim B, Seth I, Joseph K, Cevik J, Li H, Xie Y J Clin Med. 2024; 13(21).

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A Meta-analysis Comparing Deep Inferior Epigastric Perforator Flaps and Latissimus Dorsi Flaps in Breast Reconstruction.

Tanas Y, Tanas J, Swed S, Spiegel A Plast Reconstr Surg Glob Open. 2024; 12(10):e6206.

PMID: 39386099 PMC: 11463201. DOI: 10.1097/GOX.0000000000006206.

Immediate Latissimus Dorsi Flap Reconstruction: Assessing Aesthetic Outcomes Following Mastectomy in Breast Cancer Patients.

Nyekha V, Kundan M, Belsariya V, Vk S, Agarwal A Cureus. 2024; 16(7):e64874.

PMID: 39156456 PMC: 11330548. DOI: 10.7759/cureus.64874.

The Predictive Factors of Combined Implant Application for Breast Cancer Patients Receiving Immediate Breast Reconstruction with a Pedicled Omental Flap.

Hu J, Deng X, Li L, Liu H, Tang F, Ding Z Ann Surg Oncol. 2024; 31(12):8362-8371.

PMID: 39048897 DOI: 10.1245/s10434-024-15882-w.

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